住院精神疾病患者保护性约束存在的缺陷及对策  

Probe into defects existing in protection constraint for hospitalized psychiatric patients in psychiatric ward and its nursing strategies

作　　者：艾伯 王彩霞[1] 柴森[2] 张羽[3] 

机构地区：[1]哈尔滨医科大学大庆校区,大庆163319 [2]沈阳市精神卫生中心心理科 [3]黑龙江大学

出　　处：《国际精神病学杂志》2015年第2期41-44,共4页Journal Of International Psychiatry

摘　　要：目的探讨住院精神疾病患者实施保护性约束存在的缺陷,并提出相应对策。方法采用回顾性方法分析本院2013年9月~2014年9月我院精神科住院的87例实施保护性约束患者的约束记录、护理记录单。结果在对精神疾病患者进行保护性约束的过程中,存在着保护性约束使用率高、保护时间长;忽视患者本身意愿,患者知情同意差的缺陷;保护性约束不规范,护理不当,造成患者不良影响等问题。结论对精神疾病患者实施保护性约束的过程中,应规范约束程序,降低保护性约束的使用率;加强与患者的沟通交流,落实告知制度,保障患者的知情同意权;加强基础护理,使保护性约束趋于标准化、规范化、人性化。Objective To investigate defects existing in protection constraint for hospitalized psychiatric patients in psychiatric ward and its strategies. Methods Analysising the protection constraint records and nursing records of 87 psychiatric patients in our psychiatric ward during September 2013-2014 in September. Results There are defects among the process of protection constraint. Such as the defects of the right to know of patient,high usage of protection constraint,resistant too long during protection constrain,protection constraint are not standardized,nursing inappropriate. Conclusion In the process of protection constraint,psychiatric nurses first should standardize protection constraint. Second,strengthen the communication with patients and inform the implementation system to protect the right to know of patient. Third,strengthen primary nursing. Make sure protection constraint tends to be normalization,standardization,humanization.

关 键 词：精神科 保护性约束 对策 

分 类 号：R749[医药卫生—神经病学与精神病学]