應用創新輔具降低中醫針傷科門診病人溫針灸燙傷發生率

Reduction of the Rate of Burn Injuries in Chinese Medicine Acupuncture and Moxibustion Clinic by Applied Innovative Assistance

本專案旨在應用創新輔具降低中醫針灸科門診病人溫針灸燙傷發生率，專案動機係由遭受溫針灸法燙傷病人的抱怨所引發，籍由觀察及分析溫針灸導致病人燙傷原因為醫師使用短針施行溫針灸法及針刺時針柄貼近皮膚；病患對溫針灸法認知錯誤、未適當移除衣物及施灸期間移動身體；護理人員對施灸部位皮膚未做防護、使用鬆散艾粒施灸及艾粒未銜接妥當等。經與醫師協調溫針灸留針方式和時間、擬定溫針灸護理指導單張、增加支撐體位及保暖設備、設計施灸部位皮膚防護用具、艾粒置放盒、移除灸灰輔具等九項改善措施後，溫針灸燙傷發生率由改善前4.8%降至0.3%，改善幅度達93.8%。期望本專案之改善經驗及創新輔具之應用能作為類似案例改善的參考。The project aimed at reducing the rate of burn injuries in a Chinese Acupuncture and Moxibustion clinic. The research was motivated by the complaints of patients. The main reasons for the burns were the usage of short needles by doctors and the distance from the bases of needles to patients' skin. Moreover, patient misunderstanding, removing the clothes improperly, changing body posture during treatment, nurses' failure to provide proper protection for patients' skin, usage of loose moxa, and improper connection between moxa and needle also were the causes of burn. By taking the following steps-discussion of usage of warm acupuncture and time of order with doctors, an introduction to warm acupuncture before the procedure, use of a warmth-keeping device to support the body, methods of skin protection during moxibustion, use of moxibustion boxes, and assistance in removing the ashes from moxibustion, the rate of burn injuries was reduced to 0.3% from 4.8%, reaching an improved rate of as high as to 93.8%. The experience and innovative assistance applied in this project can serve as practical references for improvements of related problems.