摘要
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.
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.
出处
《国际医药卫生导报》
2014年第3期428-430,共3页
International Medicine and Health Guidance News
关键词
护理干预
精神病患者
自杀
Nursing intervention
Psychiatric patients
Suicide
