精神康复病房患者的风险评估与护理干预

Nursing intervention and risk assessment of patients in mental rehabilitation wards

目的分析精神科康复病房患者住院的危险因素，为临床护理干预提供依据，避免病房意外事件的发生。方法采用自杀危险因素评估量表，冲动评估量表进行评估分析。结果存在自杀风险的患者占30．40％，其中极度危险危险（30—41分）2例，很危险（20～30分）2例，危险（10～20分）13例，较安全（10分以下）39例。存在冲动；四级冲动风险1例，三级冲动风险5例，二级冲动风险7例，43例患者未出现攻击行为。结论精神康复病房患者存在自杀攻击的风险，量化评估可为住院期康复中的患者安全提供依据。

Objective To analyze risk factors of patient in spsychiatric rehabilitation ward, to provide the basis for clinical nursing intervention to prevent the occurrence of the accident. Methods To assess with risk assessment scales and impulsivity assessment scale. Results There is 30. 40% of patients at risk of suicide, including risk of 30 -40 eases, 2 cases, very dangerous 20 to 30 minutes in 2 cases, dangerous 10 to 20 points in 13 cases, 10 of 39 patients with the following safer. There is four impulsive risk in 1 case, three impulsive risk in 5 cases, two impulsive risk in 7 cases, 43 patients did not appear aggressive behavior. Conclusion Because of the existence of the risk of suicide attacks in patients of psychiatric reha- bilitation ward, quantitative assessment of rehabilitation for the patient can provide the basis of patient safety.