国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
3期
428-430
,共3页
护理干预%精神病患者%自杀
護理榦預%精神病患者%自殺
호리간예%정신병환자%자살
Nursing intervention%Psychiatric patients%Suicide
目的 探讨综合护理干预对住院精神病患者自杀行为的影响,以制定有效的防范措施.方法 选取住院患者共1200例,分为干预组与对照组各600例,干预组进行特定的心理护理干预,对照组进行常规护理.分别在干预前、干预2月后采用自杀态度调查问卷(QSA)进行评定,比较分析两组干预前后的QSA评分.结果 干预后干预组对自杀者的态度维度评分为(2.82±0.31)、对自杀者家属的态度维度评分为(2.94±0.64),明显高于干预前的评分(2.25±0.72)、(2.17±0.61)(P＜0.01);而对照组在对自杀行为性质的认识维度评分为(2.78±0.57)、对安乐死的态度维度评分(2.91±0.36),明显低于干预前的评分(3.53±0.38)、(3.69±0.74) (P ＜0.01),干预后干预组在四个维度评分分别是(3.93±0.72)、(2.82±0.31)、(2.94±0.64)、(3.85±0.62),均显著高于对照组评分(2.78±0.57)、(2.12±0.42)、(2.31±0.48)、(2.91±0.36) (P＜0.01).结论 综合护理干预能有效预防和避免住院精神病患者的自杀行为,提高医疗护理质量和医疗护理安全,值得推广应用.
目的 探討綜閤護理榦預對住院精神病患者自殺行為的影響,以製定有效的防範措施.方法 選取住院患者共1200例,分為榦預組與對照組各600例,榦預組進行特定的心理護理榦預,對照組進行常規護理.分彆在榦預前、榦預2月後採用自殺態度調查問捲(QSA)進行評定,比較分析兩組榦預前後的QSA評分.結果 榦預後榦預組對自殺者的態度維度評分為(2.82±0.31)、對自殺者傢屬的態度維度評分為(2.94±0.64),明顯高于榦預前的評分(2.25±0.72)、(2.17±0.61)(P＜0.01);而對照組在對自殺行為性質的認識維度評分為(2.78±0.57)、對安樂死的態度維度評分(2.91±0.36),明顯低于榦預前的評分(3.53±0.38)、(3.69±0.74) (P ＜0.01),榦預後榦預組在四箇維度評分分彆是(3.93±0.72)、(2.82±0.31)、(2.94±0.64)、(3.85±0.62),均顯著高于對照組評分(2.78±0.57)、(2.12±0.42)、(2.31±0.48)、(2.91±0.36) (P＜0.01).結論 綜閤護理榦預能有效預防和避免住院精神病患者的自殺行為,提高醫療護理質量和醫療護理安全,值得推廣應用.
목적 탐토종합호리간예대주원정신병환자자살행위적영향,이제정유효적방범조시.방법 선취주원환자공1200례,분위간예조여대조조각600례,간예조진행특정적심리호리간예,대조조진행상규호리.분별재간예전、간예2월후채용자살태도조사문권(QSA)진행평정,비교분석량조간예전후적QSA평분.결과 간예후간예조대자살자적태도유도평분위(2.82±0.31)、대자살자가속적태도유도평분위(2.94±0.64),명현고우간예전적평분(2.25±0.72)、(2.17±0.61)(P＜0.01);이대조조재대자살행위성질적인식유도평분위(2.78±0.57)、대안악사적태도유도평분(2.91±0.36),명현저우간예전적평분(3.53±0.38)、(3.69±0.74) (P ＜0.01),간예후간예조재사개유도평분분별시(3.93±0.72)、(2.82±0.31)、(2.94±0.64)、(3.85±0.62),균현저고우대조조평분(2.78±0.57)、(2.12±0.42)、(2.31±0.48)、(2.91±0.36) (P＜0.01).결론 종합호리간예능유효예방화피면주원정신병환자적자살행위,제고의료호리질량화의료호리안전,치득추엄응용.
Objective To investigate the effect of comprehensive nursing intervention on psychiatric patients' suicidal behavior during hospitalization and to develop effective preventive measures.Methods A total of 1200 hospitalized patients were selected and divided into intervention group and control group,600 cases in each group.Intervention group adopted specific psychological nursing intervention,while control group adopted conventional care.Assessment was made with Suicide Attitude Questionnaire (QSA) before and two months after intervention.We compared and analyzed QSA scores of two groups.Results In intervention group,attitude dimension scores to people who committed suicide and their families were (2.82 ± 0.31),(2.94 ± 0.64) respectively after intervention,which were significantly higher than (2.25 ± 0.72),(2.17 ± 0.61) before intervention (P ＜ 0.01).In control group,cognitive dimension score of the nature of suicide and.attitude dimension score on euthanasia were (2.78 ±-0.57),(2.91 ± 0.36) respectively,which were significantly lower than (3.53 ± 0.38),(3.69 ± 0.74) before intervention (P ＜ 0.01).After intervention,scores in 4"aspects of intervention group were (3.93 ± 0.72),(2.82 ± 0.31),(2.94 ± 0.64),(3.85 ± 0.62) respectively,which were significantly higher than (2.78 ± 0.57),(2.12 ± 0.42),(2.31 t 0.48),(2.91 ± 0.36) of control group (P ＜ 0.01).Conclusion Comprehensive nursing intervention can effectively prevent and avoid suicide of hospitalized psychiatric patients,and improve the quality and safety of nursing,worthy of promotion.
