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題名 | 某精神專科醫院住院病人自傷後受傷行為之相關因子研究=The Correlation of Injuries after Self-harm in a Psychiatric Hospital |
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作者 | 李名蟬; 黃燕茹; 李世凱; 林美伶; | 書刊名 | 精神衛生護理雜誌 |
卷期 | 11:2 2016.12[民105.12] |
頁次 | 頁11-18 |
分類號 | 419.72 |
關鍵詞 | 精神疾病; 自傷行為; 傷害; 病人安全; Mental illness; Self-harm behavior; Self-injury; Patient's safety; |
語文 | 中文(Chinese) |
中文摘要 | 背景:精神疾病患者於病房中發生自傷行為是一個醫院安全上的重要議題,在某精神專科教學醫院自殺自傷行為為病人安全通報項目的第三位。方法:本研究採用病例對照研究設計,資料來源為某精神專科教學醫院所提供之住院檔、自傷行為通報檔之2009至2011年住院病人,進行描述性及推論性統計。結果:三年自傷發生率於分別為7.6%、5.0%、3.0%,呈現逐年遞減趨勢;自傷傷害率為36.5%、46.3%、40.6%。自傷造成傷害與否與病人自傷發生地點有顯著差異性,精神病人在私人區域自傷造成傷害的風險比在公共區域高。 結論:本研究呈現某精神專科教學醫院三年住院病人自傷行為、自傷造成傷害與否及其影響因素,護理人員應加強平時之自傷行為風險評估與病人動態,以減少病房內自傷後造成傷害之程度。 |
英文摘要 | Background: The Self-harm of mentally ill inpatients is an important issue of hospitalized safety. The incident frequency of suicide and self-harm behaviors ranked the third in the patient safety reporting list of a psychiatric teaching hospital. Method: The study conducted a retrospective, case-control study. The Data were taken from the Patient-Safety Reporting System in a psychiatric center of central Taiwan during 2009-2011. We analyzed the primary data in the database of the Medical Administration Office and self-harm intention records for secondary data analysis as well as the incident frequency (person / day) of the documented self-harm behaviors per person in every month. Results: The aforementioned-patient's self-harm incident decreased from 7.6% and 5.0% to 3.0% but their injury rates after self-harm was respectively 36.5%, 46.3%, 40.6% during 2009-2011. The Patient's location was a significant factor of self-harm in relation to whether the patient had injuries or not. The self harm has showed higher rate in a private area than that of being in a public place. Conclusion: The results showed the figures, trend, and correlations of self-harm in a psychiatric teaching hospital during Year 2009-2011. The nursing staff should pay attention to the patient's activities to prevent from their self-harm. The finding could be as a helpful reference to successfully reduce the rates of inpatients' self-harm behaviors. Nurses should strengthen the risk assessment of self-harm and the location where psychiatric patients may incur incidents to help decrease the injury after self-harm in psychiatric wards. |
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