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住院精神疾病患者攻击行为相关因素分析 总被引:5,自引:0,他引:5
目的 调查住院精神疾病患者攻击行为的发生情况,探讨其影响因素.方法 采用自行设计的问卷收集376例住院精神疾病患者的相关资料.如患者发生攻击行为,责任护士24h内进行记录,以护理记录中记录到的攻击行为发生情况为准.结果 376例患者入院1个月内攻击行为的发生率为28.7%.Logistic回归结果提示,攻击行为史、住院次数等是患者攻击行为发生的危险因素,年龄为保护因素.结论 精神科护士应高度关注反复入院、有攻击行为史、离异患者,其攻击行为发生风险高;年龄较大患者的攻击行为发生风险低.护士应通过评估,及时进行干预和控制,以减少和控制攻击行为的发生. 相似文献
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目的:分析精神科患者跌倒的发生原因,提出预防和应急处理策略。方法:对精神科87例患者发生的89例次跌倒事件进行回顾性分析。结果:精神科患者发生跌倒的主要风险因素是抗精神病药物不良反应,其次是躯体因素、环境因素等;发生时段主要是晚上及午间。结论:精神病患者发生跌倒较多,必须针对其风险因素进行动态风险评估,落实针对性干预措施,做好应急处理,以降低住院精神病患者跌倒的发生率和死亡率。 相似文献
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快捷风险评估对老年股骨转子间骨折早期康复的指导意义 总被引:2,自引:0,他引:2
目的:探讨快捷风险评估对老年骨质疏松性股骨转子间骨折患者早期临床康复的指导意义。方法:对65岁以上的骨质疏松性股骨转子间骨折老年患者进行快捷风险评估,接受手术治疗的63例根据分值高低分为高分组和低分组,比较两组年龄构成、住院期间病死率和住院期间的康复效果。结果:高分组50例,住院期间死亡1例,49例在住院期间恢复助步器帮助下的行走能力;低分组13例,住院期间死亡3例,无一例在住院期间恢复行走能力。结论:快捷风险评估对老年骨质疏松性股骨转子间骨折手术患者的早期临床康复具有指导意义。 相似文献
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目的:总结骨折患者压疮的风险评估及护理对策。方法从骨科住院的1600例骨折患者中,随机抽取1000例作为研究对象,将他们全部纳入压疮易发生人群,随机分为观察组与对照组,每组患者各500例,两组患者均不包括颅骨骨折的患者。结果两组患者在性别、年龄、文化程度等各项指标差异无统计学意义(P >0.05)。观察组Ⅰ期压疮患者1例,Ⅱ期压疮患者1例,Ⅲ、Ⅳ期压疮患者均无;对照组Ⅰ期压疮患者7例,Ⅱ期压疮患者6例,Ⅲ期压疮患者2例,Ⅳ期压疮患者0例;两组比较差异有统计学意义(P <0.05)。结论通过对骨折患者压疮的风险评估,增强了患者对压疮危害程度的认识,能积极配合护理人员执行各项护理操作,降低了压疮并发症的发生,减轻了患者的痛苦,减少了患者的住院费用,提高了患者的生活质量,提高了患者和医生对护理工作的满意度。 相似文献
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目的探讨护理风险评估在精神科监护期患者中的应用效果。方法选取2017年4月至2019年3月在某二级精神病专科医院住院的精神科监护期患者234例,2017年4月至2018年3月的120例设为对照组,2018年4月至2019年3月的114例设为观察组。对照组从入院主因、临床表现、入院护理安检及家庭支持系统等四方面进行护理风险评估;观察组在原有评估内容的基础上增加《精神科住院患者行为风险筛查评估表》等8个量表进行评估,评估后采取相应的护理干预措施。结果风险评估量表使用后,观察组风险评估精准度提高且可以区分高中低风险等级,监护天数下降、约束患者人数下降,护士掌握病情情况显著提高,差异均有统计学意义(均P<0.05)。结论精神科监护期患者采取系统、规范的风险管理能提高风险评估精准度,区分不同的风险等级,为采取个性化干预措施提供依据,降低不良事件发生率。 相似文献
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Background
Violence is a large concern for mental health professionals: 90% of physicians and nurses working in mental health areas have been subject to violence from patients. Approximately 80% of violent acts from patients are directed toward nurses.Objective
The purpose of this integrative literature review was to identify violence risk–assessment screening tools that could be used in acute care mental health settings.Design
The Stetler model of evidence-based practice guided the literature search, in which 8 violence risk–assessment tools were identified, 4 of which were used for further examination.Results
The Brøset Violence Checklist and Violence Risk Screening-10 provided the best assessment for violence in the acute care mental health setting.Conclusions
Using a violence risk assessment screening tool helps identify patients at risk for violence allowing for quick intervention to prevent violent episodes. 相似文献13.
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目的 调查分析重庆市某区部分在管严重精神障碍患者监护人照顾负担现状及相关影响因素。方法 借助该区严重精神障碍患者清查评估专项行动,对该区登记在册的1218例严重精神障碍患者进行诊断评估复核及危险分级,同时调查患者的文化程度、家庭收入、监护人关系、服药依从性等情况,并采用Zarit照顾者负担量表(Zarit Caregiver Burden Interview,ZBI)测量监护人照顾负担。采用多元线性逐步回归分析监护人照顾负担的影响因素。结果 监护人中高照顾负担占76.0%,ZBI得分(46.38±5.61)分;低照顾负担占24.0%,ZBI得分(31.80±5.91)分。正规用药治疗患者仅占30.8%。服药依从性、危险分级、疾病类别是影响严重精神障碍患者监护人照顾负担的主要因素。结论 重庆市该区严重精神障碍患者监护人照顾负担偏高,精神分裂症患者监护人高照顾负担人数占比最大,服药依从性低导致监护人负担增加,危险分级4级 以上患者监护人照顾负担增加尤为明显。 相似文献
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International variation in containment measures for disturbed psychiatric inpatients: a comparative questionnaire survey 总被引:1,自引:0,他引:1
Bowers L van der Werf B Vokkolainen A Muir-Cochrane E Allan T Alexander J 《International journal of nursing studies》2007,44(3):357-364
BACKGROUND: Disturbed psychiatric inpatients are managed using a range of containment measures (e.g. seclusion, mechanical restraint) whose use differs by country. Little is known about why these differences exist, or about how staff choose between the different methods available to them. AIMS: To compare psychiatric professionals attitudes to containment measures between countries with different practices, and to discover what factors have the greatest impact on preparedness to use a containment method. METHOD: Surveys of psychiatric professionals in the United Kingdom, the Netherlands, Finland, and Australia, using the Attitude to Containment Measures Questionnaire. RESULTS: Relative approval of different containment measures broadly matched what we know about different practices, with some notable differences. Staff in Finland expressed the highest level of approval of containment, staff in the UK the least, with those in the Netherlands in between. Individuals' preferences for different containment measures were largely determined by whether they considered it (i) safe for the patients undergoing it, (ii) prevented them from injuring others, and (iii) quickly calmed them. CONCLUSION: Future evaluation research on containment measures should use time taken to calm the patient, injury to patients and others, as primary outcomes. National clinical audit and injury reporting systems would also enable the identification of methods that are truly physically injurious to patients, aiding in the rational selection of appropriate containment measures. 相似文献
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目的探讨老年精神科病房开展风险评估管理后,护士对患者情况的掌握及有效防止意外事件发生的作用。方法选取2010年1—12月老年科某病房60岁以上的56名住院患者作为研究组,以2009年1—12月该区60岁以上的55名住院患者作为对照组。对照组给予常规护理,研究组在此基础上实施风险评估管理,主要包括:医生评估患者的病情变化、治疗方法、用药以及药物的副作用等,护士每周评估患者否具有摔伤、噎食、压疮的风险,并制定针对性的护理措施。分别于研究前后比较护士对两组患者情况的掌握及意外事件的发生情况。结果护士对对照组患者情况掌握的总得分为(77.36±1.26)分,对研究组患者情况掌握的总得分为(85.60±3.07)分,两组比较差异有统计学意义(t=11.690,P〈0.01);对照组意外风险发生45例,对照组发生19例,两组比较差异具有统计学意义(X^2=13.87,P〈0.05)。结论开展网险牙篙管硼有利于护士对于患者病情掌握和意外风险的防范,从而提高护理质量。 相似文献
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Lemmer B 《Journal of psychiatric and mental health nursing》2000,7(1):43-49
Legal cases were analyzed that involved violence resulting in staff injury, patient assaults on staff, accidents involving the elderly, and patient self harm or injury where there was also an alleged breech in the duty of care. The study resulted in recommendations for: improved systems of work, including a practical framework to anticipate and recognize risk, with a case management approach to individual care, and supervisory procedures for vulnerable staff, explicit consent from patients and carers, and integrated recording of interdisciplinary methods for care. 相似文献