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探索加護病房護理人員照護急性混亂病患的行為

Exploring Nurses Behaviors of Caring the Patients with Acute Confusion in the Intensive Care Units

作者:黃維淑
畢業學校:輔英科技大學
出版單位:輔英科技大學
核准日期:2012-08-29
類型:Electronic Thesis or Dissertation
權限:Copyright information available at source archive--Fooyin University....

中文摘要

目的:研究發現16%~85%入住加護病房的病患會產生急性混亂的現象,且有高達78%患者出現急性混亂症狀未被醫療人員發現。本研究目的為探索加護病房護理人員照護急性混亂病患的行為結果所得到的經驗。
方法:本研究採三角交叉研究設計,以立意取樣,以南部某軍醫院內外科加護病房之病患及護理人員為研究對象,由研究者收取10位內外科加護病房護理人員及30位急性混亂病患。
結果: 研究結果顯示急性混亂發生率4.55%,在入住加護病房後第2天發生率最高,佔36.6 %,急性混亂病患年齡偏高,平均年齡73.2歲,65歲以上者佔66.7%。護理人員照護急性混亂病患方式以給予鎮靜劑、約束為主。加護病房護理人員照護急性混亂病患行為的困境為:急性混亂照護知識不足、工作時間與人力壓力、醫護人員缺乏共識,及用藥、約束議題。
結論:本研究結果,可明瞭護理人員於照護此類患者過程中,可能會面臨的困難或瓶頸,而加以改善或修正,並可於護理實務、護理行政及護理研究等方面之參考依據,以加強護理人員對急性混亂患者即早偵測與照護的能力,降低重症病患發生急性混亂時所造成的傷害,順利渡過此急性混亂期,並提昇患者與家屬對加護病房護理人員照護品質之滿意度。

英文摘要

Objective: The current studies of acute confusion indicated that there was a phenomenon of acute confusion existing in 16%~85% of the patients in the intensive care units. Nevertheless, 78% of the patients having symptoms of acute confusion had not been identified by doctors and nurses yet. Thus the aim of the study was to explore nurses behaviors of caring the patients with acute confusion in the ICUs.
Method: The triangulation was adopted in this study and the purposive sampling was used to recruit 10 nurses and 30 patients with acute confusion in the surgery and medicine ICUs of a southern military hospital.
Result: The results of the study indicated that the incidence of acute confusion is 4.55%. The rate of the next day after the patients were sent to the ICUs was 36.6% which ranked the highest. The average age of the patients with acute confusion was 73.2 and the rate of more than 65 years old was 66.7%. The main ways of caring that the nurses used were offers of tranquilizer and physical restraints. The factors of influencing nurses behaviors of caring the patients with acute confusion in the ICUs were lack of nursing knowledge of acute confusion, work hours and manpower pressure, the consensus of doctors and nurses, medication, and issues of physical restraints.
Conclusion: The findings of the study referred to the bottlenecks which the nurses might encounter while taking care of the patients with acute confusion and relevant improvements were further provided. Therefore, this study could be a reference for nursing practice, nursing administration and nursing research. By means of the study, the nurses abilities of both anticipating and caring the patients with acute confusion could get strengthened and the hurts caused by acute confusion which might be incident to patients in the ICUs could get reduced. In the meantime, the satisfaction which the patients and their family expressed at the nurses quality of caring would be upgraded.


召集委員 - 涂金堂

委員 - 顧雅利

指導教授 - 陳淑銘


 

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