某綜合醫院精神科病房意外事件之探討－回溯性研究

Accidents in the Psychiatric Inpatient Unit of a General Hospital: A Retrospective Study

盧純華(Chwen-Hwa Lu) ； 鄒建萍(Chien-Ping Tsou) ； 王子芳(Tze-Fang Wang) ； 沈楚文(Cho-Boom Sim)

《護理研究》 4卷3期 (1996/09) Pp. 231-242

摘要

本研究以回溯性方法及住院病人意外事件特別記錄單，分析某一綜合醫院十一年間住院精神病人髮生意外事件之情形，結果發現：501件意外事件，分九種類型。發生率爲6.58%，以暴力最多，其餘依序跌倒、逃跑、自傷、性侵犯、食物哽住、火災、燙傷及猝死。診斷以精神分裂症佔最多(32.1%)，與各診斷之住院總人數相比，則特質濫用病人的診斷發生率最高。不同事件有其不同好發診斷。除暴力、逃跑外，其餘事件多發生於晚夜班且以病人臥室爲主。由本研究顯示之各意外事件好發診斷、時間及地點特性，可提供醫護人員作爲評估及處理潛在意外事件之參考。

關鍵字

精神科住院病人 ； 意外事件

並列摘要

This study retrospectively investigated accidents in a psychiatric inpatient unit by analyzing special record charts over a 11-year period. There were 501 accidents noted during this period, comprising 6.58% of the total admissions. The highest incidence of accidents, in order of frequency, was seen in violence, falls, escapes, parasuicide, sexual assaults, suffocation, fire-setting, burns, scalding and sudden death. Schizophrenia is the most common diagnosis among patients with accidents. If compared with total number of admissions, substance abuse had the highest incidence of accidents. Most of the accidents, except violence and escape, occurred commonly on the evening and the night shifts. The most place where accidents occured frequently was the patients’ bed unit. The results of this study provide preliminary data for clinical staff to identify and manage accidents.

並列關鍵字

psychiatric inpatient ； accidents