Perry J
Nurs Times. 1994;90(38):34-5.
A non-fatal drug overdose may be an actual suicide attempt or a suicidal gesture. The latter incurs a small risk of death but is intended to signal that something is wrong. Drug overdose is more common in girls than boys. Statistics may underestimate the actual incidence because of misdiagnosis or taboos about the label. Psychiatrists recommend hospital admission and psychiatric assessment for most adolescents who overdose. Once physical safety is achieved, the role of nurses is vague and barely documented. Nursing textbooks refer to the physical care required and the custodial role of preventing further injury while giving little coverage of the psychological care necessary. Peterson found that generally nurses demonstrated knowledge of psychosocial nursing but usually limited nursing to physical care. Yet, as another author points out, 'the seriousness of the patient's physical condition bears little relationship to the suicidal risk or the need for psychiatric treatment'. This paper focuses on the nurse's role in care.
非致命性药物过量可能是一次实际的自杀企图或自杀姿态。后者导致死亡的风险较小,但旨在表明出了问题。药物过量在女孩中比在男孩中更常见。由于误诊或对该标签的忌讳,统计数据可能低估了实际发生率。精神科医生建议,大多数药物过量的青少年应住院并接受精神科评估。一旦确保了身体安全,护士的角色就不明确且鲜有记录。护理教科书提到了所需的身体护理以及防止进一步受伤的监护角色,而对必要的心理护理涉及甚少。彼得森发现,一般来说,护士具备心理社会护理知识,但通常将护理局限于身体护理。然而,正如另一位作者所指出的,“患者身体状况的严重程度与自杀风险或精神科治疗需求几乎没有关系”。本文重点关注护士在护理中的角色。