重症监护中的暴力:一个点患病率研究
Ryan J Slack1, Craig French1,2,3, Forbes McGain1
1Western Health, Melbourne, VIC, Australia.
概括
在重症监护室 (ICU) 中,暴力很常见,往往需要干预. 许多ICU缺乏正式的暴力管理政策,现有的政策差异很大,突出了对标准化协议的需求.
科学领域:
- 关键护理医学 关键护理医学
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 在重症监护室 (ICU) 的暴力研究不足,发病率数据往往是从急诊室推断出来的.
- 现有的管辖政策管理ICU暴力缺乏正式评估.
- 了解ICU暴力的范围和促成因素对于开发有效干预至关重要.
研究的目的:
- 确定澳大利亚重症监护室患者暴力的发生率和特征.
- 确定ICU患者中暴力行为所感知的贡献者.
- 评估当前与ICU中的暴力有关的管理策略和单位政策.
主要方法:
- 在44个澳大利亚亚洲重症监护室进行了多站点的观察性研究.
- 收集了过去24小时患者暴力事件发生率的数据.
- 对患者暴力的调查单位政策和管理策略.
主要成果:
- 在627名患者中,4%的患者在数据收集前24小时表现出暴力行为.
- 暴力与更长时间的住院和ICU住院有关.
- 混乱,身体疾病和精神疾病是最常见的感知贡献者;化学镇静和身体克制是频繁的管理策略.
结论:
- 患者暴力是ICU中经常发生的事件,需要进行干预.
- 很大一部分ICU (32%) 缺乏记录的暴力管理程序.
- 在那些确实有ICU的ICU中,暴力管理政策存在相当大的差异.
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