Bowers L, Nijman H, Palmstierna T, Crowhurst N
City University, London, UK.
Acta Psychiatr Scand Suppl. 2002(412):106-9. doi: 10.1034/j.1600-0447.106.s412.23.x.
To review the strengths and weaknesses of existing violent incident measures, and introduce a new scale, the 'attacks'. The new scale provides an objective measure of incident severity and focuses on interpersonal physical violence in isolation from other behaviours.
The new scale was piloted on six psychiatric wards in the East End of London over a period of 16 weeks. Descriptive data were obtained and validated against official violent incident records.
There were 40 incidents by 21 aggressive patients, most of which occurred on the psychiatric intensive care unit. Striking assaults predominated. Continuous holding of the patient by nurses occurred after 17% of incidents. Special observation was also used as a subsequent management method in more than half of the incidents.
The scale is acceptable to nurses and valid. Interesting questions are raised about the content of training for staff in the prevention and management of violent incidents.
回顾现有暴力事件测量方法的优缺点，并引入一种新的量表——“攻击行为量表”。该新量表提供了一种客观的事件严重程度测量方法，且专注于人际身体暴力，将其与其他行为区分开来。
新量表在伦敦东区的六个精神科病房进行了为期16周的试用。获取了描述性数据，并与官方暴力事件记录进行了验证。
21名攻击性患者发生了40起事件，其中大多数发生在精神科重症监护病房。显著的攻击行为占主导。17%的事件发生后护士对患者进行了持续约束。超过一半的事件中，特殊观察也被用作后续管理方法。
该量表为护士所接受且有效。这引发了关于工作人员在暴力事件预防和管理方面培训内容的有趣问题。
