基于HACCP理论的住院青少年心境障碍患者非自杀性自伤管理方案的应用

Effectiveness of non-suicidal self-injury management plan for hospitalized adolescents with mood disorders based on HACCP theory

目的探讨基于危害分析和关键控制点(HACCP)理论的住院青少年心境障碍患者非自杀性自伤管理方案在患者中的应用效果。方法采用便利抽样法,于2023年2-7月选取南京医科大学附属脑科医院2个封闭式全程陪护病房的76例伴NSSI的青少年心境障碍患者为研究对象,随机分为对照组和试验组,对照组给予常规诊疗护理及风险管理方案,试验组在此基础上实施基于HACCP理论的护理管理方案,比较两组患者干预前后的非自杀性自伤发生次数、青少年非自杀性自伤行为和功能量表、焦虑自评量表、抑郁自评量表、患者陪护家属满意度问卷得分。结果最终对照组纳入35例患者,试验组纳入32例患者。干预后,试验组患者的焦虑、抑郁得分低于对照组,差异有统计学意义(P<0.05);试验组患者的非自杀性自伤发生次数少于对照组,差异有统计学意义(P<0.05);试验组患者陪护家属满意度优于对照组,差异有统计学意义(P<0.05)。结论基于HACCP理论的管理方案有利于减少住院青少年心境障碍患者非自杀性自伤的发生,改善患者的负性情绪,提升陪护家属的满意度,保障病区安全。

Objective To explore the effect of the non-suicidal self-injury(NSSI)management plan for hospitalized adolescents with mood disorders based on hazard analysis and critical control point(HACCP)theory.Methods From February to July 2023,convenience sampling was used to select 76 adolescents with mood disorders and NSSI from two closed full care wards of the Affiliated Brain Hospital of Nanjing Medical University as the research subject.Adolescents were randomly divided into a control group and an experimental group.The control group received the routine diagnosis,treatment,nursing,and risk management plan,while the experimental group implemented the management plan based on the HACCP theory.This study compared the incidence of NSSI,Adolescent Non-suicidal Self-injury Assessment Questionnaire(ANSSIQ),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),and Accompanying Family Member Satisfaction Questionnaire scores before and after intervention between two groups of adolescents.Results The control group included 35 patients,while the experimental group included 32 patients.After intervention,the anxiety and depression scores of the experimental group patients were lower than those of the control group,and the difference was statistically significant(P<0.05).The incidence of NSSI in the experimental group was lower than that in the control group with a statistical difference(P<0.05).The satisfaction of accompanying family members in the experimental group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The management plan based on the HACCP theory is beneficial for reducing the occurrence of NSSI in hospitalized adolescents with mood disorders,improving their negative emotions,enhancing the satisfaction of accompanying family members,and ensuring the safety of the ward.