行動制限最小化看護研修受講後における隔離・身体拘束施行量

Change in Seclusion/Restraint Use after Nurses' Training Course

抄録

　行動制限最小化に向けた看護師への研修は重要であり，日本精神科看護技術協会ではこれを目的とした研修を主催している。本研究は，当研修を受講後のその看護師がかかわっている病棟の隔離・身体拘束施行量への変化を明らかにすることが目的である。2008～10年度に延べ224人が当研修を受講し，108人(48.2％)から受講1か月前，3か月後，6か月後の施行量について回答を得た。身体拘束においては，月延べ施行日数の中央値が30.0日，11.0日，25.5日と変化し，1か月前と比べ3か月後は有意に少なかった。しかし6か月後は有意差を認めなかった。研修受講後いったん身体拘束施行量は減少したが，その後は元の量に戻った。

　The education of nurses is essential to minimize the use of seclusion and restraint(S/R). The Japanese Psychiatric Nurses Association regularly holds a training course on this prosess. This study aims to survey how much the course contributes to the reduction of S/R use at the attendees'(nurses')workplaces. The total number of nurses who attended the training course was 224 throughout the 2008 to 2010 fiscal years；108 nurses(48.2%)reported on the number of S/R in their wards one month before attending the training course and three and six months afterwards. The medians of the monthly cumulative days of resistraint use at one month before training and three and six months afterwards were 30.0, 11.0 and 25.5 days respectively. Compared to the monthly cumulative days of restraint before course attendance. The amount reported three months afterwards showed a significant decrease, whereas no significant defference was seen six months after the training. The frequency of restraint decreased immediately after the training but returned to the original amount after six months.