CAJ | 학술논문

目的：探讨新入院老年精神分裂症患者入住开放式与封闭式病房的意外风险状况，为开展有针对性的护理干预提供依据。方法将90例新入院老年精神分裂症患者随机分为两组，研究组入住开放式病房，对照组入住封闭式病房；采用跌倒、噎食、攻击、自杀、出走5个风险因素评估量表及护士用住院病人观察量表评估两组患者的风险状况。结果两组患者中有攻击风险者占40．0％，有自杀风险者占24．4％；研究组跌倒、噎食发生率显著低于对照组（P＜0．05），出走发生率显著高于对照组（P＜0．01）。两组护士用住院病人观察量表各因子评分比较差异均无显著性（P＞0．05）。结论对新入院老年精神分裂症患者加强风险评估管理，是预防患者住院期间发生意外事件的重要措施。
목적：탐토신입원노년정신분렬증환자입주개방식여봉폐식병방적의외풍험상황，위개전유침대성적호리간예제공의거。방법장90례신입원노년정신분렬증환자수궤분위량조，연구조입주개방식병방，대조조입주봉폐식병방；채용질도、일식、공격、자살、출주5개풍험인소평고량표급호사용주원병인관찰량표평고량조환자적풍험상황。결과량조환자중유공격풍험자점40．0％，유자살풍험자점24．4％；연구조질도、일식발생솔현저저우대조조（P＜0．05），출주발생솔현저고우대조조（P＜0．01）。량조호사용주원병인관찰량표각인자평분비교차이균무현저성（P＞0．05）。결론대신입원노년정신분렬증환자가강풍험평고관리，시예방환자주원기간발생의외사건적중요조시。
Objective To explore unexpected risks among newly admitted senile schizophrenics in open-and close-door ward in order to provide basis for developing purposeful nursing intervention .Methods Ninety newly admitted senile schizophrenics were randomly assigned to two groups ,research group was admitted in open-door ward and control group close-door ward ;Risk status was assessed with 5 Risk Fac-tor Assessment Scale and Nurses’ Observation Scale for Inpatient Evaluation (NOSIE) .Results Patients with aggression risk of two groups made up 40 .0% ,ones with suicide risk did 24 .4% ;fall and choke inci-dence were significantly lower (P<0 .05) and abscondence was higher (P<0 .01) in research than control group .There were no significant group differences in each factor score of the NOSIE (P>0 .05) .Conclu-sion Enhancing risk assessment in newly admitted senile schizophrenics is important safeguard for inpa-tients’ safety .