中国医学创新2025，Vol.22Issue(26)：152-157,6.DOI:10.3969/j.issn.1674-4985.2025.26.036
长期滞留医院肇事肇祸精神病患者的生存状态分析与对策研究
Survival State Analysis and Countermeasures Study in Psychosis Patients with Troubles and Accidents after Long-term Hospital Staying
摘要
Abstract
Objective:To explore the survival state of psychosis patients with troubles and accidents after long-term hospital staying,and to study the relevant countermeasures.Method:A total of 371 psychosis patients with troubles and accidents who stayed in the Third People's Hospital of Yichun for five years or more before January 1,2024 were enrolled as the research objects.A self-made Investigation Form for Long-term Hospitalized Psychosis Patients Causing Trouble and Accidents was used to investigate and analyze the reasons and living conditions of psychosis patients causing trouble and accidents who have been staying in our hospital for five years or more.Result:Among the 371 patients,in terms of language functional disorders,patients with few words and language confusion accounted for the highest proportion,at 47.17%;in terms of self-care ability in daily life,patients who can complete self-care with the assistance of others accounted for the highest proportion,at 62.80%;in terms of intelligence,patients who were uncooperative during the examination or whose results were unreliable(unable to accurately assess)accounted for the highest proportion,at 57.95%;in terms of mental illness classification,patients with schizophrenia accounted for the highest proportion,at 71.70%.The types of accidents and disturbances mainly include damaging public property(27.22%),fighting and brawling(20.75%),and verbally abusing,defaming,crying and other behaviors that disturb the residents(17.52%).The risk levels are concentrated at grade 2(31.00%)and grade 3(29.65%).The total score,the scores of the dimensions of hostility and suspicion,activation,and thinking disorder of the brief psychiatric rating scale(BPRS),as well as the positive and negative symptom scale(PANSS)score of patients with risk grade 3-5 were significantly higher than those of patients with grade 0-2(P<0.05).There were no statistically significant differences in the scores of anxiety and depression,lack of vitality of BPRS and activities of daily living scale(ADL)between the different psychosis psychosis patients with risk grade(P>0.05).Conclusion:In most of psychosis patients with troubles and accidents after long-term hospital staying,there is different degrees of language dysfunction,mental retardation,destructive impulsion and lack of self-care ability,which deserves the attention of clinical staffs.关键词
肇事肇祸/精神病患者/滞留医院/生存状态/对策研究Key words
Trouble and accident/Psychosis patient/Hospital staying/Survival state/Countermeasure study引用本文复制引用
孙西平,欧阳衠,余群,李龙,周宜新..长期滞留医院肇事肇祸精神病患者的生存状态分析与对策研究[J].中国医学创新,2025,22(26):152-157,6.基金项目
宜春市指导性科技计划项目(JXYC2024KSA150) （JXYC2024KSA150）
