目的 了解某三级甲等医院住院患者自杀环境安全因素,并针对环境中存在的不安全因素提出预防管理对策.方法采用回顾性分析方法对某三级甲等医院不安全事件数据库中2008年1月—2016年12月的54例住院患者自杀的相关数据资料以及病历报告书进行回顾性总结分析.结果住院患者自杀与科室公共环境的安全防护,公共环境中危险物品的管理,医院各种管理制度以及护理人员心理学专业知识等有关.结论针对住院患者自杀环境安全中存在的危险因素,医院管理者需加强科室公共环境的安全防护,做好公共环境中危险物品的管理,完善医院各种管理制度,组织护理人员加强心理培训的预防管理对策.%Objective To understand the environmental safety factors on suicidal behavior of hospitalized patients in a Class ⅢGradeⅠhospital and its management, and to put forward the prevention and management measures against the insecurity in the environment. Methods The data of 54 inpatients committing suicide from January 2008 to December 2016 in a Class Ⅲ GradeⅠhospital were retrospectively analyzed. Results Inpatients' suicide was related to the public safety of the department, management of dangerous goods in public environment, hospital management system and the psychological knowledge of nursing staff. Conclusion It is indispensible to enhance the public security of the department, improve the management of dangerous goods and hospital management system and provide more psychological training for nursing staff.
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