摘要
目的:了解住院精神病患者意外发生外伤的特点,为预防意外发生外伤提供依据。方法:回顾2007年1月1日-2012年6月31日我院住院期间发生外伤的患者,进行回顾性的调查研究和分析。结果:8753名住院精神病患者发生外伤148例(1.7%),男性(70.9%)明显多于女性(29.1%)(χ2=20.96,P=0.004);≥60岁者外伤最多(χ2=26.18,P=0.025);精神分裂症患者发生外伤100例(67.6%),明显多于其他疾病患者(χ2=104.43,P=0.005);外伤类型以摔伤最多(52.0%);外伤最常发生在普通病室、饭厅,每个地点均好发生摔伤。休息日发生外伤多于工作日(χ2=77.88,P=0.000);外伤在白班发生最多(χ2=39.95,P=0.008);长期住院者(≥3个月)发生外伤比例较高(χ2=21.11,P=0.099)。结论:住院精神病患者外伤多见于男性、老年人、长期住院、精神分裂症患者,休息日与白班多发,外伤以摔伤较多,地点以普通病室、饭厅较多,外伤与癫痫发作与否无关。
Objective： To study the character of the psychiatric inpatients＇ injury and provide foundation for reducing the injury of the psychiatric patients. Methods： The clinical date of injury with psychiatric inpatients in our hospital was retrospective analyzed from January,2007 to June,2012. Results： A total of 8753 psychiatric inpatients,the injury cases were 148（ 1. 7%）,male（ 70. 9%） were significantly more than female（ 29. 1%）（ χ^2 20. 96,P 0. 01）,These ≥ 60 years of age had a higher proportion of injury（ χ^2 26. 18,P = 0. 025）,The schizophrenia patients with injury（ 67. 6%）（ χ^2 104. 43,P = 0. 005）was significantly more than patients with other diseases,the common injury types was falling injury（ 52. 0%）,the most frequent of injury occurred in the general ward and dining room,falls predilection to each location,weekends more than work days（ χ^2 77. 88,P = 0. 000）,which occurred most frequently in the day shift（ χ^2 39. 95,P = 0. 008）,Admitted for a long time（ ≥3 months） had higher percentage in injury（ χ^2 21. 11,P = 0. 099）. Conclusion： Psychiatric inpatients injury are common in men,the elderly,long- term hospitalization,patients with schizophrenia,weekends and day shift. The common injury type is falling injury,the most frequent of injury occurs in the general ward and dining room,injury is not relative with seizure activity.
出处
《中国健康心理学杂志》
2015年第1期28-31,共4页
China Journal of Health Psychology
基金
北京回龙观医院重点科研项目(编号:青-09)
关键词
精神病
住院
意外伤害
回顾性研究
Mental patients
Inpatients
Injuries
Retrospective study
