CAJ | 학술논문

目的：探索住院精神障碍患者发生安全意外事件的特点及应对策略。方法对在2010年10月至2013年10月期间临沂市精神卫生中心上报护理部的60例护理安全意外事件进行事件类型、发生原因等方面的回顾性分析。结果前四位的类型为：跌伤28例（占46．8％）、外走10例（占16．7％）、自伤或他伤7例（占11．7％）及自杀6例（占10．0％）；前四位的原因是：沟通不良14例（占23．4％）、预判不足12例（占20．0％）、疾病/药物影响11例（占18．3％）、管理不当9例（占15．0％）。结论完善和落实护理安全管理体系，提升护理人员的风险意识和综合业务素质，可有效预防与降低精神障碍住院患者安全意外事件的发生，并提高护患两方面的满意度。
목적：탐색주원정신장애환자발생안전의외사건적특점급응대책략。방법대재2010년10월지2013년10월기간림기시정신위생중심상보호리부적60례호리안전의외사건진행사건류형、발생원인등방면적회고성분석。결과전사위적류형위：질상28례（점46．8％）、외주10례（점16．7％）、자상혹타상7례（점11．7％）급자살6례（점10．0％）；전사위적원인시：구통불량14례（점23．4％）、예판불족12례（점20．0％）、질병/약물영향11례（점18．3％）、관리불당9례（점15．0％）。결론완선화락실호리안전관리체계，제승호리인원적풍험의식화종합업무소질，가유효예방여강저정신장애주원환자안전의외사건적발생，병제고호환량방면적만의도。
Objective To explore the influencing factors and countermeasures of accidents in hospitalized patients with mental disorders .Methods Retrospective analyses of 60 cases of nursing accidents that had been reported to Linyi City Mental Health Center from Octo-ber ,2010 to October ,2013 were made in this study .Results The top four types of common types in were falling injury of 28 cases (46 .8% ) ,walking outside of 10 patients (16 .7% ) ,self-inflicted wound of 7 cases (11 .7% ) and suicide of 6 cases (10 .0% ) .The top four influencing factors were poor communication of 14 cases (23 .4% ) ,insufficient anticipation of 12 cases (20 .0% ) ,disease or drug effects of 11 cases (18 .3% ) and mismanagement of 9 cases (15 .0% ) .Conclu-sion Improving and implementing nursing safety management system ,enhancing the overall level of risk awareness and comprehensive professional quality can effectively prevent and reduce safety incidents in mental health hospitals to improve both nurses’ and patients’ satisfaction .