摘要
[目的]探讨影响冠心病病人在CCU停留时间延长的因素。[方法]采用横断面研究收集2014年1月—6月于华西医院心内科CCU接受治疗并且符合纳入标准的冠心病病人资料并进行分析。[结果]影响病人CCU停留时间的因素包括病人年龄、入住CCU方式、基础疾病权重评分、是否合并肺部感染、慢性肾功能不全、心律失常等疾病以及是否接受无创/有创呼吸机、中心静脉置管、胃管、尿管、主动脉内球囊反搏(IABP)治疗、血液透析、抢救等治疗。[结论]冠心病病人在CCU停留期间,医务人员在治疗冠心病的同时,应积极控制肺部感染,纠正心律失常,治疗稳定后及早结束无创/有创呼吸机、拔除中心静脉置管、胃管、尿管等,以缩短CCU停留时间。
Objective: To probe into the factors influencing the prolonging length of stay in Coronary heart dis-ease Care Unit(CCU) of patients with coronary heart disease. Methods: Data of coronary heart disease patients who received CCU in the department of Cardiology in Huaxi Hospital from January to June in 2014 were col-lected and analyzed by cross - sectional study. Results: The factors influencing the length of stay in CCU included patients age, check in style to CCU, weighted score of basic disease, whether combined with pulmonary infec-tion, chronic renal insufficiency,arrhythmia and whether to accept noninvasive or invasive ventilator, central vein catheter,gastric tube,urinary catheter, intra - aortic balloon counterpulsation(IABP) treatment, hemodialysis, rescue and other treatment. Conclusions: In order to shorten the length of stay in CCU,the medical staff should actively control the pulmonary infection, correct the arrhythmia, stop using the noninvasive/invasive ventilator as soon as possible after treatment, and remove the central venous catheter,gastric tube,and urinary catheter etc.
出处
《护理研究(上旬版)》
2017年第2期456-458,共3页
Chinese Nursing Researsh
基金
四川省卫生厅科研课题
编号:171140202
关键词
冠心病病人
监护病房
停留时间
影响因素
可控因素
coronary heart disease patients
ICU
stay time
influencing factors
controllable factors