[在临床实践中,限制有哪些替代方案? 一项多中心研究的结果]
Sara Dentice1, Stefania Chiappinotto1, Renzo Moreale1
1Dipartimento di Medicina, Università degli Studi di Udine.
Assistenza infermieristica e ricerca : AIR
|January 17, 2024
概括
在物理限制患者之前,护士很少使用替代方案,只有大约12%的限制先进行干预,例如涉及家庭或调整环境. 这突显了临床实践中患者安全替代品的差距.
科学领域:
- 老年学是一门学科.
- 护理实践 护理实践
- 患者安全 患者安全
背景情况:
- 身体克制仍然是医疗保健机构中普遍存在和备受辩论的做法.
- 现有的研究主要涉及限制预防,仅限于对替代策略的关注.
- 需要了解在临床实践中对身体限制的替代方案的应用.
研究的目的:
- 调查护士是否在采取患者控制措施之前使用替代方案.
- 确定护士在限制应用之前使用的特定替代干预措施.
主要方法:
- 进行了一项两阶段,多中心,多方法的研究.
- 第一阶段涉及到在各种设施中使用束器的流行调查.
- 第二阶段包括采访护士照顾受限患者,以确定先前的替代方案.
主要成果:
- 这项研究包括37个设施:17个养老院 (NH),10个中间单位 (IU) 和10个医疗/外科病房.
- 总体而言,2283名患者中有28.9%的患者被控制,与医院 (15.6%) 相比,NHs (31.3%) 和IU (26.8%) 的比率更高.
- 重要的是,只有12.3%的束患者事先实施了替代方案 (例如,家庭参与,床位调整).
结论:
- 护士在身体限制之前几乎没有其他选择,大约有八分之一的限制先进行干预.
- 替代性使用因环境而异,在IU中更频繁,在NH中更少;在医院病房没有报告.
- 使用的替代方案通常是简单的,并取决于环境,受可用的资源的影响.
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