針灸後漏拔針成因研究

The Investigation of Retained Needle after Acupuncture Treatment

10.6200/TCMJ.2014.11.1.04

呂文娟(Wen-Chuan Lü)；林舜穀(Shun-Ku Lin)；陳朝宗(Chao-Tsung Chen)

針灸 ； 漏拔針 ； 中醫護理 ； 七科九學分 ； 醫療糾紛 ； acupuncture ； Failed needle-removing event ； Traditional

北市醫學雜誌

11卷1期（2014 / 03 / 30）

24 - 34

繁體中文

目的：漏拔針是中醫醫療常見危險事件，可能增加感染風險，並引起醫療糾紛，本研究之目的在於探討可能導致漏拔針之因素。方法：本次調查某區域醫院100年至101年之漏拔針事件，統計發生次數以及穴位、診斷等等。結果：本研究發現漏拔針最常發生在肩部與背部。發現者以家人及協助照護者最多。地點以病房最多，門診針灸室其次，年資少於2年的護理師最常發生，接受過七科九學分中醫護理訓練之護理師則較少。最常發生漏拔針的穴位是天宗穴及風池穴。發生漏拔針的以中風後遺症的病人最多。結論：我們建議應對中醫師與護理師持續的教育訓練，並在每次針灸反覆檢查、多重確認，以減少漏拔針事件。

Objective: Failed needle-removing is a common risk event after acupuncture. Indwelling needle may damage skin and blood vessels, increase infection risk and lead to medical disputes. Method: We counted the number of failed needle-removing during January 1, 2011 to February 28, 2012 in a regional hospital in Taipei city, and analyzed the acupoints, chief diagnosis, persons who first discovered the failed removing needle, and nurse seniority. Results: The most common areas of failed needle-removing events were neck and back. Most discoverers were families and caregivers, then patients themselves. The most location of failed needle-removing was in the wards, then in outpatient acupuncture room. Failed needleremoval occurred most frequently in junior traditional Chinese medicine (TCM) care nurses, and those who received seven-section and nine nurse TCM training were significantly less. Above all the acupoints, most needle-removing events occurred at SI11 and GB20. Finally, most of the events occurred in stroke patients. Conclusions: We recommend continuous training for TCM practitioners and nurses. Furthermore, after every acupuncture treatment, multiple confirmations should be carried out to prevent failed needle-removing event.