临床分析精神病患者保护性约束不安全因素及解决对策

Clinical analysis of unsafe factors of protective restraint in psychiatric patients and countermeasures

目的:探讨精神病患者保护性约束不安全因素及解决对策。方法:采用回顾性方法分析,选取本院自2015年1月至2018年12月收治的312例实施保护性约束精神病患者的临床资料,分析实施保护性约束存在的不安全因素及解决对策。结果:精神病患者实施保护性约束原因中,主要由于精神分裂症(64.42%)、心理障碍(10.90%)需要保护性约束。沟通不畅(57.05%)是导致保护性约束的主要不安全因素。结论:针对精神病患者保护性约束前、约束中及其约束后存在的不安全因素,提出解决性对策,可保证护理安全。

Objective:To explore the unsafe factors of protective restraint in psychiatric patients and its countermeasures. Methods: Retrospective analysis was used to select 312 patients with protective restraint psychosis who were admitted to our hospital from January 2015 to December 2018.The unsafe factors and countermeasures of implementing protective restraint were analyzed. Results: Among the reasons for implementing protective restraint in psychiatric patients, schizophrenia (64.42%) and psychological disorders (10.90%) need protective restraint. Poor communication (57.05%) was the main unsafe factor leading to protective constraints. Conclusion: In view of the unsafe factors existing before, during and after the protective restraint of psychiatric patients, this paper puts forward some countermeasures to ensure nursing safety.