住院精神病人暴力行为的特点及护理对策

STUDY ON THE VIOLENCE IN PSYCHIATRIC PATIENTS AND NURSING INTERVENTION

目的探讨精神病人暴力行为特点及护理对策。方法对617例住院精神病人暴力行为的发生情况进行调查。结果住院精神病患者暴力行为的发生率为4.54%,年龄小,有阳性精神病家族史者暴力行为发生率较高,而暴力行为的发生与性别、文化程度、住院次数、入院方式等无明显关系。精神分裂症患者暴力行为发生率高(50%)。暴力行为多发生在新入院病情尚未控制的病人以及有意识障碍的病人,而且与工作人员的工作方式和态度有一定的关系。结论针对暴力行为发生的特点,采取相应的护理干预对策,可以减少或避免住院精神病人暴力行为的发生。

Objective To study the violence in psychiatric patients and nursing intervention. Methods The violence in 617 psychiatric in-patients was investigated with questionnaires. Results The prevalence of violence in psychiatric in-patients was 4.54 %, and most of them were young and from families having positive psychiatric history. The violence was not related to gender, educational level, the times of hospitalization and the way of hospital admission. Violence happened in patients with schizophrenia with the occurrence rate of 50%, most happening in newly-admitted inpatients and patients with mental obstacle, which might be related to the attitude of medical staff. Conclusion Appropriate nursing intervention measures should be taken to reduced the prevalence of violence in psychiatric in-patients.