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目的探讨基层精神科住院患者1日高风险因素及干预对策。方法选取2015年2月至2016年2月四川乐山市五通桥区精神病医院精神科收治的290例住院患者作为研究对象,自制调查表,统计患者一般人口学资料、所患疾病及伴发疾病情况,评估患者自杀自伤、暴力、出走、噎食、跌倒/坠床、精神活性物质滥用6种危险因素发生情况。结果住院患者中,以35~60岁男性、汉族、无配偶、小学文化程度、有职业者居多;患者所患疾病以精神分裂症、分裂型障碍和妄想型障碍为主,伴发疾病以高血压、糖尿病为主;住院患者存在的主要高风险为跌倒/坠床风险。结论基层精神科住院患者1日高风险因素主要为跌倒/坠床,应加强风险评估、风险告知、制订护理计划、实施干预措施,以降低不良事件发生率。
Objective To investigate the high risk factors of inpatients with primary psychiatric patients on the 1st and the intervention strategies. Methods From February 2015 to February 2016, 290 inpatients admitted to Psychiatric Hospital of Wutongqiao District Psychiatric Hospital in Leshan, Sichuan Province were selected as research objects, self-made questionnaires, general demographic data, prevalence of diseases and concomitant diseases, Evaluate the occurrence of 6 risk factors such as self-suicide, violence, run-away, eating, falling / falling bed, and psychoactive substance abuse. Results Among the hospitalized patients, 35-60-year-old men, Han nationality, no spouse and primary school education were the majority of professional workers. The patients were mainly schizophrenia, schizophrenia and delusional disorder with concomitant diseases with high Blood pressure and diabetes prevalence; the main high risk of hospitalization is the risk of falling / falling. Conclusions The high risk factors of inpatients in primary psychiatric department on the 1st mainly fall / fall bed. Risk assessment, risk notification, nursing plan development and intervention measures should be strengthened to reduce the incidence of adverse events.