1例产后分离(转换)性障碍伴自杀高风险患者护理

Nursing management for a postpartum woman with dissociative (conversion) disorder at high risk for suicide attempt

分离(转换)性障碍的患者在精神心理因素作用下会出现自伤及自杀的危险行为,而产后发病住院的精神障碍患者合并产褥感染及乳腺炎风险,增加临床护理难度。本文总结了1例产后分离(转换)性障碍伴自杀高风险患者的护理措施,包括对患者进行风险评估、心理护理、放松技术、基础护理、乳房护理等一系列护理措施,患者情绪明显改善,自杀风险降低,最终好转出院。

Patients with dissociative(conversion) disorders are at risk of self-harm or suicide attempt when they are under the psychological pressure. Postpartum woman with mental disorders are at high risk of puerperal infection and mammitis, increasing the difficulty in psychiatric nursing. This paper summarized the nursing management in a postpartum woman with dissociative(conversion) disorder at high risk for suicide attempt. The comprehensive nursing management including risk evaluation, psychological care, relaxation, basic nursing and breast care were carried out, in order to relieve the mental distress of the patient and reduce her risk of suicide attempt.