精神分裂症急性期伴自杀行为35例临床特征分析及护理  

Analysis of clinical features of 35 schizophrenic patients in the acute stage associated with suicidal behavior and nursing care

作　　者：吴妙新[1] 汤妙瑜[1] 陈春红[1] 吴树跃[1] 黄玉琴[1] 

机构地区：[1]汕头市第四人民医院,广东汕头515021

出　　处：《齐鲁护理杂志》2011年第2期9-10,共2页Journal of Qilu Nursing

摘　　要：目的:调查精神分裂症急性期伴自杀行为患者的临床特征及护理方法。方法:分析35例急性期精神分裂症伴自杀行为患者的临床特征,研究经过自杀干预护理措施治疗后的成效。将没有发生自杀行为倾向的154例住院患者作为对照组进行比较。结果:精神分裂症急性期自杀发生率18.51%,常发生于女性、年龄较大、病程短和发病年龄较晚的患者;经过自杀干预护理措施治疗后自杀行为发生率明显降低,第2周时社会兴趣、迟缓、抑郁和精神症状因子明显改善,第8周时多项因子明显改善,与对照组比较差异有统计学意义(P<0.05)。结论:及时发现急性期精神分裂症伴自杀行为患者的临床特征,实施正确的护理干预有助于减少自杀行为的发生。Objective：To investigate the clinical features of schizophrenic patients in the acute stage associated with suicidal behavior and nursing methods.Methods：The clinical features of 35 schizophrenic patients associated with suicidal behavior were analyzed and the effectiveness of intervention on suicidal behavior was evaluated after intervention.154 hospitalized patients without suicidal tendency were taken as a control group for comparison.Results：The incidence of suicide of schizophrenic patients in the acute stage was 18.51% and it was often seen in female patients,elderly patients,the patients who had short course of disease and onset in late years.The incidence of suicide significantly reduced after preventive nursing interventions.The social interest,retardation,depression and factors of psychotic symptoms evidently improved in the 2nd week and a number of factors obviously improved in the 8th week,the comparison was significantly different compared with the control group（P0.05）.Conclusion：The timely detection of clinical features and the implementation of proper nursing intervention can effectively reduce suicidal behavior of schizophrenic patients in the acute stage.

关 键 词：精神分裂症 急性期 自杀行为 

分 类 号：R473.74[医药卫生—护理学]