住院精神病病人保护性约束现状及其相关因素调查

被引：23

作者：

施忠英

陆惠

李萍

李华

陆旋

甘晓梅

周黔

胡周健

詹丽琴

凌文艳

陆萍

机构：

[1] 上海交通大学医学院附属精神卫生中心

来源：

护理研究 | 2009年 / 23卷 / 35期

关键词：

保护性约束; 相关因素; 精神病; 攻击行为;

D O I：

暂无

中图分类号：

R473.74 [神经病、精神病护理学];

学科分类号：

摘要：

[目的]了解住院精神病病人保护性约束的现状及其相关因素,为进一步制定针对性的干预措施提供依据。[方法]采用自编调查表对2008年8月1日—2008年12月31日住院的631例病人在入院第1个月内的约束情况进行调查,采用多因素Logis-tic回归分析识别保护性约束的相关因素并控制可能的混杂因素。[结果]入院第1个月内经历约束的病人301例(47.7%);经历约束的病人年龄较轻、病程较短、住院次数较少;平均约束次数为2.1次,每次约束时间为(9.8±48.6)h。Logistic多因素分析:针对其他病人的攻击行为(OR=21.87),针对工作人员的攻击行为(OR=17.47),出走行为(OR=4.74),拒药行为(OR=6.07),治疗依从性差(OR=6.57)等是保护性约束的独立危险因素;第一诊断为精神分裂症(OR=0.33),使用抗抑郁剂(OR=0.22)和其他安定类药物(OR=0.15)以及消极言行(OR=0.15)为保护性约束的独立保护因素。[结论]住院精神病病人的保护性约束比例高,约束时间长,攻击行为是保护性约束最主要的危险因素,有必要进一步规范约束程序。

引用

页码：3212 / 3215

页数：4

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