CAJ | 학술논문

目的：探讨JCI标准下住院精神分裂症患者攻击行为管理的实践效果。方法：对本院2013年1-12月具有攻击行为的80例精神分裂症患者进行3周的美国医疗机构评审联合委员会国际部(JCI)标准管理，建立风险管理小组、完善攻击培训，进行全面系统评估、追踪评价并持续质量改进。结果：改进后，攻击风险等级为III级的患者从13.75%降至6.25%；IV级从11.25%降至3.75%；修改版外显攻击行为量表（MOAS)各因子得分及最后设置的加权总分与改进前有统计学差异（P<0.01）；护士用住院患者观察量表（NOSIE)各因子得分与改进前有统计学差异（P<0.05）。结论：JCI标准管理有助于减轻患者的易激惹性，提高社会兴趣，促进社会能力的恢复；降低患者攻击风险等级，减少攻击行为的发生，保障护理安全。
목적：탐토JCI표준하주원정신분렬증환자공격행위관리적실천효과。방법：대본원2013년1-12월구유공격행위적80례정신분렬증환자진행3주적미국의료궤구평심연합위원회국제부(JCI)표준관리，건립풍험관리소조、완선공격배훈，진행전면계통평고、추종평개병지속질량개진。결과：개진후，공격풍험등급위III급적환자종13.75%강지6.25%；IV급종11.25%강지3.75%；수개판외현공격행위량표（MOAS)각인자득분급최후설치적가권총분여개진전유통계학차이（P<0.01）；호사용주원환자관찰량표（NOSIE)각인자득분여개진전유통계학차이（P<0.05）。결론：JCI표준관리유조우감경환자적역격야성，제고사회흥취，촉진사회능력적회복；강저환자공격풍험등급，감소공격행위적발생，보장호리안전。
Objective:To explore the practice effects of aggressive behavior management under Joint Commission International (JCI) standards among in-patients with schizophrenia Methods:We recruited 80 cases with aggressive behavior among schizophrenic patients and managed them under JCI standards for 3 weeks. We established risk management team, improved attack training, assessed systematically and comprehensively, and evaluated and improve the quality continuously. Results:Attack risk assessment indicated that we reduced risk grade III from 13.75%to 6.25%and risk grade IV from 11.25%to 3.75%after using JCI management. There were signiifcant difference between the scores of each factor and total weighted score of Modiifed version of the overt behavior scale (MOAS), and the scores of each factor of Nurses Observation Scale for Inpatinent Evaluation (NOSIE) before and after intervention (P<0.01). Conclusion:JCI standard management could reduce the irritability and hostility of patients, improve their social interests, promote their social ability recovery, reduce their attack risk grade, reduce the occurrence of aggressive behavior, and guarantee nursing safety.