使用行为评估工具减少在急诊部的限制使用.
Journal of emergency nursing
|October 31, 2024
概括
实施行为活动评分表 (BARS) 减少了急诊室行为健康患者对身体限制的需求. 这种工具有助于早期识别和治疗动,减少整体克制使用.
科学领域:
- 紧急医疗 紧急医疗
- 行为健康 行为健康
- 提高质量 提高质量
背景情况:
- 出于行为健康问题的急诊室访问正在增加,增加了需要身体限制的患者激动的风险.
- 身体束对患者和工作人员构成风险,需要采取战略来尽量减少其使用.
研究的目的:
- 评估行为活动评分表 (BARS) 和相关治疗方案对在急诊室使用身体限制的影响.
- 确定 BARS 的实施是否减少了需要身体限制的行为健康患者的数量.
主要方法:
- 一个质量改进项目,涉及护理人员评估行为健康患者使用BARS在分拣期间和定期间隔.
- 在实施 BARS 工作流程之前和之后收集并比较了关于限制装置使用的数据.
主要成果:
- 在统计学上显著下降的总体百分比需要限制患者,从8.7%降至7.0% (P = .02).
- 需要多次束的患者数量大幅减少,从82.2%降至27.2% (P < .001).
- 在干预后1小时内,不观察到限制使用的显著差异 (P = .40).
结论:
- 早期识别患者动荡是有效管理的关键.
- 巴斯是量化行为健康患者激动程度的有效工具.
- 将BARS与治疗方案相结合,可能会减少在急诊室使用身体限制.
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