G Baldino, A Messina, A Asmundo, G Genovese, C Genovese, E Ventura Spagnolo, P Tarzia
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引用次数: 0
摘要
背景:长期以来,束缚问题一直被认为是一个棘手的政治和社会问题,对医护人员和医疗机构都有影响。在许多公立和私立医疗机构中,束缚的做法仍然很普遍,但却缺乏能够监测这一现象的系统性研究。问题的提出主要涉及意大利宪法所保障的个人自由权:我们编制了一份匿名调查问卷,内容包括对限制措施条例的了解程度,限制措施的实施方式、方法和时间,以及年龄、性别、学历、资历、所属O.U.等一般信息。收集到的数据使用 Epi Info 7.1.5 程序(美国亚特兰大疾病预防控制中心)进行了统计处理(卡方检验)。共完成 1002 份问卷。按结构对样本进行的分层显示,73.9%为公共设施。23.8%的受访者表示 "医疗记录中没有记录限制行为",这说明了问题的严重性:对医护人员而言,强制手段可能是一种真正的风险,涉及到健康责任问题。因此,重要的是要提高医护人员和高层管理人员的认识,使他们认识到有必要在公司层面制定符合 "关于限制人身自由的建议 "的程序,以便通过改进护理路径来克服限制人身自由的使用,从而符合组织和风险管理标准。
Investigation on physical restraint use in hospital: health responsibility, ethical and medical legal considerations.
Background: The issue of restraint has long been considered a difficult political and social situation, affecting both healthcare wor-kers and facilities. The practice of restraint is still widespread in many public and private care settings, but there is a lack of systemic studies capable of monitoring the phenomenon. The framing of the question essentially concerns the right to personal freedom, guaranteed by the Italian Constitution.
Materials and methods: An anonymous questionnaire was developed containing questions on knowledge of the regulations on restraints, how, ways, and when they are implemented, and general information such as age, gender, educational qualification, qualification, O.Us. to which they belong. The collected data were statistically processed (Chi-square test) with the Epi Info 7.1.5 program (CDC-Atlanta- USA). A total of 1002 questionnaires were completed. The stratification of the sample by structure shows that 73.9% were public facilities. The indicative figure is represented by the 23.8% of respondents who say that "the restraint is not noted in the medical record".
Conclusions: Restraint could be a real risk for the healthcare worker, encroaching on the issue of health liability. It is therefore important to raise awareness among healthcare professionals and top management of the need to structure, at company level, procedures that comply with the "Recommendations on physical restraint" to overcome the use of restraint through the improvement of care pathways in compliance with organizational and risk management standards.
期刊介绍:
La Clinica Terapeutica è una rivista di Clinica e Terapia in Medicina e Chirurgia, fondata nel 1951 dal Prof. Mariano Messini (1901-1980), Direttore dell''Istituto di Idrologia Medica dell''Università di Roma “La Sapienza”. La rivista è pubblicata come “periodico bimestrale” dalla Società Editrice Universo, casa editrice fondata nel 1945 dal Comm. Luigi Pellino. La Clinica Terapeutica è indicizzata su MEDLINE, INDEX MEDICUS, EMBASE/Excerpta Medica.