重点观察室在临床心理科管理中的运用

Application of key observation room in the management of clinical psychology department

目的探讨重点观察室在临床心理科管理中的运用价值。方法回顾性分析2008年1月1日—2019年12月31日于吉安市第三人民医院接受治疗的126例抑郁症患者的临床资料,将2008年1月1日—2013年12月31日吉安市第三人民医院心理科行全开放管理期间收治的58例抑郁症患者纳入对照组,将2014年1月1日—2019年12月31日吉安市第三人民医院心理科行重点观察室管理期间收治的68例抑郁症患者纳入观察组。比较两组患者干预前、干预30 d后的自杀态度评分、自伤、自杀、医疗纠纷发生情况及患者满意度。结果干预30 d后,两组患者的自杀态度调查问卷(QSA)评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,观察组的自伤、自杀、医疗纠纷发生率均低于对照组,差异有统计学意义(P<0.05)。干预后,观察组患者的管理总满意率为97.06%,高于对照组的79.31%,差异有统计学意义(P<0.05)。结论临床心理科设置重点观察室管理效果显著,可有效缓解患者自杀态度,减少自伤、自伤发生率,且有利于减少医疗纠纷,提升患者满意度,值得临床心理科综合应用。

Objective To explore the application value of key observation rooms in the management of clinical psychology department.Methods The clinical data of 126 patients with depression treated in the Third People′s Hospital of Ji′an City from January 1,2008 to December 31,2019 were retrospectively collected.A total of 58 patients with depression treated in the Department of Psychology of the Third People′s Hospital of Ji′an City from January 1,2008 to December 31,2013 were included in the control group during the management period.A total of 68 patients with depression treated in the key observation room in the Department of Psychology of the Third People′s Hospital of Ji′an City from January 1,2014 to December 31,2019 were included in the observation group during the management period.The scores of suicide attitude,self-injury,suicide,medical disputes and patient satisfaction were compared between the two groups before intervention and 30 days after intervention.Results After 30 days of intervention,the questionnaire of suicide attitude(QSA)scores of two groups were higher than those before intervention,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After intervention,the incidence of self-injury,suicide,and medical disputes in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the total satisfaction rate of management in the observation group was 97.06%,which was higher than 79.31%in the control group,and the differences were statistically significant(P<0.05).Conclusion The management effect of the key observation room in the clinical psychology department is significant,which can effectively alleviate the suicidal attitude of patients and reduce the incidence of self-harm and self-harm,and it is beneficial to reduce medical disputes and improve patient satisfaction,which is worthy of comprehensive application in clinical psychology department.