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沙田醫院推病人不穿約束衣 座墊加警號防跌倒
 

林楚明醫生執業資料

沙田醫院推病人不穿約束衣 座墊加警號防跌倒

一般患有腦退化、中風及精神混亂的長者,公立醫院較常以約束衣捆綁病人,以防病人跌倒,但長期被約束會對病人心理及身體造成負面影響,沙田醫院內科部自2007年起,推出病人「不穿約束衣」行動,利用儀器在病床及座椅加設警號座墊,當病人離開座位時,座墊自動發出警號,讓醫護人員對病人提高警覺性,至今接近所有病人無需受約束衣捆綁,同時做到預防跌倒的效果。

沙田醫院內科及老人科顧問醫生林楚明稱,現時普遍香港公立醫院都會利用約束衣,捆綁高危及容易跌倒的病人,如腦退化及精神混亂的病者,但他指,使用約束衣,亦未能百分百保證防跌,並對病人心理構成負面影響,如一些視力衰退的長者穿著約束衣,會有被囚的錯覺,嚴重者會有自殺念頭,另外,長期穿約束衣更有可能引致併發症,如肺炎及大小便失禁﹐故沙田醫院內科部早前試行有關病人不穿約束衣計劃,而病房更配備較矮的床位,方便病人下床。

醫院管理局每年舉辦傑出員工及團隊獎,沙田醫院內科部實踐不穿約束衣,同時防跌倒初見成效,奪得團隊嘉許獎;至於個人傑出員工獎,則由屯門醫院註冊護士李詠宜,為深切治療部建立一套完善貨物存貨紀錄系統,同樣獲得嘉許。

資料來源: AM730 18-05-2011

選文來自: 香港E大夫 / 醫大夫

 

The above information is not medical advice, for reference only / from : Michelle

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