住院精神科患者死亡的相关因素分析及护理

Study on related factors of death and nursing of mental disorder inpatients

目的通过分析住院精神科患者的死亡资料，探讨死亡原因及相应护理对策，为精神科临床护理和医疗服务安全提供依据。方法回顾性调查128例精神科住院死亡患者的病历，并对其进行统计学分析。结果128例精神科住院死亡患肯中，死亡原因以躯体疾病、意外事故和猝死为主，分别占50．8％、19．5％和19．5％；首次住院死亡91例占71．1％；住院10d内死亡60例占46．9％；死亡多发生在夜间、午休和三餐时间。结论躯体疾病、意外事故和捭死是精神科住院患者死亡的主要原因，护理人员应高度重视首次住院、住院10d内的精神科患者，并加强特殊时间段护理。

Objective To research in death reason and corresponding nursing measures to provide evidence for clinical nursing and medical service through analysis of death data of mental disorder inpatients. Methods Data of 128 mental disorder inpatients died in hospital were reviewed and analyzed. Results Among death reasons of these patients：physical disease （50.8%）was the most common death reason,followed by accidents （19.5%） and sudden death （ 19.5% ）.Death happened on first admission was 91 cases （71.1%）.Death happened within 10 days of hospitalization was 60 cases （46.9% ）.The occurrence of death was common on nighttime, after lunch and meals time. Conclusions Physical disease,accidents and sudden death were main death reasons of mental disorder inpatients.Medical workers should pay attention to patients who were on first admission or within 10 days of hospitalization and strengthen nursing work on special time.