基于CAMS的阶梯式护理模式在精神病患者自杀预防中的应用  

Application of a CAMS-based stepped care model in suicide prevention among psychiatric patients

作　　者：郑海燕 ZHENG Haiyan(Psychiatry Department,Ganyu District Psychiatric Hospital of Lianyungang City,Lianyungang 222199,China)

机构地区：[1]连云港市赣榆区精神病医院精神科,江苏连云港222199

出　　处：《医药高职教育与现代护理》2023年第6期503-507,共5页Medical Higher Vocational Education and Modern Nursing

摘　　要：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。Objective To explore the impact of stepped rehabilitation care under the guidance of Collaborative Assessment and Management of Suicidality(CAMS)on the effect of suicide prevention in psychiatric patients.Methods Sixty-two psychiatric patients with suicidal ideation who were admitted to Ganyu District Psychiatric Hospital of Lianyungang Hospital from June 2022 to March 2023 were selected as the study subjects,and the patients were divided into the experimental group and the control group by using the method of random number table.Thirty-one patients were in the experimental group,implementing CAMS-based stepped care,and the other 31 were in the control group,receiving conventional care.The core assessment scores of suicide status of different types of patients in the experimental group before and after nursing care were analyzed,and the nursing care effects of patients and the nursing care satisfaction in the experimental group and the control group were compared.Results After the nursing intervention,the scores of the six core dimensions of psychological pain,stress,agitation,despair,self-hatred,and overall suicide risk of different types of patients in the experimental group decreased significantly compared with those of the pre-nursing period and were lower than those of the control group.Meanwhile,patient care satisfaction and care efficiency in the experimental group were significantly higher than those in the control group.The differences above were statistically significant(P<0.05).Conclusions Compared with conventional suicide prevention care,the stepped care model under the CAMS concept has a better intervention effect on suicidal tendencies in patients with schizophrenia,depression,and reactive mental disorders,and has higher clinical application value.

关 键 词：自杀行为的协作评估与管理 阶梯式护理模式 精神病 自杀行为干预 

分 类 号：R473.74[医药卫生—护理学]