精神科病区住院患者暴力行为发生相关因素

Factors Associated with Violent Behaviors among Patients with Mental Illness Living in the Ward of Mental Hospital

目的:对住院精神病患者暴力行为进行调查和研究,探寻与其发生有关的部分因素,从而为预防暴力行为的发生提供相关依据。方法对我院2012年6月~2013年12月入院的癫痫性精神障碍患者进行全程观察,填写相关量表,选取其中有明显暴力行为的患者60例作为研究组,另随机选取无暴力行为的患者60例作为对照组,收集相关资料,然后进行1:1非配对的病例对照研究并对其结果进行分析。结果有暴力行为的住院癫痫性精神障碍患者存在住院环境差、受精神神经症状支配、认知缺损及人格改变、护理人员工作及心理负荷重等因素。结论针对暴力行为的发生与环境因素、患者因素以及工作人员因素等有关的特点,采取相应措施有助于减少暴力行为产生的危害性后果。

Objective The aim of this study was through the observation of violent behavior of inpatients with mental il ness,searching the factors associated with violent behavior,so as to provide theoretical evidence for the prevention of violence.Methods The study was performed in our hospital,all patients with epileptic mental disorder who was admit ed to the wards of inpatient department during 2012 June l to December 31,2013 was enrol ed in the survey,the relevant materials were investigated.Results This study has revealed that violence is more frequently happened in poor hospital environmental conditions,and mental neurological symptoms,cognitive impairment,personality changes,psychiatric workload of nursing staf s,etc are related to the 60 cases of epileptic mental disorder inpatients with violent behavior..Conclusion Control ing the disease and improving ward conditions and the nurses conditions are ef ective ways to reduce the violent behaviors of inpatients with mental illness.