CAJ | 학술논문

目的：探讨住院精神病患者发生危险行为的相关因素及防范措施。方法：回顾性调查58例发生危险行为的住院精神病患者的临床资料，内容包括性别、年龄、婚姻，职业、文化程度、病程、危险行为发生与入院时间的关系、发生的时间与采用的方式、患者的精神症状等9项。结果：危险行为发生率较高的因素有男性、40岁以下、工人职业、初中文化程度、1年以内病程等。24小时之内以8AM～5PM发生最多，入院一个月以内容易发生，精神症状则以幻听、被害妄想、不协调性兴奋、无自知力多见。结论：住院精神病患者发生危险行为的相关因素对于临床护理制定防范措施有参考价值。
목적：탐토주원정신병환자발생위험행위적상관인소급방범조시。방법：회고성조사58례발생위험행위적주원정신병환자적림상자료，내용포괄성별、년령、혼인，직업、문화정도、병정、위험행위발생여입원시간적관계、발생적시간여채용적방식、환자적정신증상등9항。결과：위험행위발생솔교고적인소유남성、40세이하、공인직업、초중문화정도、1년이내병정등。24소시지내이8AM～5PM발생최다，입원일개월이내용역발생，정신증상칙이환은、피해망상、불협조성흥강、무자지력다견。결론：주원정신병환자발생위험행위적상관인소대우림상호리제정방범조시유삼고개치。
Objective:To survey the relevant factors of the inpatients with psychosis who engaged in danger-ous act and prevention measures. Methods:Clinical data of 58 inpatients with psychosis who engaged in dangerous act were retrospectively investigated, the contents contained gender, age, marriage, occupation, education, the course of the disease, the relationship between dangerous act and hospitalization time, the onset time and the way, mental state of the patients and others. Results:The factors which caused higher incidence of dangerous act were male, be-low 40 years, worker, graduated from junior middle school, the course of the disease was within one year and so on. Most happened between 8AM and 5PM within 24 hours, and within one month after hospitalization, mental symp-toms were acousma, persecutory delusion, incoordination excitation and loss of self-control mostly. Conclusion:The relevant factors of the inpatients with psychosis making dangerous act show reference for establishing prevention measures in clinical nursing.