朱珊珊　林润琼

摘要：目的 研究综合护理干预对精神分裂症患者暴力行为产生的影响。方法 选取我院的83例精神分裂症患者作为观察对象，按入院编号的单双数将其分为对照组（双数）和观察组（单数），其中对照组42例，观察组41例。对对照组实施常规护理，而观察组则是进行综合护理干预，最后对两组患者的辱骂、自残、伤人和毁坏物品等暴力行为的发生率进行对比。结果 护理结束后，观察组患者的辱骂、自残、伤人和毁坏物品等暴力行为的发生率明显低于对照组，两组的差异具有统计学意义（P<0.05）。结论 对精神分裂症患者实施综合护理干预可以较好地降低患者暴力行为的发生率。

关键词：综合护理干预;精神分裂症;暴力行为

【中图分类号】R749   【文献标识码】A    【文章編号】1673-9026（2020）03-083-03

The effect of comprehensive nursing intervention on the violence of schizophrenics

Zhu Shanshan  Lin runqiong

Psychiatric Hospital of Guangzhou Civil Affairs Bureau  Guangzhou， Guangdong  510430

[Abstract] Objective  To study the effect of comprehensive nursing intervention on violent behavior of schizophrenic patients. Methods  83 patients with schizophrenia in our hospital were selected as the observation object， and they were divided into a control group （odd number） and an observation group （odd number） according to the odd and even numbers of admission number， including 42 cases in the control group and 41 cases in the observation group . The control group was given routine care， while the observation group was undergoing comprehensive nursing intervention. Finally， the incidence of violent behaviors such as verbal abuse， self-mutilation， wounding， and destruction of objects were compared between the two groups. Results  After the nursing， the incidence of violent behaviors such as verbal abuse， self-mutilation， wounding and destruction of objects in the observation group was significantly lower than that in the control group， and the difference between the two groups was statistically significant （P <0.05）. Conclusion  Comprehensive nursing intervention for schizophrenia patients can better reduce the incidence of violent behaviors.

[Key words] comprehensive nursing intervention; schizophrenia; violence

前言

精神分裂指的是患者的精神活动和周围环境不协调，导致患者出现基本个性改变，进而其情感、思维和行为产生分裂的一种精神疾病^[1]。该疾病可导致患者出现强烈的攻击行为，从而对医院的医护人员和其他患者的生命安全形成较大的威胁，严重影响医院或是社会的秩序。如今临床上对于精神分裂患者的护理大多是建立在隔离和药物干预的基础上进行的，很少深入地去对患者的精神世界进行探究，因此对于缓解患者暴力行为的效果并不理想^[2]。而据综合护理干预有着能够根据患者自身情况制定专门护理方案并进行具体实施的特点，可对精神分裂症患者形成较好的干预效果，所以本文就使用综合护理干预对减少精神分裂症患者暴力行为的效果进行了分析，现做报告如下。……