住院患者身体约束真实体验研究的系统评价  

The systematic review of research on real experience on physical restraint for hospitalized patients

作　　者：潘燕彬[1] 郝巍巍 张晶晶[1] 杨凯涵 江智霞[1,2] 刘竹[1] 周莹[1] 

机构地区：[1]遵义医学院,贵州省遵义市563003 [2]遵义医学院附属医院

出　　处：《中国护理管理》2016年第8期1033-1040,共8页Chinese Nursing Management

基　　金：贵州省教育厅人文社会科学项目(2015SSD19);2013-2014年度国家临床重点专科建设项目(临床护理)(国卫办医函[2013]544号)

摘　　要：目的:系统评价住院患者身体约束的真实体验。方法:计算机检索数据库The Cochrane Library、PubMed、Medline、Embase、Wed of Science、CBM、CNKI、VIP和WanFangData,搜集关于住院患者身体约束真实体验的质性研究,检索时限均从建库到2016年1月。进行文献质量评价后,采用Meta整合方法对研究结果进行归纳、诠释。结果:共纳入7篇文献,提炼出40个结果、10个类别和5个整合结果,分别为:患者对使用约束的理解、患者约束的心理感受、患者约束的身体感受、患者应对约束的方式、患者对约束的建议。结论:医护人员对患者进行身体约束时要多次、全面地告知其使用约束的理由,关注患者身体和心理的改变,帮助他们建立积极的应对方式,并根据患者的建议适当调整约束的规范和流程。Objective： To systematically review the real experience of physical restraint in hospitalized patients. Methods： We searched databases including The Cochrane Library, PubMed, Medline, Embase, Wed of Science, CBM, CNKI, VIP and WanFang Data from inception to January 2016,to collect qualitative studies in the experience of physical restraint in hospitalized patients. After quality assessment, Meta synthesis was used to summarize and explain the results. Results： A total of seven literatures were included. Forty complete findings were grouped according to their similarities and form ten categories. These categories resulted in five synthesized findings： patients＇ understanding of the use of constraints; the psychological feelings of the patient restraint; the physical feelings of the patient restraint; patients＇ coping with constraint; patients＇ suggestions to constraints. Conclusion： Health care workers have to frequently, fully inform of the reasons for the patient＇s physical constraints. In addition, they should concern about the patients＇ physical and psychological changes and help them to establish a positive coping style. According to the patients＇ recommendations appropriate to adjust the constraints of the norms and processes. What is more, on the advice of the patients appropriately adjust the constraint specification and process.

关 键 词：住院患者 身体约束 真实体验 质性研究 系统评价 Meta整合 

分 类 号：R47[医药卫生—护理学]