摘要
目的研究针对性的护理干预措施对强制性住院治疗精神病患者暴力行为风险的影响,为精神科临床治疗及护理提供依据。方法选取我院2017年1月~2018年6月收治的强制性住院治疗的精神病患者共70例,采用随机的原则分为研究组和对照组各35例。对照组给予基本的护理措施,研究组则根据暴力行为特点,给予针对性的护理措施。采用自制基础问卷收集患者的一般人口学资料,采用阳性与阴性评定量表(PANSS)对病情进行干预前后两次评定、采用外显攻击行为量表(MOAS)相关分量表及我院自制暴力风险评估表对暴力风险进行干预前后两次评估并分析。结果两组患者在一般人口学资料方面比较,差异无统计学意义(P>0.05)。干预前两组在PANSS阳性量表分、阴性量表分、一般精神病理分、总分及攻击症状群等方面、MOAS言语攻击、财产攻击、体力攻击等方面比较,差异无统计学意义(P>0.05);暴力风险评估阳性例数及阳性率相同、暴力风险评估值比较,差异无统计学意义(P>0.05)。干预2个月后:两组在PANSS阳性量表分、阴性量表分、一般精神病理分、总分及攻击症状群等方面及MOAS言语攻击、财产攻击、体力攻击等方面评分较前均有改善,我院自制暴力风险评估阳性例数、阳性率及暴力风险评估值均明显下降,差异有统计学意义(P<0.05);两组间比较,研究组较对照组均改善明显,差异有统计学意义(P<0.05)。结论针对具有暴力行为风险的强制性住院治疗的精神病患者,给予针对性的护理干预措施可以改善该类人群的精神病情、能有效的降低暴力行为风险并控制暴力行为的发生,降低社会危害,值得临床推广。
Objective To study the effect of targeted nursing intervention on theviolent behavior of psychiatric patients with compulsory hospitalizationso as to provide basis for clinical treatment and nursing of psychiatrt department. Methods 70 psychiatric patients with compulsory hospitalization in Guangzhou Civil Affairs Bureau Psychiatric Hospital from January 2017 to June 2018 were selected and they were randomly divided into the study group and the control group,with 35 cases in each group.The control group was given basic nursing measures while the study group was given targeted nursing measures according to the characteristics of violent behaviors.The general demographic data of the patients were collected by selfmade basic questionnaire.The positive and negative syndrome scale (PANSS) was used to evaluate the disease condition of patients before and after intervention.The risk of violence was assessed and analyzed before and after intervention by using relevant subscales of modified overt aggression scale (MOAS) and self-made violence risk assessment form in our hospital. Results There was no statistically significant difference in the general demographic data between the two groups.There were no statistically significant differences in PANSS positive scale score,negative scale score,general psychopathology score,total score,aggressive symptoms group,MOAS verbal attack,property attack and physical attack between the two groups before intervention (P > 0.05).The number of positive cases and the positive rate of violence risk assessment were the same.There was no statistically significant difference in violence risk assessment values (P > 0.05).After 2 months of intervention,the scores of the two groups were improved in PANSS positive scale,negative scale,general psychopathology,total score,attack symptom group,MOAS verbal attack,property attack and physical attack.The positive cases, positive rate and violence risk assessment value of self-made violence risk assessment form in our hospital were significantly decreased.The differences within the group were statistically significant (P < 0.05).Compared with the control group,the improvement of the study group was more significant, and the difference was statistically significant (P < 0.05). Conclusion Targeted nursing interventions for compulsory hospitalized patients with riskof violent behavior can improve the mental illness of such people,effectively reduce the risk of violent behavior and control the occurrence of violence and reduce social harm,which is worthy of clinical promotion.
作者
王美
郝军锋
WANG Mei;HAO Junfeng(Guangzhou Civil Affairs Bureau Psychiatric Hospital,Guangzhou 510430,China)
出处
《中国医药科学》
2019年第14期97-101,共5页
China Medicine And Pharmacy
关键词
强制性
精神病
暴力风险
护理
Compulsive
Psychiatric
Violent behavior
Nursing
