37 135例次涉外门诊病人疾病谱分析和护理

Analysis of Disease Spectrum and Nursing Strategy of 37 135 Foreign Patients

目的了解涉外门诊病人的疾病构成及其特点,为医院涉外门诊的护理管理提供科学依据。方法收集2007—2009年37 135例次涉外门诊病人就诊资料,疾病诊断按照国际疾病分类方法(ICD-10)进行构成比分析。结果涉外门诊病人的疾病按系统分类位于前3位的依次为呼吸系统疾病(15.778%)、影响健康状态和与保健机构接触的因素(8.262%)、损伤和中毒(6.269%);按疾病病种分类前3位序位依次为上呼吸道感染(10.785%)、外伤(6.188%)、支气管炎(2.416%)。结论通过对涉外门诊病人疾病谱的分析,了解涉外门诊病人的疾病分类和特点,规范护理服务沟通语言,加强常见呼吸系统疾病防治知识普及等,有助于进一步做好医院的涉外服务建设和护理管理。

Objective To understand the diseases composition and characteristics of foreign patients and to provide a scientific basis for nursing management of international patients.Methods Materials about 37 135 foreign patients from 2007 to 2009 were collected and analyzed for their treatment information with international classification of disease method（ICD-10）.Results The top three diseases by systematic classification were respiratory disease（15.778%）,factors affecting the health status and access to health care agencies（8.262%） and injuries（including poisoning）（6.269%）.The top three diseases categories were upper respiratory tract infection（10.785%）,trauma（6.188%） and bronchitis（2.416%）.Conclusion By analyzing treatment information of foreign patients,medical services and nursing care for foreign patients can be improved greatly.