【摘要】 目的寻找半开放式管理下精神病房中临床护理的工作缺陷,为改进护理工作,减少意外事件的发生提出对策。方法回顾分析1988年1月~2003年7月本中心7786例住院精神病患者中16例死亡患者的致死原因及护理相关因素,并与国内相关资料作比较。结果半开放式精神病房患者死亡率为0.21%,比国内报道的封闭式精神病房住院患者死亡率0.40%~1.17%低。其中无1例死于感染性疾病;自杀37.50%、猝死31.25%;12例死于非正常办公时间。结论精神病患者的死亡具备隐蔽性、突发性,提出从建筑物设计、病房管理、护士素质3方面加强管理和改进,以提高护理质量,有效减少住院精神病患者的死亡率。更多还原

【Abstract】 Objective To explore nursing’s defects in half open management and offer countermeasures in order to improve nursing effect and reduce the occurrence of accident.Methods Causes of death and the interrelated nursing factor of the 16 patients of 7 786 hospitalized in mental hospital from Jan 1988 to Jul 2003 were analyzed retrospectively and compared with relative domestic data. Result Death rate in the half open mental hospital is 0.21%, lower than 0.40%～1.17% of closed mental hospital in domestic data. No patient died of infection, 37.50% of them died of suicide, 31.25% died of sudden death, 12 patients died at non-working hours. Conclusion Given the death of patients with mental disorder is secluded and paroxysmal, the nursing quality should be improved to reduce the death rate of the patients in mental hospital by reforming ward design, ward managing and nurses’ quality.更多还原