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与严重精神障碍患者精神运动性激越发生相关的北美护理诊断协会护理诊断:一项横断面研究

NANDA nursing diagnoses associated with the occurrence of psychomotor agitation in patients with severe mental disorder: a cross-sectional study.

作者信息

Garrote-Cámara María-Elena, Juárez-Vela Raúl, Rodríguez-Muñoz Pedro-Manuel, Pérez Jesús, Sánchez-González Juan-Luis, Rubinat-Arnaldo Esther, Navas-Echazarreta Noelia, Sufrate-Sorzano Teresa, Santolalla-Arnedo Iván

机构信息

Department of Nursing, University of La Rioja, Logroño, La Rioja, Spain.

Faculty of Nursing and Physiotherapy, University of Salamanca, Salamanca, Spain.

出版信息

BMC Nurs. 2023 Aug 28;22(1):292. doi: 10.1186/s12912-023-01434-2.

Abstract

BACKGROUND

Psychomotor agitation is increased psychomotor activity, restlessness and irritability. People with psychomotor agitation respond by overreacting to intrinsic and extrinsic stimuli, experiencing stress and/or cognitive impairment. the aim was to analyse the association of nursing diagnoses with the disinhibition dimension, the aggressiveness dimension and the lability dimension of the Corrigan Agitated Behaviour Scale.

METHODS

This study was conducted in Spain using a multicentre cross-sectional convenience sample of 140 patients who had been admitted to psychiatric hospital units and had presented an episode of psychomotor agitation between 2018 and 2021.

RESULTS

The Corrigan Agitated Behaviour Scale was used to assess psychomotor agitation. Associated nursing diagnoses, violence directed at professionals and the environment are shown to be predictive values for the severity of the agitation episode. Moderate-severe psychomotor agitation episodes are shown as predictors of violence directed mainly at professionals and the environment.

CONCLUSIONS

There is an urgent need for mental health nurses to have knowledge of the extended clinic in order to care for users and improve their health conditions in dealing with people, with their social, subjective and biological dimension.

摘要

背景

精神运动性激越表现为精神运动活动增加、坐立不安和易怒。患有精神运动性激越的人会对内在和外在刺激过度反应,从而经历压力和/或认知障碍。本研究旨在分析护理诊断与科里根激越行为量表的去抑制维度、攻击性维度和情绪不稳定维度之间的关联。

方法

本研究在西班牙进行,采用多中心横断面便利样本,选取了140名入住精神病院病房且在2018年至2021年间出现过精神运动性激越发作的患者。

结果

使用科里根激越行为量表评估精神运动性激越。相关的护理诊断、针对专业人员和环境的暴力行为被证明是激越发作严重程度的预测指标。中度至重度精神运动性激越发作被证明是主要针对专业人员和环境的暴力行为的预测指标。

结论

精神科护士迫切需要了解扩展诊所的情况,以便照顾患者,并在处理患者的社会、主观和生物学层面问题时改善他们的健康状况。

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State of Acute Agitation at Psychiatric Emergencies in Europe: The STAGE Study.欧洲精神科急诊中的急性激越状态:STAGE研究
Clin Pract Epidemiol Ment Health. 2016 Oct 27;12:75-86. doi: 10.2174/1745017901612010075. eCollection 2016.
10
The neurobiology of aggression and violence.攻击与暴力的神经生物学
CNS Spectr. 2015 Jun;20(3):254-79. doi: 10.1017/S109285291500019X. Epub 2015 May 4.

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