探讨住院精神分裂症患者发生攻击行为的因素及护理对策  

To Explore the Factors and Nursing Countermeasures of Aggression in Hospitalized Schizophrenic Patients

作　　者：吴亚南 WU Ya-nan(Benxi Kangning Hospital,Benxi 117019,China)

机构地区：[1]本溪市康宁医院,辽宁本溪117019

出　　处：《中国医药指南》2020年第12期223-224,共2页Guide of China Medicine

摘　　要：目的探讨住院精神分裂症患者发生攻击行为的因素及护理对策。方法将2017年11月至2018年11月我院收治的130例住院精神分裂症患者依据是否发生攻击行为分为观察组分为两组每组各65例,其中对照组患者为未发生攻击行为组,观察组患者为发生攻击行为组,于患者入组1周内采用BRPS、自编临床症状单因子分析、一般情况调查表、攻击行为评估表对全部给患者进行详细逐项检查评定,采用非条件Logistic回归法分析发生攻击行为的因素,并依据评定结果提出具有针对性的护理对策。结果观察组依从性差、强制措施、情绪易激惹、敌意症状、行为紊乱临床症状单因子发生率均高于对照组,对比P<0.05差异具有统计学意义。观察组患者BRPS评分量表中焦虑抑郁、敌对猜疑、兴奋、幻觉、自知力障碍五个因子的分值均高于对照组,对比P<0.05差异具有统计学意义。观察组患者攻击行为严重程度Ⅲ级占比为63.08%明显高于对照组的0%,对比χ^2=59.890,P<0.01差异具有显著性。非条件Logistic回归法结果显示临床症状阳性(OR=0.88,P<0.05)和BRPS评分高(OR=0.70,P<0.05)是危险性因素。结论住院精神分裂症患者发生精神行为与患者精神症状密切相关,护理人员应及时评估患者发生攻击行为的相关因素,尽早采取有效措施进行干预,为降低和控制攻击行为的发生以及减少意外事故的发生率创造良好的条件。Objective To investigate the factors and nursing countermeasures of attack behavior in hospitalized schizophrenic patients.Methods 130 inpatients with schizophrenia admitted to our hospital from November 2017 to November 2018 were divided into two groups of 65 patients in each group based on whether or not there was an attack.The control group was a non-attack group.The group was an attack group.Within 1 week of the patient's admission to the group,BRPS,self-compiled clinical symptom single factor analysis,general situation questionnaire,and attack behavior evaluation form were used to conduct detailed examination and assessment of all patients,and the non-conditional Logistic regression method was used to analyze the factors that caused the attack.According to the evaluation results,the author puts forward some countermeasures.Results The incidence of single factor was higher than that of control group in the observation group with poor compliance,coercive measures,emotional irritability,hostile symptoms and behavioral disorders.The five factors of anxiety depression,hostile suspicion,excitement,hallucinations,and self-consciousness disorder were all higher in the BRPS score scale of the patients in the observation group than in the control group.In the observation group,the ratio of YanzhongchengduⅢlevel was 63.08%,which was significantly higher than that of control group.The non-conditional Logistic regression results showed that positive clinical symptoms(OR=0.88,P<0.05)and high BRPS scores(OR=0.70,P<0.05)were risk factors.Conclusion The mental behavior of hospitalized schizophrenic patients is closely related to the mental symptoms of the patients.The nursing staff should take effective measures to intervene as soon as possible.Create good conditions for reducing and controlling the occurrence of attacks and reducing the incidence of accidents.

关 键 词：住院精神分裂症 攻击行为 因素 护理对策 

分 类 号：R473.74[医药卫生—护理学]