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程清连江霞朱小红胡春芳 《实用临床医学(江西)》2022,23(4):74
目的 探讨自杀风险护理评估记录单在防范患者自杀中的应用。方法 选取2018年4月至2021年8月景德镇市第三人民医院收治的住院患者100例病例资料进行回顾性分析,依据自杀风险护理评估记录单应用与否分为应用组(2018年9月至2021年8月住院,n=50)和未应用组(2018年4月—8月住院,n=50)。比较2组患者的自杀风险和自杀行为发生情况。结果 干预后,2组自杀低风险比率均高于干预前,中风险、高风险比率均低于干预前(均P<0.05);应用组的自杀低风险比率高于未应用组,中风险比率低于未应用组(均P<0.05),但2组高风险比率比较,差异无统计学意义(P>0.05)。应用组自杀行为发生率为2.0%(1/50),未应用组为8.0%(4/50),应用组显著低于未应用组(P<0.05)。结论 自杀风险护理评估记录单在防范患者自杀中的应用效果较好。 相似文献
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目的 编制自杀风险评估量表并验证其信效度。方法 采用文献研究法、焦点小组讨论法、德尔菲专家咨询法形成初稿。对武汉市某三级甲等医院的374例住院患者进行问卷调查,测定自杀风险评估量表的信效度。结果 正式评估量表由18个条目组成。评估量表总Cronbach's α系数是0.779,各维度的Cronbach's α系数为0.605~0.743;内容效度指数是0.92,各条目的内容效度指数为0.83~1.00
;各维度的相关性为0.701~0.912(P<0.05);经探索性因子分析得出3个公因子累积方差解释率为48.491%。利用ROC曲线确定住院患者自杀风险评估量表的临界值为8分,此时该曲线下面积为0.748, 灵敏度和特异度分别为73.58%、67.60%。结论 住院患者自杀风险评估量表信效度较好,为临床护士评估患者的自杀风险提供工具。 相似文献
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目的分析综合医院住院肿瘤患者的自杀特点,为预防肿瘤患者自杀提供参考依据。方法对2009年~2013年本院发生的13例住院肿瘤患者自杀事件进行回顾性调查,分析发生自杀行为的住院肿瘤患者的护理安全不良事件登记报告表和病历资料,并对知晓自杀事件的医护人员进行调查和访谈。结果住院肿瘤患者自杀前有明显的抑郁心理或流露出自杀意念,肿瘤患者自杀居全院住院自杀患者的第1位;长期严重的癌痛折磨导致晚期肿瘤患者自杀;经济压力过重的肿瘤患者易产生自杀意念。结论采取自杀行为的肿瘤患者具备一定的特征,可以有针对性地采取积极有效的干预措施,建立自杀高危患者的心理评估体系,及早识别抑郁心理障碍;加强疼痛护理,有效控制癌痛;倡导死亡教育,预防不合理性自杀;加强医院安全管理,预防自杀未遂者再次自杀。这些措施都能减少或防止住院肿瘤患者自杀的发生。 相似文献
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目的探讨护理风险管理在住院患者透析中的应用效果。方法选取收治的血液透析患者120例,随机分为对照组和观察组。对照组患者实施常规护理,观察组患者针对透析风险的相关因素进行风险管理。结果观察组并发症发生率明显低于对照组(P〈0.05),患者满意度明显高于对照组(P〈0.05)。结论在临床护理中正确面对护理风险,将被动管理转为主动管理,不仅能够减少血液透析患者的并发症发生率,还能够提高患者对护理的满意度。 相似文献
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透析治疗是终末期肾病的主要治疗方法.透析患者由于年龄大,基础疾病多,营养状况差,管道多,常常合并不同程度的其他系统和脏器的功能障碍,病情复杂多变,随时会发生危急患者生命的情况,因此透析患者的安全问题显得尤为突出.护理风险是指在护理工作中对患者、医院工作人员、探视者造成的损害或被投诉的事件[1].风险管理是指对经济损失的风险予以发现、评价,并寻求其对策的管理科学,以减少经济损失和法律诉讼为目的[2].自2007年8月至2009年8月我科在住院透析治疗患者的安全管理中应用护理风险管理的方法,取得了良好的效果. 相似文献
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目的:了解住院精神病患者自杀的相关因素和行为干预的有效性。方法:利用交谈、问卷等方法分析31例精神病患者自杀的原因,针对性开展护理干预。结果:31例有自杀倾向的患者均痊愈出院。随访2年6个月,无1例自杀。结论:有自杀倾向的精神病患者,采取相应的护理干预,可减少或杜绝自杀行为的发生。 相似文献
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This prospective study examined the utility of several cognitive variables as predictors of suicide risk among 79 hospitalized psychiatric patients. These variables included pessimism (measured by the Hopelessness Scale), perceived and actual problem-solving ability (indexed by the Problem-Solving Inventory and Means-End Problem-Solving test, respectively), and polarized thinking, self-negativity, and construct system constriction and differentiation (derived from a repertory grid). Suicide risk was operationalized in terms of subsequent self-report of suicide ideation and staff records of time spent on suicide precautions. Results indicated that hopelessness, self-negativity, and poor problem-solving performance functioned as reliable predictors of suicide risk, whereas self-evaluated problem-solving ability did not. Interestingly, constriction emerged as a significant inverse predictor across criterion measures, suggesting that it might better be conceived as a measure of subjective uncertainty. Finally, patients at highest risk for actual suicidal behaviors could be discriminated on the basis of a unique cognitive structure marked by high degrees of differentiation and polarization, suggesting that conceptual disorganization and all-or-nothing thinking may provide an instigating context for suicidal or parasuicidal behavior. 相似文献
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目的运用"5E"预防策略对住院老年患者进行跌倒风险管理,为降低老年住院患者跌倒发生率提供依据。方法以老年内科患者268例为研究对象,对照组136例患者实施常规护理,干预组132例患者进行评估、教育预防、环境改善、工程学、强化执行"5E"预防策略干预。结果干预组住院老年患者跌倒发生率低于对照组,跌倒认知率高于对照组(P0.01)。结论 "5E"预防策略有利于提高老年患者跌倒认知率,降低跌倒发生率,提高老年住院患者的安全性。 相似文献
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目的 探讨风险管理在神经外科住院患者皮肤护理中的应用价值.方法 选取2011年1~12月在我院进行治疗的神经外科患者179例为研究对象,将所有患者随机分为观察组91例(风险管理护理组)和对照组88例(常规护理组),分别接受不同的护理措施.比较2组患者因护理人员因素、家属因素以及环境因素引起皮肤损伤的情况.结果 观察组患者因护理人员因素、家属因素以及 环境因素所产生的皮肤损伤显著少于对照组.结论 应用风险管理护理方法在神经外科住院患者的皮肤护理中效果显著,可明显减少患者皮肤的损伤率,建议在神经外科住院患者中广泛推广使用. 相似文献
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Hyun Jo Shin Gwan Jin Park Yong Nam In Sang Chul Kim Hoon Kim Suk Woo Lee 《The American journal of emergency medicine》2019,37(10):1811-1817
BackgroundA prior suicide attempt is known to be the most important risk factor for suicide. Case management programs provide psychosocial support and rehabilitation for suicide attempters. This study aimed to determine whether case management completion is associated with good clinical outcomes for suicide attempters visiting the emergency department (ED).MethodsA cross-sectional observational study was conducted using risk assessment records for suicide attempters visiting the ED from October 2013 to December 2017. We created two groups according to completion of the case management program. The primary outcome was a decrease in suicide risk. The secondary and tertiary outcomes were untreated stressors and lack of a support system. We calculated the adjusted odds ratio (AOR) of the case management completion for study outcomes adjusting for potential confounders.ResultsAmong 439 eligible suicide attempters, only 277 (63.1%) participants completed the case management program. Participants who completed the case management program were more likely to have decreased suicide risk (65.3% vs. 46.9%, AOR: 2.13 (1.42–3.20)) and less untreated stressors (49.8% vs. 61.1%, AOR: 0.64 (0.43–0.96)). However, there was no significant difference in lack of a support system (35.4% vs. 45.7%, AOR: 0.68 (0.45–1.03)).ConclusionCompletion of a case management program was associated with reduction of suicide risk. Multicomponent strategies to increase compliance with a case management program are needed to prevent suicide reattempt and reduce the health burden of suicide. 相似文献
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目的探讨风险防范在冠状动脉造影术(CAG)患者并发症预防中的应用效果。方法采用便利抽样法,选取2016年12月—2018年1月在北京同仁医院接受CAG的患者为研究对象。采用随机数字表将其分为对照组(n=50)和观察组(n=50)。对照组采用常规护理,观察组实施风险防范护理,比较两组患者并发症发生情况。结果观察组患者并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论风险防范护理可以有效降低CAG患者的并发症,值得推广应用。 相似文献
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目的探讨预防老年住院患者跌倒发生的有效护理管理方法。方法对2009--2010年收治的65岁以上住院患者实施预见性护理干预,与实施常规护理患者(2008年)进行对比,比较跌倒发生率情况及对护理工作的满意率。结果老年住院患者跌倒发生率2009年与2008年同比下降了0.93‰,2010年与2008年同比下降了0.8‰;对护理工作的满意度2009年比2008年提高了3.9%,2010年比2008年提高了3.8%;实施预见性护理后老年住院患者跌倒发生率及对护理工作的满意度与实施前比较,差异均有统计学意义(P〈0.05)。结论实施有效的预见性护理干预,在预防老年住院患者跌倒中具有重要作用。 相似文献
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郑海燕 《医药高职教育与现代护理》2023,6(6):503-507
目的 探讨自杀行为的协作评估与管理(CAMS)指导下的阶梯式康复护理对精神病患者自杀预防效果的影响。方法 选取2022年6月至2023年3月在连云港市赣榆区精神病医院就诊的62例有自杀意念的精神病患者作为研究对象,采用随机数字表法将患者分为试验组和对照组。31例患者为试验组,实施基于CAMS的阶梯式护理,另31例为对照组,接受常规护理。分析试验组不同类型患者护理前后的自杀状态核心评估得分,比较试验组和对照组患者的护理效果以及护理满意度。结果 护理干预后,试验组不同类型患者在心理痛苦、压力、激越、绝望、自我憎恨以及总体自杀风险6个核心维度评估得分与护理前相比均有了明显降低,且均低于对照组;试验组患者护理满意度及护理效率明显高于对照组,以上差异均有统计学意义(P<0.05)。结论 相较于常规自杀预防护理,CAMS理念下的阶梯式护理模式对精神分裂症、抑郁症、反应性精神障碍患者自杀倾向有较好的干预效果,具有更高的临床应用价值。 相似文献
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Pakapan Woottiluk Benchalak Maneeton Natthanan Jaiyen Wajana Khemawichanurat Suttipong Kawilapat Narong Maneeton 《World Journal of Clinical Cases》2020,8(4):757-770
BACKGROUND Previous studies found several factors associated with suicide in schizophrenic patients,such as age,sex,education level,history of suicide attempts,psychotic symptoms,social factors,and substance abuse.However,there might be some additional factors that were not considered in previous studies but may be correlated with a greater likelihood of suicide attempts,such as medication and treatment.AIM To investigate the prevalence of suicide attempts and identify the risk of suicidality in hospitalized schizophrenia patients.METHODS This is a cross-sectional study of schizophrenic patients admitted to a psychiatric hospital who were 18 years of age or more.The outcomes and possible suicide risk factors in these patients were collated.The current suicide risk was evaluated using the mini-international neuropsychiatric interview module for suicidality and categorized as none(0 points),mild(1-8 points),moderate(9-16 points),or severe(17 or more points).This study used ordinal logistic regression to assess the association of potential risk factors with the current suicide risk in schizophrenic patients.RESULTS Of 228 hospitalized schizophrenia patients,214(93.9%)were included in this study.The majority(79.0%)of patients were males.Females appeared to have a slightly higher suicidality risk than males,with borderline significance.With regard to the current suicide risk assessed with the mini-international neuropsychiatric interview,172(80.4%)schizophrenic patients scored zero,20(9.4%)had a mild risk,8(3.7%)had a moderate risk,and 14(6.5%)had a severe risk.The total prevalence of current suicide risk in these schizophrenic patients was 19.6%.Based on multivariable ordinal logistic regression analysis with backward elimination,it was found that younger age,a current major depressive episode,receiving fluoxetine or lithium carbonate in the previous month,or a relatively higher Charlson comorbidity index score were all significantly and independently associated with a higher level of suicide risk.CONCLUSION The prevalence rate of suicide attempts in schizophrenia is high.Considering risk factors in routine clinical assessments,environmental manipulations and adequate treatment might prevent or decrease suicide in these patients. 相似文献