269例住院心血管病人死亡高危因素分析与护理管理

目的:探讨住院心血管病人高危死亡时期的护理管理对策,提高预防及救治水平。方法:查阅我科12年住院死亡病例资料,进行分析,找出心血管病人的高危因素。结果:(l)冠心病(CHD)死亡人数占首位(64.7%,P0.05),其他依次为高血压、风心病、心肌病、夹层动脉瘤及其他;(2)各季节死亡人数:①冬季死亡最高99例(36.8%),x2=272.713,P0.05,其他依次为春季、秋季、夏季;②冬季CHD死亡最多,79例(79.8%),x2=272.713,P0.05,高血压居第二位,主动脉夹层为第三;③在174例CHD死亡患者中,冬季死亡率最高,79例(45.4%),x2=272.713,P0.05;④在41例高血压死亡病例中,春季死亡率最高,为20例(48.8%),x2=272.713,P0.05,其他依次是冬、季、秋季、夏季;(3)心血管病人在住院24h内死亡率最高,96例(35.7%),x2=67.946,P0.05;(4)24h内CHD病人死亡率最高,75例,x2=272.713,P0.05,其他依次为高血压、心肌病、风心病、主动脉夹层;(5)死亡时间段:以8～12点死亡率最高(30.5%,P0.05),其他依次为4～8点,16～20点,0～4点,12～16点,20～24点。结论:心血管病人死亡与病因、季节、时间等相关;护士长要掌握这些规律性,进行科学合理的排班,加强重要环节管理和采取有效的防范措施,使风险降至最低。

Analyze of 269 cases death in patients with cardiovascular disease

Objective:To explore the death regularity of 269 cases patients with cardiovascular disease.Methods:Retrospective analysis was used for 269 death cases with cardiovascular disease.Results:(1) CHD was the first case of death (64.7%),other was hypertension,rheumatic heart disease,myocardial disease,dissecting aneurysm in turn;(2)The winter was most season of patients died (36.8%); (3)The CHD mortality in winter was highest in all patents (79.8%); (4)Winter mortality was highest (45.4%)in CHD patients; (5)The ...