改良病人睡衣之成效探討

The Effectiveness of Modified Patient-Pajamas

本研究目的在評價改良式病人睡衣之成效，研究者自民國七十九年六月起至民國八十一年元月三十一日止，歷經設計、適用、修正、並評價效果，直到缺點降低到最少程度。於民國八十年十二月至八十一年元月二個月期間，在某區域醫院內外科加護單位，探討改良式病人睡衣與傳統式病人睡衣在不同狀況的病人身上穿脫所需的時間和比較改良式病人睡衣與傳統式病人睡衣在護理成效上的差異以及評估護理人員對改良式睡衣使用後的意見反應。研究方法為1.直接觀察法：計算穿脫睡衣之時間。2.問卷調查法：調查護理人員之意見。將所收集資料採百分比、配對t檢定等統計方法分析。結果發現：1. 改良式睡衣較適用在昏迷、半昏迷、上肢關節活動障礙、靜脈注射與輸液幫浦使用等特殊個案。改良式睡衣使用於這些個案時較傳統式睡衣可縮短護理時間，呈現統計上顯著差異。2. 護理人員認為改良式睡衣簡化了穿脫程序並可節省護理人員體力。3. 改良式睡衣在個案穿脫過程所引起的異常情況，如針頭穿破靜脈血管，身體上的管路銜接處鬆脫等較傳統式睡衣大為減少，進而免除重複注射、減少病人痛苦、醫材浪費、及病人經濟負擔。4. 一般病患仍以傳統式睡衣較方便穿脫。綜合以上結果，可知改良式睡衣適用於特殊個案，臨床上節省護理時間，減少穿脫過程引發之異常狀況，並獲得護理人員正向評價，故具臨床上之實用性。

The purpose of this study is to evaluate the effectiveness of modified patient-pajamas. Subjects were selected in a medical intensive care unit of a provincial hospital. First, the direct abservation method was used to record & compare how much time was spent in putting on & taking off both the original pajamas and the modified pajamas. Second was to compare nurses’ opinion about using these two kinds of the pajamas. Data was analyzed by percentages and the pair-t test. Findings were:1. The designed pajamas significantly save nursing hours in changing cloths, especially when patients are in comatose, have limited activities, or are on infusion pump.2. The process of dressing and undressing patients using designed pajamas simplifies and saves the nurse’s energy.3. The designed pajamas prevent some accident such as needle and VCR line connector dislocation, which can cause discomfort & unnessary expense.