摘要
目的 探讨精神病患者暴力行为特点及护理干预措施,为保障患者安全和健康提供参考。方法 选取2020-02-01-2022-03-31泰安市精神病医院收治的88例精神病患者作为研究对象。依据是否发生暴力行为将患者分组,未发生暴力行为的为对照组,发生暴力行为的为观察组,各44例。对所有患者实施针对性的护理措施。分析患者发生暴力行为的特点以及护理效果。结果 观察组无业、有攻击行为、易激怒、入院非自愿、重大生活事件患者多于对照组,差异有统计学意义,χ^(2)值分别为12.947、13.975、11.879、16.386和8.927,P值分别为<0.001、<0.001、<0.001、<0.001和0.003。护理后观察组患者SDS和SAS评分分别为(31.89±6.74)和(31.42±7.59)分,低于对照组的(40.97±6.47)和(42.32±7.69)分,差异有统计学意义,F值分别为6.447和6.692,均P<0.001。结论 精神病患者暴力行为的特点与无业、既往有攻击行为、易激怒、入院非自愿、重大生活事件等因素有关,通过针对性的护理措施能够明显改善患者情绪。
Objective To explore the characteristics of violent behavior of psychiatric patients and nursing intervention measures,so as to provide reference for safeguarding the safety and health of patients.Methods A total of 88 patients with mental illness from February 1,2020 to March 31,2022 in Taian Psychiatric Hospital were selected as the research objects.The patients were divided into control group and observation group according to whether violence occurred.To-tally 44 patients without violence were used as control group and 44 patients with violence were used as observation group.Targeted nursing measures were implemented for all patients.The characteristics of violent behavior of patients and nursing measures were analyzed.Results There were more patients in the observation group who were unemployed,had aggressive behavior in the past,easily irritated,involuntarily admitted to hospital and major life events than those in the control group,and the differences were statistically significant,the χ^(2) values were 12.947,13.975,11.879,16.386 and 8.927,respectively,and the P values were<0.001,<0.001,<0.001,<0.001 and<0.003,respectively.After nursing,the SDS and SAS scores of the observation group were(31.89±6.74)and(31.42±7.59)points,respectively,which were lower than those of the control group(40.97±6.47)and(42.32±7.69)points,and the differences were statistically significant,the F values were 6.447 and 6.692,respectively,all P<0.001.Conclusions The characteristics of violent behavior in psychiatric patients are related to unemployment,aggression in the past,irritability,involuntary ad-mission to hospital,major life events and other factors.Targeted nursing measures can significantly improve the emotion-al mood of patients.
作者
李秀红
张家硕
孙志敏
薛雅卓
LI Xiuhong;ZHANG Jiashuo;SUN Zhimin;XUE Yazhuo(Ward I,Taian Psychiatric Hospital,Taian 271000,China;Department of Medical Technology,Taishan Vocational College of Nursing,Taian 271000,China;Schoolof Health,YantaiNanshan University,Yantai265713,China)
出处
《社区医学杂志》
CAS
2023年第18期961-964,共4页
Journal Of Community Medicine
关键词
精神病
暴力行为
护理措施
攻击行为
psychosis
acts of violence
nursing measures
aggressive behavior
