对于非精神病室住院病人的住院患者,侵略性行为风险评估工具
Son Chae Kim1, Chris Vejnovich2, Lyndsi Hall2
1School of Nursing, Point Loma Nazarene University, San Diego, California, USA.
Journal of advanced nursing
|October 7, 2024
概括
一个精细的工具,入院患者的侵略性行为风险评估工具 (ABRAT-H),有效地识别了一般医院单位的潜在暴力患者. 这种经过验证的电子评估有助于针对性干预,以提高患者和工作人员的安全.
科学领域:
- 临床心理学 临床心理学
- 医疗保健管理的管理
- 患者安全 患者安全
背景情况:
- 在非精神病医院的住院患者环境中评估和管理侵略性行为对于患者和工作人员的安全至关重要.
- 现有的工具可能需要改进,以便在不同的医院单位使用电子和验证.
研究的目的:
- 通过电子方式完善和验证侵略性行为风险评估工具 (ABRAT).
- 确定精细的工具的敏感性和特异性,用于识别非精神病室住院病人的潜在暴力患者.
主要方法:
- 一项前性队列研究包括内布拉斯加州三个住院病房的1179名患者.
- 10项ABRAT在前三天每天给药,暴力事件被分类到出院.
- 使用统计分析,包括肯德尔的tau和后勤回归,来选择预测项.
主要成果:
- 修订后的六项工具,用于住院患者的ABRAT (ABRAT-H),显示曲线下的面积为0.82.
- 灵敏度为68.1%,特异性为85.2%,截止分数为2.
- 较高的ABRAT-H得分与暴力事件的可能性增加相关,有55.2%的患者得分≥5表现出暴力.
结论:
- ABRAT-H是识别非精神病室住院病人的潜在暴力患者的有用工具,具有令人满意的灵敏度和特异性.
- 该工具可以促进有针对性的预防措施,减少暴力事件并提高医疗保健环境的安全性.
- 实施ABRAT-H可以增强安全文化,对护理人员的福祉和整体患者护理质量产生积极影响.
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