精神障碍患者冲动行为的护理分析

Nursing Analysis of Impulsive Behavior in Patients With Mental Disorders

目的观察分析精神障碍患者冲动行为的护理观察,为临床制定护理干预措施提供可参考依据。方法研究选取220例精神病患者,根据有无冲动行为划分为对照组100例和观察组120例,在入院后24 h,根据护士用住院患者观察量表(NOSIE)进行评定。结果观察组的年龄、受教育年龄明显低于对照组(P<0.05),协方差矫正性别、年龄、受教育程度、病史等一般资料后对比,观察组社会因子评分低于对照组,激惹、总消极因素、精神病理因子评分高于对照组(P<0.05)。结论文化水平、社会经验、激惹因子、精神症状以及社会功能等均是精神障碍患者冲动行为发生诱因,为了减少冲动行为发生,精神科护理人员应加强对患者的监护护理,并提供必要的药物治疗以及心理护理。

Objective To observe and analyze the impulsive nursing behaviors of patients with mental disorders and to provide a reference for the development of clinical nursing interventions. Methods 220 patients with mental illness in the study were selected, and divided into control group of 100 cases and observation group of 120 cases according to whether there was impulsive behavior. Psychiatric nursing staff were assessed by NOSIE 24 hours after admission. Results The age and education age of the observation group were significantly lower than those of the control group （P 〈 0.05）. The covariance corrected sex, age, educational level, medical history and other general information. The social factors score of the observation group was lower than that of the control group, the total negative factors, psychiatric factors score were higher than the control group （P 〈 0.05）. Conclusion Cultural level, social experience, irritability factors, psychiatric symptoms and social functions are all incentive factors for impulsive behavior in patients with mental disorders. In order to reduce the occurrence of impulsive behaviors, psychiatric nurses should strengthen patient care and provide the necessary medical treatment and psychological care.