A study on the factors of suicidal behavior and nursing measures of adolescents
青少年自杀行为的因素研究和护理措施探讨

摘要

目的 分析青少年存在自杀行为的影响因素，并对其有效的护理措施进行探讨。方法 选取本院在2020年5月至2021年6月接收的64例存在自杀行为的抑郁症青少年病人进行护理观察和研究，按照不同护理方式进行分组，分别为优质组和常规组，每组各32例。常规组病人选择常规干预，优质组选择常规联合优质护理干预，比较优质组和常规组病人的护理效果、以及干预前后病人的生活质量和心理状态，同时对病人自杀行为的因素进行研究分析。结果 优质组的护理效果明显高于常规组的护理效果，组间差距较大（P＜0.05）；优质组病人的生活质量评分均明显高于常规组病人的生活质量评分，组间差距较大（P＜0.05）；干预后两组病人的HAMD评分明显低于干预前两组病人的HAMD评分，且干预后优质组病人的HAMD评分明显低于干预后常规组病人的HAMD评分，组间差距较大（P＜0.05）；导致病人出现自杀行为的因素包括抑郁心理、妄想、外界环境、以及幻觉、个人和家庭因素。结论 对存在自杀行为的抑郁症青少年病人实施优质护理，可有效改善病人的抑郁程度，并且还能提升其生活质量，值得应用。

Abstract

Objective: To analyze the influencing factors of suicidal behavior in adolescents, and to discuss the effective nursing measures.
Methods: A total of 64 cases of depression adolescent patients with suicidal behavior received in our hospital from May 2020 to June 2021 were selected for nursing observation and research, and were divided into groups according to different nursing methods, namely the high-quality group and the routine group. 32 cases each. The patients in the routine group chose routine intervention, and the high-quality group selected routine combined with high-quality nursing intervention. The nursing effects of the patients in the high-quality group and the routine group were compared, as well as the quality of life and psychological state of the patients before and after the intervention, and the factors of the patients' suicidal behavior were studied and analyzed.
Results: The nursing effect of the high-quality group was significantly higher than that of the routine group, and the difference between the groups was large (P<0.05). The HAMD score of the patients in the two groups after intervention was significantly lower than that of the patients in the two groups before the intervention, and the HAMD score of the patients in the high-quality group after the intervention was significantly lower than that of the patients in the routine group after the intervention. The difference was large (P<0.05); the factors leading to suicidal behavior included depression, delusion, external environment, hallucinations, personal and family factors.
Conclusion  : Implementing high-quality nursing care for depressed adolescent patients with suicidal behavior can effectively improve the degree of depression and improve their quality of life, which is worthy of application.