急诊重症监护病房患者的病种分布及护理学意义

The disease distribution and nursing significance of the patients in emergency intensive care unit

目的 :探讨急诊重症监护患者的病种分布及护理学意义。方法 :采用回顾性调查 ,对北京解放军总医院 2 0 0 0年 1月至 2 0 0 2年 5月进入急诊重症监护病房患者的病种进行分析。结果 :≥ 6 0岁患者占 5 8.0 % ,其病死率为 9.2 % ,高于 <6 0岁患者组的病死率 (3.6 % ) ,二者经统计学检验有显著差异 (P <0 .0 5 )。病房收治的患者以心血管系统、呼吸系统、神经系统的疾病为主 ,各系统之间的病死率无统计学意义 (P >0 .0 5 )。结论 :护士应熟悉老年人病理生理的特点 ,做好老年常见病、多发病的工作 ,同时应以心血管系统、呼吸系统。

Objective: To describe the disease distribution and nursing significance of the patients in the emergency intensive care unit (EICU). Methods: The 393 records of patients who were admitted to the EICU between January 2000 and May 2002 were analyzed. Results: The percentage of the patients over 60 years old (9.2%) was markedly higher than those under 60(3.6%,p<0.05).The mortality of the cardiovascular disease stand first on the list (7.3%),but no statistical difference was found among the different systems(p>0.05). Conclusion: Nurses should be familiar with the ordinary disease for the older patients, and know well about their pathophysiological characteristics. They also should pay more attention to the diseases of cardiovascular, respiratory, and nervous system.