住院精神疾病患者攻击行为相关因素分析

Factors relevant to psychiatric inpatients' aggression

目的调查住院精神疾病患者攻击行为的发生情况,探讨其影响因素。方法采用自行设计的问卷收集376例住院精神疾病患者的相关资料。如患者发生攻击行为,责任护士24h内进行记录,以护理记录中记录到的攻击行为发生情况为准。结果 376例患者入院1个月内攻击行为的发生率为28.7%。Logistic回归结果提示,攻击行为史、住院次数等是患者攻击行为发生的危险因素,年龄为保护因素。结论精神科护士应高度关注反复入院、有攻击行为史、离异患者,其攻击行为发生风险高;年龄较大患者的攻击行为发生风险低。护士应通过评估,及时进行干预和控制,以减少和控制攻击行为的发生。

Objective To investigate the prevalence of aggressive behaviors in psychiatric inpatients and analyze the related factors. Methods A self-designed questionnaire was used to collect general information of 376 newly admitted inpatients in a psychiatric hospital in Beijing. The nursing records written by registered nurses every shift normatively were deemed as the ＂golden standard＂ of the occurrence of aggressive behavior. Results The incidence of aggression was 28.7% among 376 inpatients during the first month of their hospitalization. Logistic regression revealed that patients with history of aggressive behavior,admitted to hospital frequently were more inclined to act aggressively ,while age was the protective factor for patients＇ aggression. Conclusion Nurses should pay close attention to patients with history of aggressive behavior,admitted to hospital repeatedly and suffering the marriage condition of divorce or separation. Timely risk assessment and intervention is favored in order to control and reduce inpatients＇ aggression.