精神科病房强制性护理干预潜在与法律问题及管理对策.docVIP

精神科病房强制性护理干预潜在的法律问题及管理对策 胡筱峰 顾康莹 席金荣 江苏省淮安市第三人民医院精神科 摘要:目的：探讨精神科病房强制性护理干预潜在的法律问题，并提出护理管理对策。方法：分析精神科护士实施强制性护理干预行为的原因以及潜在的法律问题。结果：精神科强制性护理干预在患者的生命健康权、知情同意权、人身自由权、人格受尊重的权利方面存在法律问题，并可能存在过失、渎职行为及违反法律法规责任。结论：在精神科病房实施强制性护理干预时应尊重病人，做好相关告知，保障病人及家属的各种相关权利，并认真执行各项相关制度，使强制性护理干预措施更加人性化、科学化、规范化、程序化，避免医疗纠纷的发生。 关键词：精神科病房、强制性护理干预、潜在的法律问题、护理管理对策 The potential legal issues about mandatory nursing intervention and the strategies of nursing management in psychiatric wards Hu-Xiaofeng.Gu-Kangying.Xi-Jinrong The Third People’s Hospital of Huai’an,Jiangsu Province Abstract: Objective: To explore the potential legal issues about mandatory nursing intervention in psychiatric wards, and put forward the strategies of nursing management. Methods: To analyze the causes and the potential legal issues of the action of psychiatric nurses to carry out mandatory nursing intervention. Results: There are legal issues on the right to life and health ,the right of informed consent, the right of personal freedom and the right of personality respected about mandatory nursing intervention in psychiatric wards and there may be negligence, misconduct and responsibility of violating the laws and regulations. Conclusion: While carrying out mandatory nursing intervention in psychiatric wards , nurses need to respect the patient, make related informed well, protect various of related rights of patients and families , implement seriously the relevant system so as to make mandatory nursing interventions more humanized, scientific, standardization, programming, and avoid the occurrence of medical disputes. Key words: psychiatric wards, mandatory nursing intervention, the potential legal issues, the strategies of nursing management( 强制性护理干预措施是在精神科医疗活动过程中，为了保障病人安全，防止意外事件发生，保证治疗护理的有效执行，精神科护士对病人实施的保护性措施，包括保护性约束、隔离、强制性执行治疗护理操作。但由于此项护理措施尤其是保护性约束是违背病人本人意愿的，且家属担心病人会因此受到心理刺激而加重病情[1]，所以大多不被病人及家属接受，容易导致医疗纠纷。《精神卫生法》的出台，对精神科医务人员依法执业起指引和规范作用。通过对《精神卫生法》的学习和领会，本文旨在从护理的角度进行审视，探讨精神科病房强制性护理干预潜在的法律问题，提出护理管理对策，以避免医疗纠纷。 1. 精神科护士实施强制性护理干