住院精神患者危险行为因素预测探究.docVIP

住院精神患者危险行为因素预测探究摘 要 目的：探讨住院精神患者危险行为，提高对危险行为的预测水平。方法：收集本院住院精神患者危险行为共计650例的调查。自编“一般情况调查问卷”和“危险调查问卷”，药物不良反应量表，危险行为危险性量表(ARP)，社会支持评定量表。所得数据采用SPSS8.0统计软件包进行非条件Logistic单因素和多因素的回归分析。结果：①危险情况：危险行为占21.8%，自伤率为3.36%，自杀发生率为2.35%，他伤率为7.27%，毁物率为8.33%。②危险因素分析：单因素分析显示受精神症状支配与危险行为有显著的相关性，积极心理及行为干预与危险行为呈明显的负相关。结论：精神患者在院内危险因素主要与受精神症状支配所采取的危险行为和外界惹因有关，积极心理及行为干预是有效减少精神患者危险行为的措施。 关键词 精神患者 住院 危险因素 Abstract Objective: To investigate the dangerous behaviors of psychopaths in hospital,improve prediction level to dangerous behaviors.Methods: Collect dangerous behaviors of psychopaths in this hospital,650 cases in total, for investigation.Self construct ‘General Situation Investigation Questionnaire’ and ‘Dangerous Situation Investigation Questionnaire’，Pharmacy Side Effect Rating Scale，Dangerous Behavior Attributable Risk Percent (ARP)，Social Support Rating Scale (SSRS).Unconditional single factor logistic regression and multi-factor logistic regression analysis were performed in a statistical software package SPSS 8.0 over the collected data. Results：①Dangerous situation:Dangerous behaviors 21.8%，self-mutilation rate 3.36%,suicide rate 2.35%，aggression rate 7.27%，property-destroy rate 8.33%.②Dangerous factors analysis:Single factor analysis shows a significant correlation between psychiatric symptoms control and dangerous behaviors and a significant negative correlation between active mind，behavior intervention and dangerous behaviors.Conclusions：the dangerous factors of the psychopaths in hospital are mainly related to the dangerous behaviors controlled under psychiatric symptoms and external provoking factors.Active mind and behavior intervention are effective measures to reduce dangerous behaviors of psychopaths. Keywords psychopaths,in hospital,dangerous factors 资料与方法 调查对象：2002年12月～2006年6月间，收集本院住院精神患者危险行为的调查。完成调查的共650例均符合CCMD-3诊断标准。其中：男350例，女300例；年龄6～78岁，平均35±11岁；病程0.2～16年，平均为6±2年。精神分裂症460例，老年期痴呆和血管性痴呆42例。心境障碍：躁狂发作62例,抑郁发作55例；癫痫性精神障碍44例，精神发育迟滞15例，酒精中毒14例。 调查内容：①一般人口学资料，