精神科暴力风险评估表在降低住院患者暴力伤人事件中的应用分析(1)
【摘要】 目的：探讨精神科暴力风险评估表在降低住院患者暴力伤人事件中的应用效果。方法：选取2016年1月-2017年5月期间在本院进行住院治疗的精神疾病患者158例作为研究对象，按照随机数字表法将其分为对照组和试验组，各79例。对照组按照精神科常规方案进行护理与治疗，试验组在对照组干预方法的基础上使用暴力风险评估表进行指导性干预，比较两组在干预过程中发生暴力事件、约束，以及监护人满意度情况。结果：对照组在干预过程中发生各类暴力事件情况均明显高于试验组，差異均有统计学意义(字2=9.234、7.976、5.773，P=0.002、0.005、0.016)。试验组在干预过程中使用约束情况和约束时间均明显少于对照组，差异均有统计学意义(P<0.05)。对照组监护人的总满意率为74.68%，试验组为89.87%，差异有统计学意义(字2=6.251，P=0.012)；试验组监护人的满意度明显优于对照组，差异有统计学意义(Z=-5.481，P<0.05)。结论：对精神科住院患者使用暴力风险评估，可以有效地预防患者出现暴力行为，降低暴力事件发生率，缩短患者约束时间，值得在临床工作中推广。
, 百拇医药
【关键词】 精神科； 暴力； 风险评估； 身体伤害
【Abstract】 Objective：To explore the application effect of psychiatric violence risk assessment scale in reducing violent casualties in hospitalized patients.Method：A total of 158 patients with mental illness who were hospitalized in our hospital from January 2016 to May 2017 were selected as the study objects.According to the random number table method，they were divided into control group and experimental group，79 cases in each group.The control group was given nursing and treatment according to the routine psychiatric regimen，the experimental group was guided by the violence risk assessment scale on the basis of the intervention methods of the control group.The violence incident and restraint during intervention and guardian satisfaction between the two groups were compared.Result：All kinds of violent incidents in the control group was significantly higher than those in the experimental group，the differences were statistically significant (字2=9.234，7.976，5.773；P=0.002，0.005，0.016).The use of restraint and restraint time in the experimental group were significantly less than those in the control group，the differences were statistically significant(P<0.05).The total satisfaction rate of guardians in the control group was 74.68%，and that in the experimental group was 89.87%， the difference was statistically significant(字2=6.251，P=0.012)；the satisfaction degree of guardians in the experimental group was significantly better than that in the control group，the difference was statistically significant(Z=-5.481，P<0.05).Conclusion：The use of violence risk assessment for psychiatric inpatients can effectively prevent the occurrence of violent behavior，reduce the probability of violence incidents，shorten the time of the patients' restriction and be worth promoting in clinical work.
【Key words】 Psychiatric； Violence； Risk assessment； Physical injury
First-author’s address：Jiujiang Fifth People’s Hospital，Jiujiang 332000，China, 百拇医药(罗频)
, 百拇医药
【关键词】 精神科； 暴力； 风险评估； 身体伤害
【Abstract】 Objective：To explore the application effect of psychiatric violence risk assessment scale in reducing violent casualties in hospitalized patients.Method：A total of 158 patients with mental illness who were hospitalized in our hospital from January 2016 to May 2017 were selected as the study objects.According to the random number table method，they were divided into control group and experimental group，79 cases in each group.The control group was given nursing and treatment according to the routine psychiatric regimen，the experimental group was guided by the violence risk assessment scale on the basis of the intervention methods of the control group.The violence incident and restraint during intervention and guardian satisfaction between the two groups were compared.Result：All kinds of violent incidents in the control group was significantly higher than those in the experimental group，the differences were statistically significant (字2=9.234，7.976，5.773；P=0.002，0.005，0.016).The use of restraint and restraint time in the experimental group were significantly less than those in the control group，the differences were statistically significant(P<0.05).The total satisfaction rate of guardians in the control group was 74.68%，and that in the experimental group was 89.87%， the difference was statistically significant(字2=6.251，P=0.012)；the satisfaction degree of guardians in the experimental group was significantly better than that in the control group，the difference was statistically significant(Z=-5.481，P<0.05).Conclusion：The use of violence risk assessment for psychiatric inpatients can effectively prevent the occurrence of violent behavior，reduce the probability of violence incidents，shorten the time of the patients' restriction and be worth promoting in clinical work.
【Key words】 Psychiatric； Violence； Risk assessment； Physical injury
First-author’s address：Jiujiang Fifth People’s Hospital，Jiujiang 332000，China, 百拇医药(罗频)