上海交通大学学报（医学版）

上海交通大学学报（医学版） ›› 2015, Vol. 35 ›› Issue (10): 1534-.doi: 10.3969/j.issn.1674-8115.2015.10.021

• 论著（临床研究） • 上一篇    下一篇

《精神障碍患者入院风险评估表》的编制

谢帆，谢斌，金志兴，费慧   

  1. 上海交通大学 医学院附属精神卫生中心， 上海201108
  • 出版日期:2015-10-20 发布日期:2015-12-22
  • 作者简介:谢帆(1968—)， 男， 副主任医师， 硕士; 电子信箱: xfhzlxy@aliyun.com
  • 基金资助:

    上海申康医院发展中心临床管理优化项目（SHDC20136014）

Preparation of risk assessment scale for admitting patients with mental disorders

XIE Fan, XIE Bin, JIN Zhi-xing, FEI Hui   

  1. Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai201108, China
  • Online:2015-10-20 Published:2015-12-22
  • Supported by:

    Clinical Management Optimization Project of Shanghai Hospital Development Center, SHDC20136014

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摘要：

目的探索精神障碍患者入院风险评估工具。方法编制《精神障碍患者入院风险评估表》，测试评估量表的评分者信度及预测效度。结果评估表从既往风险行为、近1个月风险行为及入院时精神状态3个方面对患者入院时是否存在伤害风险进行总体评估。经小样本测试，评分者组内相关系数（ICC）为0.924，患者入院风险评估总分与入院后出现风险行为的Spearman相关系数为0.681。结论该评估表能较好地评估精神障碍患者风险行为，值得扩大样本使用及修订后在精神科临床推广。

关键词: 精神障碍, 风险评估, 信度, 效度

Abstract:

ObjectiveTo investigate risk assessment tools for admitting patients with mental disorders.MethodsThe risk assessment scale for admitting patients with mental disorders was prepared and the scorer reliability and predictive validity of risk assessment scale were assessed.ResultsPatient’s risk of injury on admission was assessed by the prior risk behaviors, risk behaviors of last month, and mental status on admission. According to the small sample test, the intra-class correlation coefficient (ICC) was 0.924 and the Spearman correlation coefficient of the total score of risk assessment on admission and risk behaviors after admission was 0.681.ConclusionThe scale can well assess mental disorder‘s risk behavior and is worth promoting at the department of psychiatry after enlarging samples and being revised.

Key words: mental disorder, risk assessment, reliability, validity