Previous Articles     Next Articles

 
A qualitative research of protective constraint on hospitalized psychiatric patients

  

  1. The Anding Hospital of Tianjin
  • Received:2016-03-09 Revised:2016-11-15 Online:2017-04-28 Published:2017-05-23

精神科护士对住院患者实施保护性约束体验的质性研究

  

  1. 天津市安定医院
  • 基金资助:
     
       靖(1973-),女, 副主任护师,护理部主任,本科

Abstract:  

Objective: To understand the mental experience of nurses on protective constraint to psychopath so as to provide the reference for using. Methods: Based on the phenomenological method, in-depth interview was conducted in 11 psychiatric nurses. And then according to seven step analysis from Colaizzi we analyzed the data. Results: We finally abstracted three themes including cognition experience, mental experience and the influential factors in using the protective measures. Conclusion: The psychiatric nurses are used to relying on constraint to ensure patients safety, but most of them always feel high pressure for it. The nursing manager should develop evidence-based guideline, strengthen supervision and encourage nursed to find out the alternative methods.

Key words:  

摘要:  

目的:深入了解护士对精神科住院患者实施保护性约束的心理体验,为规范保护性约束的合理使用提供参考。方法:采用质性研究的现象学方法为指导,对11名精神科护士进行深入访谈,根据Colaizzi的7步分析法分析资料。结果:共提炼出认知体验、情感体验、护士使用保护性约束的影响因素3个主题。结论:临床工作中精神科护士在实施保护性约束时多感压力大,为确保患者及周边环境安全,护士对保护性约束常过多依赖。护理管理者需要建立完善的循证指南,规范保护性约束的合理使用,鼓励护士积极寻找其他方法替代,保障患者安全。

关键词: 精神科患者, 保护性约束, 质性研究