老年心血管病患者护理中安全隐患分析和对策

Safety hazard analysis and countermeasures in nursing of elderly patients with cardiovascular diseases

目的：对老年心血管病患者护理中存在的安全隐患进行分析并探讨相应的对策。方法对滨州市中心医院2009年至2011年收治的131例住院的老年心血管病患者的护理过程中出现的问题进行回顾性分析，并开展具有针对性的护理措施。结果所有老年患者中，存在睡眠障碍者占51.1%，出现过跌倒、摔伤、坠床等意外伤害者占4.6%，出现过药物不良反应者占7.6%，出现过烫伤者占1.5%，出现过排便后呼吸不畅者占1.5%，2.3%的患者因为就医时等待的时间过长而导致情绪激动，病情加重。结论睡眠障碍在老年心血管病患者中普遍存在，应当加强健康教育以及与患者之间的交流，增进护患关系，同时加强监控，加强病区护士的安全管理意识，防患于未然。

Objective To analyze the corresponding countermeasures dealing with potential safety hazard for elderly patients with cardiovascular diseases. Methods One hundred and thirty-one hospitalized elderly patients with cardiovascular diseases treated in Binzhou central hospital from 2009 to 2011 were analyzed retrospectively. Results Among all the elderly patients,sleep disorder accounting for 51. 1% ,accident harm accounting for 4. 6% ,adverse drug reactions accounting for 7. 6% ,burn accounting for 1. 5% ,breathing disorders after defecation accounting for 1. 5% ,and emotional caused by waiting too long accounting for 2. 3% . Conclusions Sleep disorder is common in the elderly patients with cardiovascular diseases,we should focus on health education,improve the relationship between nurses and patients.