Antecedents and interventions for aggressive behavior of patients at a geropsychiatric state hospital.
Antecedents and interventions for aggressive behavior of patients at a geropsychiatric state hospital.
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州立老年精神病医院患者攻击行为的前因和干预措施。
DOI：
10.1176/ps.42.3.287
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发表时间：
1991
期刊：
影响因子：
--
通讯作者：
Hamer,RM
中科院分区：
文献类型：
--
作者：
Colenda,CC;Hamer,RM
攻击性老年精神病患者对长期护理设施构成重大问题。两个探索性的调查，在老年精神病州立医院，分开简短的在职培训计划管理侵略性患者，检查侵略性行为和工作人员干预的几个方面。主要发现包括：在两个调查期间，攻击性行为的总体患病率稳定;痴呆患者的攻击性患病率和身体攻击性患病率持续高于其他患者;工作人员与患者的交流是攻击性的主要触发事件。在在职培训后的调查期间，工作人员的干预措施对非痴呆症患者保持相似;然而，对于痴呆症患者，人际干预的使用频率较低，p.r.n.单独使用药物或与隔离或限制相结合的药物使用更为频繁。
Aggressive geropsychiatric patients pose major problems for long-term care facilities. Two exploratory surveys at a geropsychiatric state hospital, separated by brief programs of inservice training on managing aggressive patients, examined several aspects of aggressive behavior and staff interventions. Major findings included a stable overall prevalence of aggressive behavior in both survey periods; a persistently higher prevalence of aggression and a higher rate of physical aggression among dementia patients than among other patients; and staffpatient exchanges as a major triggering event for aggression. In the survey period after the inservice training, staff interventions remained similar for nondementia patients; however, for dementia patients, interpersonal interventions were used less frequently, and p.r.n. medications, alone or in combination with seclusion or restraint, were used more often.