住院精神病患者暴力风险评定量表的初步编制

摘要

Objective This study was designed to develop an assessment tool that can comprehensively,correctly and sensitively reflect the risd of violence in hospitalized patients with mental disease. Methods 876 hospitalized patients were selected randomly from eight psychiatric hospitals located in Yunnan Province in Octoker 2013-July 2014. Each or them made three times test( fore=cast,at the keginning of the test and retest)to evaluate and revise the assessment. Then an assessment scale with 27 entries for hospi=talized mental patient violence risd is completed. Results The correlation coefficient r of this assessment scale is ketween 0. 11 ~0. 58,internal consistency coefficient is 0. 77,split half reliakility is 0. 69,and the correlation coefficients with NGASR,BPRS were 0. 12,-0. 10. This assessment scale is reliakility and validity. Conclusion The self-made violence risd assessment scale for hospi=talized patients with mental disease can timely screening hospitalized mental patients with high risd of violence,to tade the preventive care,decrease occurrence of violent kehavior and medical disputes,and improve the safety of medical and nursing.%目的本研究旨在编制能够全面、正确、灵敏地反映住院精神病患者暴力风险的评估工具。方法于2013年10月-2014年7月，随机选取云南省内8家精神病医院，根据量表编制的程序及要求，先后3次（预测、初测、再测）对876例住院精神病患者进行量表评定并修订量表，最终编制形成具有27个条目的住院精神病患者暴力风险评定量表。结果自编住院精神病患者暴力风险评定量表在不同样本群体中总分与各条目的相关系数r=0.11~0.58，内部一致性系数为0.77，分半信度为0.69，与NGASR、BPRS校标相关系数分别为0.12、-0.10。结论此次自编的住院精神病患者暴力风险评定量表可以及时甄别出具有高暴力风险的住院精神病患者，从而能够更好地采取针对性的预防性护理措施，减少精神病患者暴力行为及医疗纠纷的发生，提高医疗护理安全质量。