摘要
目的提高精神科护士对精神活性物质所致精神障碍住院患者外走危险的防范能力,最大限度地降低或避免患者外走行为的发生。方法采用自制的"精神疾病患者外走危险因素评估与处理表"对实验组287例精神活性物质所致精神障碍患者实施外走危险因素评估,结合患者的优势(保护)因素制定处理计划;对照组262例精神活性物质所致精神障碍患者采用常规的"外走危险评估表"评估和护理,观察两组患者外走行为的发生率。结果精神活性物质所致精神障碍住院患者较其他精神疾病外走发生率高(P<0.01);实验组患者外走行为的发生率为0.6%,对照组为2.2%,两组患者外走发生率有统计学意义(P<0.01)。结论实施"精神疾病患者外走危险因素评估与处理表",降低了精神活性物质所致精神障碍患者外走行为的发生率,对预防患者外走的发生具有较实用的指导价值。
Objective To Enhance psychiatric nurses of hospitalized patients with mental disorder caused by active substances escape risk prevention capacity,and minimize the incidence of patients escape behavior. Methods Using homemade ＂escape risk factors assessment and processing table＂ for the experimental group, 287 cases of mental active substances in patients with mental disorder implement the escape risk factors assessment and formulate treatment plan; For the control group, 262 cases of the spirit of active substances in patients with mental disorder implement the general escape risk assessment table, and observe the incidence of escape behavior of two groups. Results The incidence of escape behavior was higher in hospitalized patients with mental disorder caused by active substances escape（P〈0.01）; For the incidence of escape behavior experimental group was 0.6% and control group was 2.2%, the incidence of both groups was statistically significant（P〈0.01）. Conclusion Implementing escape risk factors assessment and treatment table,patients with mental disorder lower the incidence of escape behavior and it has practical guidance value about how to prevent the happening of this behavior.
