自杀风险评估的分层护理干预对住院抑郁症患者自杀行为的影响
|
摘要
目的探讨自杀风险评估的分层护理干预对住院抑郁症患者自杀行为的影响。方法选取该院2016年4月—2018年4月收治的90例抑郁症患者为研究对象,均经临床诊断确诊,随机分为两组,对照组(n=45)给予常规护理干预,观察组(n=45)给予自杀风险评估的分层护理干预,对比两组患者干预前后自杀风险和悲观厌世言行发生率以及自杀行为发生率。结果干预后观察组患者QSA评分分别为(4.22±0.31)分、(3.22±0.20)分、(2.82±0.18)分、(3.53±0.23)分;对照组分别为(3.56±0.24)分、(2.95±0.17)分、(2.43±0.12)分、(3.03±0.19)分。干预后观察组患者QSA评分明显高于对照组,差异具有统计学意义(t=11.293 1、6.900 2、12.093 4、11.243 0,P<0.05)。观察组患者悲观厌世言行发生率77.78%明显低于对照组95.56%,差异有统计学意义(χ~2=13.681 5,P<0.05)。观察组患者自杀行为发生率24.44%明显低于对照组46.67%,差异有统计学意义(χ~2=10.783 5,P<0.05)。结论对住院抑郁症患者给予自杀风险评估的分层护理干预效果显著,可有效减少自杀行为,降低自杀风险,值得临床推广。
Objective To investigate the effect of stratified nursing intervention on suicidal risk assessment on suicidal behavior in hospitalized patients with depression. Methods A total of 90 patients with depression who were admitted to our hospital from April 2016 to April 2018 were enrolled in the study. All patients were diagnosed by clinical diagnosis and randomly divided into two groups. The control group(n=45) received routine nursing intervention. The observation group(n=45) gave a stratified nursing intervention for suicide risk assessment, comparing the incidence of suicide risk and pessimistic behavior before and after intervention and the incidence of suicidal behavior. Results After interven tion, the QSA scores of the observation group were(4.22±0.31)points,(3.22±0.20)points,(2.82±0.18)points, and(3.53±0.23)points, respectively. The control group was(3.56±0.24)points,(2.95±0.17)points,(2.43±0.12)points,(3.03±0.19)points, respectively. After intervention, the QSA score of the observation group was significantly higher than that of the control group, and the difference was statistically significant(t=11.293 1, 6.900 2, 12.093 4, 11.243 0, P<0.05). The incidence of pessimistic and negative behavior in the observation group was 77.78%, which was significantly lower than that in the control group(95.56%). The difference was statistically significant(χ~2=13.681 5, P<0.05). The incidence of suicidal behavior was 24.44% in the observation group and 46.67% in the control group. The difference was statistically significant(χ~2=10.783 5, P<0.05). Conclusion The stratified nursing intervention for suicide risk assessment in hospitalized patients with depression is effective, which can effectively reduce suicidal behavior and reduce suicide risk,which is worthy of clinical promotion.
Objective To investigate the effect of stratified nursing intervention on suicidal risk assessment on suicidal behavior in hospitalized patients with depression. Methods A total of 90 patients with depression who were admitted to our hospital from April 2016 to April 2018 were enrolled in the study. All patients were diagnosed by clinical diagnosis and randomly divided into two groups. The control group(n=45) received routine nursing intervention. The observation group(n=45) gave a stratified nursing intervention for suicide risk assessment, comparing the incidence of suicide risk and pessimistic behavior before and after intervention and the incidence of suicidal behavior. Results After interven tion, the QSA scores of the observation group were(4.22±0.31)points,(3.22±0.20)points,(2.82±0.18)points, and(3.53±0.23)points, respectively. The control group was(3.56±0.24)points,(2.95±0.17)points,(2.43±0.12)points,(3.03±0.19)points, respectively. After intervention, the QSA score of the observation group was significantly higher than that of the control group, and the difference was statistically significant(t=11.293 1, 6.900 2, 12.093 4, 11.243 0, P<0.05). The incidence of pessimistic and negative behavior in the observation group was 77.78%, which was significantly lower than that in the control group(95.56%). The difference was statistically significant(χ~2=13.681 5, P<0.05). The incidence of suicidal behavior was 24.44% in the observation group and 46.67% in the control group. The difference was statistically significant(χ~2=10.783 5, P<0.05). Conclusion The stratified nursing intervention for suicide risk assessment in hospitalized patients with depression is effective, which can effectively reduce suicidal behavior and reduce suicide risk,which is worthy of clinical promotion.
引文
[1]姜虹,郭威娜,董丽.循证护理对住院低龄脑卒中患者焦虑抑郁情绪的影响[J].中国实用神经疾病杂志,2018,21(10):1133-1136.
[2]李淑清,林凤彬,林建辉,等.心理护理干预对恶性肿瘤住院化疗患者焦虑和抑郁情绪的影响[J].世界睡眠医学杂志,2018,5(4):478-480.
[3]萧素媚,杨海晨,曾志强,等.住院抑郁障碍患者自杀风险倾向状况及其影响因素分析[J].现代临床护理,2018,17)4):12-17.
[4]冯旭琴.优质护理对冠心病病人焦虑和抑郁情绪的影响[J].护理研究,2018,32(6):989-991.
[5]沈如瑾.护理干预对具有自杀危险抑郁症住院患者的影响探讨[J].基层医学论坛,2017,21(21):2792-2793.
[6]马阿军.老年抑郁症患者进行心理疏导和精神护理的临床应用效果[J].实用临床护理学电子杂志,2018,3(2):133-134.
[7]宁晓东,张永炼,张娟,等.尊严护理干预对晚期住院癌症患者尊严水平及焦虑抑郁的影响[J].护理学杂志,2018,33(1):83-85.
[8]李玲,廖宗峰.神经内科抑郁症状患者自杀的预警干预[J].护理学杂志,2017,32(13):75-76,83.
[9]高丽.浅析老年人脑血管意外住院继发抑郁症的护理体会[J].中国现代药物应用,2017,11(20):169-170.
[10]杨晟,陈连翠.早期护理干预对抑郁症患者自杀的预防作用[J].当代护士,2017(6上旬刊):117-119.
[11]代金枝.动机性访谈对自杀意念的抑郁症患者抑郁水平和自杀意念的影响[J].现代临床护理,2017,16(8):20-24.
[12]桂琴.自杀风险评估的分层护理干预对住院抑郁症患者自杀行为的影响[J].中国健康心理学杂志,2017,25(11):1630-1633.
[2]李淑清,林凤彬,林建辉,等.心理护理干预对恶性肿瘤住院化疗患者焦虑和抑郁情绪的影响[J].世界睡眠医学杂志,2018,5(4):478-480.
[3]萧素媚,杨海晨,曾志强,等.住院抑郁障碍患者自杀风险倾向状况及其影响因素分析[J].现代临床护理,2018,17)4):12-17.
[4]冯旭琴.优质护理对冠心病病人焦虑和抑郁情绪的影响[J].护理研究,2018,32(6):989-991.
[5]沈如瑾.护理干预对具有自杀危险抑郁症住院患者的影响探讨[J].基层医学论坛,2017,21(21):2792-2793.
[6]马阿军.老年抑郁症患者进行心理疏导和精神护理的临床应用效果[J].实用临床护理学电子杂志,2018,3(2):133-134.
[7]宁晓东,张永炼,张娟,等.尊严护理干预对晚期住院癌症患者尊严水平及焦虑抑郁的影响[J].护理学杂志,2018,33(1):83-85.
[8]李玲,廖宗峰.神经内科抑郁症状患者自杀的预警干预[J].护理学杂志,2017,32(13):75-76,83.
[9]高丽.浅析老年人脑血管意外住院继发抑郁症的护理体会[J].中国现代药物应用,2017,11(20):169-170.
[10]杨晟,陈连翠.早期护理干预对抑郁症患者自杀的预防作用[J].当代护士,2017(6上旬刊):117-119.
[11]代金枝.动机性访谈对自杀意念的抑郁症患者抑郁水平和自杀意念的影响[J].现代临床护理,2017,16(8):20-24.
[12]桂琴.自杀风险评估的分层护理干预对住院抑郁症患者自杀行为的影响[J].中国健康心理学杂志,2017,25(11):1630-1633.