住院男性精神病患者发生攻击行为的根本原因分析及对策.pdfVIP

专科管理 Advanced Nursing Practice 住院男性精神病患者发生攻击行为的根本 原因分析及对策 黄美莲 叶秀娟 罗秀芳 李武 欧印红 [ 摘 要] 目的：分析住院男性精神病患者发生攻击行为的根本原因，为制定针对性预防措施提供依据。方 法：选取 2014 年1-12月在我院发生攻击行为的 87例住院男性精神病患者作为研究对象，采用根本原因分析法， 从“人”“机”“物”“法”“环”5 个方面对患者发生攻击行为的原因进行分析。结果：发生攻击行为的 87 例男性 精神病患者，每一例均由系统、个人、环境等多个原因所致，其发生的可能性会随着危险因素的增加而增加。结 论：分析患者发生攻击行为的根本原因，加强护士的安全防范意识，从多方面、多渠道进行管理，才能减少住院 精神病患者暴力事件的发生。 [ 关键词 ] 精神病患者；攻击行为；根本原因分析 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.05.035 The Root Cause Analysis and countermeasures of aggressive behavior in male patients with psychosis / HUANG Meilian, YE Xiujuan, LUO Xiufang, LI Wu, OU Yinhong // The third People’s Hospital of Yuebei, Shaoguan, Guangdong province, 512200 China /// Chinese Nursing Management-2016,16(5): 714-716 [Abstract] Objective: To analyze the root cause of aggressive behavior in male psychiatric patients, and to provide the evidence for targeted prevention measures. Method: Totally 87 cases of attacks occurred in male psychiatric patients from January to December, 2014 were selected to investigate. Root Cause Analysis (RCA), consisting of five aspects (individual, machine, material, method, and environment) was used to analyze the causes of aggressive behavior in male patients with psychosis. Results: In the 87 cases of male patients with psychosis attack behavior, each aggressive behavior was caused by system, individual and environment factors. The possibility of the attract behavior will be increased with the emerging of risk factors. Conclusion: We should strengthen the safety consciousness in nurses, and manage the situation from several aspects and multi-channel. Thus, violence caused by hospitalized psychiatric patients could be reduced. [Keywords] psychiatric patients; aggressive behavior; Root Cause Analysis 行为医学认为，攻击行为是基于