不同性别住院精神病病人对护理人员攻击行为的特点

The characteristics of aggressive behaviors towards nursing staff manifested by male and female hospitalized psychiatric patients

目的分析不同性别住院精神病病人攻击行为的特点。方法收集2002～2004年北京回龙观医院住院精神病病人针对护理人员攻击行为的相关资料进行分析。结果男女病人攻击行为发生率无显著性差异,女性病人病程短、住院时间短,短期内多次出现攻击行为,发生攻击行为的原因以精神症状支配居多,伤害方式以抓伤为主。而男性病人发生攻击行为原因中治疗护理不合作较女性突出,伤害方式多为拳击。结论年龄轻、文化程度低、首次住院的病人易出现攻击行为。不同性别的住院精神病病人攻击行为发生率无差异,攻击行为发生无昼夜区别,男女护士遭受攻击的几率基本相同。

Objective To analyze the characteristics of aggressive behaviors towards nursing staff manifested by male and female hospitalized psychiatric patients.Method The medical records of aggressive behaviors towards nursing staff manifested by hospitalized psychiatric patients from 2002 to 2004 were collected and analyzed retrospectively in Beijing Huilongguan Hospital.Results There was no significant difference in the rate of aggressive behaviors between male patients and female patients.The female patients who manifested aggressive behaviors charactered with shorter course of illness,shorter hospitalization days,greater frequency of aggressive behaviors during short period,and the main cause of aggressive behaviors was psychotic symptoms,and they were more likely to scratch nurses with their finger nails.While the main cause of aggressive behaviors in male patients was noncompliance with nursing and they were more likely to hit nurses with their fists.Conclusions Younger patients,patients with lower education and first hospitalized patients had a greater tendency to be aggressive.There was no significant difference in the rate of aggressive behaviors between male and female patients.Likewise,there was no significant difference during daytime or nighttime.Male and female nurses had the same probability of being attacked by hospitalized patients