81例住院精神病患者攻击行为的护理分析

Nursing analysis on aggressive behaviors of 81 inpatients with psychotic

目的分析住院精神病患者攻击行为的临床特征,并提出护理对策。方法收集81例具有攻击行为的精神病患者的临床资料,并与同期年龄、性别配对的无攻击行为精神病患者进行对照分析。结果既往曾有攻击行为史、文化程度低、无社会家庭支持是攻击行为的危险因素。攻击行为可能的原因多为被害妄想、情绪易激惹等,也有的是因为对住院条件不满意,对工作人员态度不满等引发。发生攻击行为多在住院的前2周,受攻击的对象多为男性护理人员。结论应根据攻击行为危险因素和临床特征,实施有针对性的护理防范对策。

Objective To study the clinical features on aggressive behaviors of inpatients with mental illness,and explore nursing methods. Methods Control analysis between the 81 inpatients with aggressive behaviors matched non-aggressive behavior inpatients with the same sexual and ages. Results The risk factors to aggressive behaviors were the history of aggressive behaviors,low level of education, lack of social supports. The most reason of aggressive behaviors were the delusion of persecution, irritability, Other reasons were unsatisfied with living conditions and health care workers＇ attitude, et al. It was almost aimed at the male nurse in the first two weeks. Conclusion We should apply the well-pointed nursing methods accoridng with the risk factors and clinical features for the aggressive behaviors.