住院精神患者危险行为因素预测研究

目的:探讨住院精神患者危险行为,提高对危险行为的预测水平。方法:收集本院住院精神患者危险行为共计650例的调查。自编“一般情况调查问卷”和“危险调查问卷”,药物不良反应量表,危险行为危险性量表(ARP),社会支持评定量表。所得数据采用SPSS8.0统计软件包进行非条件Logistic单因素和多因素的回归分析。结果:①危险情况:危险行为占21.8%,自伤率为3.36%,自杀发生率为2.35%,他伤率为7.27%,毁物率为8.33%。②危险因素分析:单因素分析显示受精神症状支配与危险行为有显著的相关性,积极心理及行为干预与危险行为呈明显的负相关。结论:精神患者在院内危险因素主要与受精神症状支配所采取的危险行为和外界惹因有关,积极心理及行为干预是有效减少精神患者危险行为的措施。

Objective： To investigate the dangerous behaviors of psychopaths in hospital, improve prediction level to dangerous behaviors. Methods： Collect dangerous behaviors of psychopaths in this hospital,650 cases in total, for investigation. Self construct General Situation Investigation Questionnaire and “Dangerous Situation Investigation Questionnaire”, Pharmacy Side Effect Rating Scale, Dangerous Behavior Attributable Risk Percent （ARP）, Social Support Rating Scale （SSRS）. Unconditional single factor logistic regression and multi - factor logistic regression analysis were performed in a statistical software package SPSS 8.0 over the collected data. Results ： （1） Dangerous situation ： Dangerous behaviors 21.8% , self - mutilation rate 3.36% , suicide rate 2.35% , aggression rate 7.27% ,property - destroy rate 8.33%. （2）Dangerous factors analysis ： Single factor analysis shows a significant correlation between psychiatric symptoms control and dangerous behaviors and a significant negative correlation between active mind, behavior intervention and dangerous behaviors. Conclusions：the dangerous factors of the psychopaths in hospital are mainly related to the dangerous behaviors controlled under psychiatric symptoms and external provoking factors. Active mind and behavior intervention are effective measures to reduce dangerous behaviors of osvchooaths.