[1]赵淑芹,张俊蕾,王素素,等.住院青少年精神障碍患者攻击行为发生情况及影响因素分析[J].新乡医学院学报,2024,(3):227-231.[doi:10.7683/xxyxyxb.2024.03.006]
　ZHAO Shuqin,ZHANG Junlei,WANG Susu,et al.Incidence and influencing factors of aggressive behavior in adolescent inpatients with mental disorders[J].Journal of Xinxiang Medical University,2024,(3):227-231.[doi:10.7683/xxyxyxb.2024.03.006]
点击复制

住院青少年精神障碍患者攻击行为发生情况及影响因素分析
分享到：

《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
期数:
2024年3
页码:
227-231
栏目:
临床研究
出版日期:
2024-03-05

文章信息/Info

Title:
Incidence and influencing factors of aggressive behavior in adolescent inpatients with mental disorders
作者:
赵淑芹1; 张俊蕾2; 王素素2; 郭斐斐2; 李拴荣1
(1.新乡医学院第二附属医院护理部，河南　新乡　453002；2.新乡医学院第二附属医院儿童少年精神科，河南　新乡　453002）
Author(s):
ZHAO Shuqin1; ZHANG Junlei2; WANG Susu2; GUO Feifei2; LI Shuanrong1
(1.Nursing Department,the Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,Henan Province,China;2.Department of Child and Adolescent Psychiatry,the Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,Henan Province,China)
关键词:
青少年; 住院患者; 精神障碍; 攻击行为; 影响因素
Keywords:
adolescent; inpatients; mental disorder; aggressive behavior; influencing factors
分类号:
R749.4
DOI:
10.7683/xxyxyxb.2024.03.006
文献标志码:
A
摘要:
目的　探讨住院青少年精神障碍患者攻击行为发生情况及其影响因素。
方法　选择新乡医学院第二附属医院儿童少年精神科2022年1-12月收治的精神障碍患者372例为研究对象，分析该类患者攻击行为发生情况及其影响因素。
结果　372例患者中在住院期间有38例（10.2%）发生了攻击行为。单因素和多因素logistic回归分析结果显示，既往有攻击行为史、独生子女、激惹因子得分高是住院青少年精神障碍患者发生攻击行为的危险因素（P<0.05）,发病前性格温和、开朗、自卑和孤僻是住院青少年精神障碍患者发生攻击行为的保护因素（P<0.05）。
结论　住院青少年精神障碍患者攻击行为发生率较高。对于既往有攻击行为史、是独生子女、激惹因子得分较高的患者需要高度重视，应通过护理评估，及时采取相应的护理干预措施，以减少患者攻击行为的发生。
Abstract:
Objective　To investigate the incidence and influencing factors of aggressive behavior in adolescent inpatients with mental disorders.
Methods　A total of 372 patients with mental disorders admitted to the Department of Child and Adolescent Psychiatry of the Second Affiliated Hospital of Xinxiang Medical University from January to December 2022 were selected as research subjects.The occurrence of aggressive behavior and its influencing factors were analyzed.
Results　Among the 372 patients,38 (10.2%) cases had aggressive behavior during hospitalization.Univariate and multivariate logistic regression results showed that the history of aggressive behavior,only child,and high irritation factor scores were the risk factors of aggressive behavior in hospitalized adolescents with mental disorders (P<0.05).Mild,outgoing,insecure and isolated personalities before the onset were protective factors of aggressive behavior in hospitalized adolescents with mental disorders (P<0.05).
Conclusion　Adolescent inpatients with mental disorders are likely to have aggressive behavior.Those who have aggressive behavior before,are the only child in their family and get a high score of irritant factors need more attention.Corresponding nursing interventions should be taken in time through nursing assessment to reduce the occurrence of aggressive behavior.

参考文献/References:

［1］　TORDJMAN S.Aggressive behavior:a language to be understood［J］.Encephale,2022,48(Suppl 1):S4-S13.
［2］　CAMUS D,DAN GLAUSER E S,GHOLAMREZAEE M,et al.Factors associated with repetitive violent behavior of psychiatric inpatients［J］.Psychiatry Res,2021,296:113643.
［3］　姜冬梅,张凤凤,陈秀云.初中生攻击性行为发生及干预的研究现状［J］.中国校医,2020,34(3):237-240.
JIANG D M,ZHANG F F,CHEN X Y.Research status of aggressive behavior occurrence and intervention in junior middle school students［J］.Chin J Sch Dr,2020,34(3):237-240.
［4］　ZHANG Y,SHI P,GAO M,et al.Factors influencing aggressive adolescent behavior:an analysis using the decision tree method［J］.J Genet Psychol,2022,183(6):537-548.
［5］　YANG F,JIN Z,HE J,et al.Aggressive behaviors and associated factors in Chinese left-behind adolescents:a cross-sectional study［J］.BMC Pediatr,2022,22(1):677.
［6］　胡春梅,冯兆,张纬武.中学生遭受校园暴力与性取向的关系［J］.中国学校卫生,2020,41(6):886-888.
HU C M,FENG Z,ZHANG W W.Relationship between campus violence and sexual orientation of middle school students［J］.Chin J Sch Health,2020,41(6):886-888.
［7］　李玲.住院精神疾病患者攻击行为的原因与护理措施研究［J］.当代医学,2018,24(3):157-159.
LI L.Study on the causes and nursing measures of aggressive behavior of inpatients with mental illness［J］.Contemp Med,2018,24(3):157-159.
［8］　潘中杰,李拴荣,石彩晓.中文版布罗塞特暴力风险评估量表测评儿童青少年严重精神障碍患者的效度和信度［J］.中国心理卫生杂志,2019,33(8):618-622.
PAN Z J,LI S R,SHI C X.Validity and reliability of Chinese version of the Brset Violence Checklist in Children and Adolescents with severe mental disorder［J］.Chin Ment Health J,2019,33(8):618-622.
［9］　WELTENS I,BAK M,VERHAGEN S,et al.Aggression on the psychiatric ward:prevalence and risk factors.A systematic review of the literature［J］.PLoS One,2021,16(10):e0258346.
［10］　世界卫生组织．ICD-10 精神与行为障碍分类:临床描述与诊断要点［M］．范肖冬，汪向东，于欣，等译． 北京:人民卫生出版社，1993:25．
WORLD HEALTH ORGANIZATION．The ICD-10 classification of mental and behavioral disorders:clinical descriptions and diagnostic guidelines［M］．FAN X D，WANG X D，YU X，et al．Beijing:People′s Medical Publishing House，1993:25．
［11］　徐芳芳,张金响,陈敏,等.精神分裂症患者攻击行为与临床特征的相关性研究［J］.中华行为医学与脑科学杂志,2014,23(2):126-128.
XU F F,ZHANG J X,CHEN M,et al.The relationship between aggressive behaviors and clinical features in the inpatients with schizophrenia［J］.Chin J Behav Med Brain Sci,2014,23(2):126-128.
［12］　AMORE M,MENCHETTI M,TONTI C,et al.Predictors of violent behavior among acute psychiatric patients:clinical study［J］.Psychiatry Clin Neurosci,2008,62(3):247-255.
［13］　刘秀军,张本娜,李园园,等.北京市通州区6～16岁儿童行为问题调查［J］.首都公共卫生,2021,15(1):8-12.
LIU X J,ZHANG B N,LI Y Y,et al.Investigation on behavioral problems of children aged 6-16 in Tongzhou district of Beijing［J］.Cap J Public Health,2021,15(1):8-12.
［14］　严超,杨少萌,吴若瑶,等.大孩与独生子女小学生攻击行为及其家庭环境影响因素比较［J］.中国学校卫生,2021,42(10):1469-1474,1479.
YAN C,YANG S M,WU R Y,et al.A comparison of aggressive behavior and influencing factors of family environment between firstborn and only children in primary school［J］.Chin J Sch Health,2021,42(10):1469-1474,1479.
［15］　SUKHODOLSKY D G,SMITH S D,MCCAULEY S A,et al.Behavioral interventions for anger,irritability,and aggression in children and adolescents［J］.J Child Adolesc Psychopharmacol,2016,26(1):58-64.
［16］　陆心传,朱峰,刘艳秋,等.伴与不伴非自杀性自伤抑郁障碍青少年的冲动和自我意识对照研究［J］.精神医学杂志,2018,31(5):325-327.
LU X C,ZHU F,LIU Y Q,et al.A comparative study of impulsivity and self-consciousness between depressive adolescents with and without nonsuicidal self-injury［J］.J Psychiatry,2018,31(5):325-327.
［17］　苏林雁.儿童情绪障碍的早期预测指征［J］.中国儿童保健杂志,2008,16(2):129-130.
SU L Y.Early prediction indications of children′s emotional disorder［J］.Chin J Child Health Care,2008,16(2):129-130.
［18］　荚翠英.家庭因素与儿童青少年攻击行为关系分析［J］.中国卫生标准管理,2021,12(7):27-29.
JIA C Y.Analysis of the relationship between family factors and aggressive behavior of children and adolescents［J］.China Health Stand Manag,2021,12(7):27-29.

相似文献/References:

[1]程广新,马永昌,王改,等.524例青少年肺结核的临床分析[J].新乡医学院学报,1984,1(01):066.
[2]赵俊环,刘兴霞.住院患者静脉输液过程中身心需求的调查分析[J].新乡医学院学报,2005,22(04):388.
[3]王东平,冯砚国,阎喜英,等.认知行为综合干预对青少年情绪障碍的影响 [J].新乡医学院学报,2006,23(03):000.
[4]朱瑞龙,姜岩,陈泽荣,等.3 种手术方法治疗青少年原发性精索静脉曲张近期疗效分析[J].新乡医学院学报,2012,29(06):462.
[5]宁　夔,王新凯,金　虹,等.青少年网络成瘾认知行为取向团体心理治疗效果观察[J].新乡医学院学报,2016,33(12):1057.[doi:10.7683/xxyxyxb.2016.12.011]
　NING Kui,WANG Xin-kai,JIN Hong,et al.Curative effect of cognitive-behavioral oriented group psychotherapy in treatment of adolescents with internet addictive[J].Journal of Xinxiang Medical University,2016,33(3):1057.[doi:10.7683/xxyxyxb.2016.12.011]
[6]任亚亚,李元霞,高永伟.儿童超重、肥胖的影响因素研究进展[J].新乡医学院学报,2021,38(12):1180.[doi:10.7683/xxyxyxb.2021.12.015]
[7]王晋华,李　玲,王晋丽.完全性右束支传导阻滞对住院患者全因死亡的预测价值[J].新乡医学院学报,2020,37(10):980.[doi:10.7683/xxyxyxb.2020.10.018]
　WANG Jinhua,LI Ling,WANG Jinli.Predictive value of complete right bundle branch block in all-cause mortality in hospitalized patients[J].Journal of Xinxiang Medical University,2020,37(3):980.[doi:10.7683/xxyxyxb.2020.10.018]
[8]张华,王斌,付佳佳,等.喹硫平联合碳酸锂治疗青少年双相情感障碍Ⅰ型躁狂相的疗效及对患者认知功能和生活质量的影响[J].新乡医学院学报,2023,40(9):840.[doi:10.7683/xxyxyxb.2023.09.007]
　ZHANG Hua,WANG Bin,FU Jiajia,et al.Curative effect of quetiapine combined with lithium carbonate for adolescent bipolar disorder type Ⅰ manic phase and its effect on cognitive function and quality of life of patients[J].Journal of Xinxiang Medical University,2023,40(3):840.[doi:10.7683/xxyxyxb.2023.09.007]

更新日期/Last Update: 2024-03-05