冠状动脉硬化性心脏病患者死亡时间及其时间护理研究

Death Time and Time Nursing for Patients with Coronary Heart Disease

目的分析冠状动脉硬化性心脏病(简称冠心病)患者死亡时间的分布趋势,讨论《内经》中关于冠心病患者死亡时间医学理论的科学性及其对时间护理的指导作用。方法采用多阶段整群抽样法,从湖南省123个县(区)级行政区所辖医院抽取345例冠心病死亡病例,调查患者死亡的具体时间,用圆分布统计方法分析数据的时间集中趋势。结果 345例冠心病患者的死亡时间有集中在1月8日的趋势(P<0.05);具体死亡时点无集中趋势(P>0.05)。春季死亡时间集中趋势不明显(P<0.05);夏季死亡时间有集中在12:52分的趋势(P<0.05);秋季死亡时间无集中趋势(P>0.05);冬季死亡时间有集中在0:32分的趋势(P<0.05)。结论调查分析结果与《内经》心病死亡时间观点一致,可为预测冠心病死亡时间提供参考,可利用《内经》心病时间医学理论指导冠心病患者的时间护理。

Objective To investigate the central tendency of death time among patients with coronary heart disease （CHD）, and to discuss the scientificity of the medical theory on CHD patients＇ death time in Huangdi Neijing and its guiding effect on time nursing. Methods A total of 345 CHD patients＇ death time was collected by multi-stage cluster sampling and data were analyzed to get the central tendency of death time by the circular distribution method. Results CHD patients＇ death time tendency tended to focus on 8 January （P〈0.05）. No specific death time tendency was found （P〉0.05）. In spring,the central tendency of death time was not obvious （P〈0.05）,however in summer,death time had the central tendency that focused on 12：52 （P〈0.05）. The death time had no central tendency （P〉0.05） in autumn,while the death time had the central tendency that focused on 0.32 in winter （P〈0.05）. Conclusion The results were in agreement with the viewpoint of Huangdi Neijing and could provide evidences for the prediction of CHD patients＇ death time. Huangdi Neijing＇s heart disease time medical theory can be used to guide time care of CHD patients.