58例住院精神病患者发生危险行为相关因素及护理对策-《西部中医药》

文章信息/Info

Title:: Relevant Factors of 58 Inpatients with Psychosis Who Engaged in Dangerous Act and Nursing Countermeasures

Author(s):: LIANG Shilan; Wuxi Municipality Mental Health Center, Wuxi 214151, China

摘要:: 目的：探讨住院精神病患者发生危险行为的相关因素及防范措施。方法：回顾性调查58例发生危险行为的住院精神病患者的临床资料，内容包括性别、年龄、婚姻，职业、文化程度、病程、危险行为发生与入院时间的关系、发生的时间与采用的方式、患者的精神症状等9项。结果：危险行为发生率较高的因素有男性、40岁以下、工人职业、初中文化程度、1年以内病程等。24小时之内以8AM～5PM发生最多，入院一个月以内容易发生，精神症状则以幻听、被害妄想、不协调性兴奋、无自知力多见。结论：住院精神病患者发生危险行为的相关因素对于临床护理制定防范措施有参考价值。

Abstract:: Objective: To survey the relevant factors of the inpatients with psychosis who engaged in dangerous act and prevention measures. Methods: Clinical data of 58 inpatients with psychosis who engaged in dangerous act were retrospectively investigated, the contents contained gender, age, marriage, occupation, education, the course of the disease, the relationship between dangerous act and hospitalization time, the onset time and the way, mental state of the patients and others. Results: The factors which caused higher incidence of dangerous act were male, below 40 years, worker, graduated from junior middle school, the course of the disease was within one year and so on. Most happened between 8AM and 5PM within 24 hours, and within one month after hospitalization, mental symptoms were acousma, persecutory delusion, incoordination excitation and loss of self-control mostly. Conclusion: The relevant factors of the inpatients with psychosis making dangerous act show reference for establishing prevention measures in clinical nursing.