综合医院住院患者自杀预防的最佳证据总结
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女,硕士在读,学生

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国家自然科学基金面上项目(71673100)


A summary of best evidence for prevention of inpatient suicide at general hospitals
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    摘要:

    目的 总结综合医院住院患者自杀预防的相关证据,为预防住院患者自杀提供参考。方法 根据问题开发工具 PIPOST 确立 综合医院住院患者自杀预防的循证问题,检索 Cochrane图书馆、JBI循证卫生保健国际合作中心图书馆、BMJBestPractice、美国 国立指南库(NGC)、加拿大安大略注册护士协会(RNAO)循证护理指南、WileyOnlineLibrary、JAMA、PubMed以及中国生物医 学文献库(CBM),进行文献质量评价,并对证据进行总结。结果 纳入8篇文献,总结出15项证据,包括自杀风险评估、自杀安全 管理、自杀治疗护理、自杀随访及自杀守门人培训5个主题。结论 综合医院住院患者自杀预防的证据实证性强,可用于临床。护 理人员在应用证据时应评估具体临床情形及障碍因素,结合专业判断形成有效、可行的自杀预防策略,动态评价证据应用效果,切 实防范自杀行为。

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    Objective To summarize the available evidence on prevention of inpatient suicide at general hospitals, and to provide reference for clinical practice. Methods Following the PopulationInterventionProfessionalOutcomeSettingType model, we proposed "prevention of inpatient suicide at general hospitals" as a research question, then we searched evidence in the databases and resources of evidencebased medicine, e.g. Cochrane Library, JBI Library, BMJ Best Practice, National Guideline Clearinghouse (NGC), Registered Nurses′Association of Ontario (RNAO), Wiley Online Library, JAMA, PubMed and Chinese Biomedical Database (CBM). After evaluation of quality of the literatures, we summarized the evidence. ResultsFifteen items of evidence were extracted from 8 publications, including suicide risk assessment, safety management, treatment and caring, followup and suicide gatekeeper training. ConclusionThe evidence on suicide prevention among inpatients is of practicability. Nurses should assess clinical situation and barriers, use professional judgment and consider patient preference to formulate effective and practical strategies for prevention of suicide and dynamically evaluate the effect, thus to prevent patient suicide.

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周依,胡德英,滕芬,刘义兰.综合医院住院患者自杀预防的最佳证据总结[J].护理学杂志,2019,34(4):54-57

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  • 收稿日期:2018-09-12
  • 最后修改日期:2018-11-02
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  • 在线发布日期: 2022-08-08