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目的对精神科急诊患者攻击风险行为的发病相关因素进行初步调查研究。方法 1 325例精神科急诊非取药患者接受一般情况调查、攻击风险评估表(ARAS)、简明精神评定量表(BPRS)、YOUNG氏躁狂评定量表(YMRS)评估。根据ARAS评分分为非攻击组(评分Ⅰ~Ⅱ级)和攻击组(评分为Ⅲ~Ⅳ级),比较两组之间的差异。结果攻击组与非攻击组比较有多个因素差异有统计学意义(P<0.05),包括:性别、婚姻状况、职业、是否在职或在读、家庭收入、就诊季节、发病诱因、来诊目的、临床诊断、用药、给药途径(肌肉给药、口服给药)、急诊后去向(住院、留观、回家),以及受教育年限、BPRS总分、YMRS总分。结论男性、离异、无业、低收入、低教育水平、幻觉妄想状态、躁狂状态等,是精神科急诊患者发生攻击行为的风险因素。
Objective To investigate the risk factors related to attack risk behaviors in psychiatric emergency patients. Methods A total of 325 psychiatric emergency non-withdrawal patients underwent general survey, attack risk assessment (ARAS), concise mental assessment scale (BPRS) and YOUNG manic assessment scale (YMRS). According to the ARAS score, they were divided into non-attack group (grade Ⅰ ~ Ⅱ) and attack group (grade Ⅲ ~ Ⅳ), and the differences between the two groups were compared. Results There were significant differences in the number of factors between attack and non-attack groups (P <0.05), including gender, marital status, occupation, working or reading, family income, visiting season, Clinical diagnosis, medication, route of administration (intramuscular administration, oral administration), post-emergency (hospitalization, observation, return home), and years of education, BPRS total score, YMRS score. Conclusion Male, divorced, unemployed, low income, low educational level, delusion of hallucination, mania and so on are the risk factors for aggressive behavior in psychiatric emergency patients.