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在医院前的紧急医疗护理环境中的身体克制:一个范围审查
Jared McDowall1,2, Andrew William Makkink2, Kelton Jarman2
1Netcare Education, Faculty of Emergency and Critical Care, Johannesburg, Gauteng, South Africa.
概括
这份综述强调了在医院前环境中缺乏对患有激动和攻击性行为 (AAB) 的患者的身体克制的研究. 未来的研究应该涉及患者管理,安全和紧急医疗服务 (EMS) 的教育.
科学领域:
- 在医院前的护理.
- 紧急医疗 紧急医疗
- 患者安全 患者安全
背景情况:
- 精神运动激动和攻击性行为 (AAB) 可以发生在任何医疗保健环境中,包括紧急医疗服务 (EMS).
- 身体克制是有时用于管理AAB的一种措施.
- 有限的研究存在于体力约束的医院前应用.
研究的目的:
- 检查有关在医院前环境中患者的身体克制的文献.
- 为患者和医疗保健从业人员确定身体克制的指导方针,有效性和安全性.
- 探索EMS使用身体限制的策略.
主要方法:
- 使用Arksey和O'Malley框架进行了范围审查,并使用Sucharew和Macaluso进行了增强.
- 在CINAHL,Medline,Cochrane和Scopus中进行了搜索.
- 数据收集包括确定研究问题,资格标准和报告结果.
主要成果:
- 研究发现,与急诊室相比,在医院前环境中对身体受限患者的研究存在重大差距.
- 关于医院前身体限制实践,指导方针及其有效性的文献是有限的.
结论:
- 有限的研究可能部分是由于对失能患者的知情同意的挑战.
- 未来的研究应该优先考虑医院前患者管理,不良事件,从业者风险,政策制定和与身体克制相关的教育.
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