养老机构管理者对老年人身体约束认知和态度的质性研究  

Perception and attitude of nursing home managers towards physical constraints for the elderly:a qualitative study

作　　者：徐胜玲 蒲海旭 聂婷瑶 夏鹏辉[1] Xu Shengling;Pu Haixu;Nie Tingyao;Xia Penghui(Geriatric Department,the First Hospital of Hunan University of Chinese Medicine,Changsha 410021,China;School of Nursing,Hunan University of Chinese Medicine,Changsha 410021,China)

机构地区：[1]湖南中医药大学第一附属医院老年病科,长沙410021 [2]湖南中医药大学护理学院,长沙410208

出　　处：《中华现代护理杂志》2023年第28期3810-3814,共5页Chinese Journal of Modern Nursing

基　　金：湖南省学位与研究生教育改革研究项目(CX20200775)。

摘　　要：目的了解养老机构管理者对老年人身体约束的认知和态度,以明确养老机构身体约束改进方向及阻碍因素,为规范和减少老年人身体约束提供参考。方法采用现象学研究法,于2022年6—9月选取符合纳入标准的15名养老机构管理者作为研究对象进行半结构式深入访谈,并采用Colaizzi 7步分析法对资料进行分析、归纳及主题提炼。结果养老机构管理者对老年人身体约束认知和态度可归纳为4个主题,分别为:养老机构管理者从理论和实际出发对身体约束进行认识;养老机构管理者对身体约束使用持不同态度;合理、规范地实施身体约束是养老机构身体约束改进方向;改善养老机构身体约束使用面临来自各方的阻碍。结论养老机构老年人身体约束的使用目前存在诸多问题,养老机构管理者应不断提升约束认知水平,积极发挥自身在约束管理过程中的重要作用,同时社会各方应给予老年人身体约束更多的关注和支持力度。Objective To understand the cognition and attitude of nursing home managers towards physical constraints for the elderly,so as to clarify the direction and obstacles for improving physical constraints in nursing homes,and provide reference for regulating and reducing physical constraints for the elderly.Methods Using phenomenological research methods,15 nursing home managers who met the inclusion criteria were selected as the research subject for semi-structured in-depth interviews from June to September 2022.The Colaizzi 7-step analysis was used to analyze,summarize data,and extract themes.Results The cognition and attitude of nursing home managers towards physical constraints were summarized into 4 themes,namely,the understanding of physical constraints by nursing home managers from both theoretical and practical perspectives,nursing home managers held different attitudes towards the use of physical restraint,reasonable and standardized implementation of physical restraint was the direction for improving physical restraint in nursing homes,improving the use of physical constraints in nursing homes faced obstacles from various aspects.Conclusions There are currently many problems with the use of physical restraint for elderly people in nursing homes.Nursing home managers should continuously improve their cognition of constraints and actively play their important role in the process of constraint management.All sectors of society should pay attention and support to physical constraints for the elderly.

关 键 词：老年人 身体约束 养老机构 约束管理 质性研究 

分 类 号：R47[医药卫生—护理学]