CAJ | 학술논문

目的通过总结分析患者发生心源性猝死(SCD)的相关诱因和护理方法,为临床防治提供依据.方法回顾性调查2004年5月至2009年5月在我院住院发生SCD心血管疾病患者33例,对33例猝死病例的资料进行统计和原因分析,并对护理方法进行探讨.结果本组SCD患者29例有明显相关诱发因素,占87.88%;发生于各种诊疗护理活动过程和大小便后的分别有16例(占48.48%)、11例(占33.33%).1:00～8:00时间段为一天中猝死最高时间段(占42.42%).33例均有不同程度的心力衰竭,其中急性左心衰17例(占51.51%).结论大小便、各种诊疗护理活动时患者恐慌心理为SCD常见相关诱因,心力衰竭为高危因素,猝死时间分布有较明显的昼夜节律.因此,对于心血管疾病患者,应重视患者大小便的护理,特别注意提高各种诊疗护理活动的及时性和有效性,重视对患者的心理护理,同时加强夜间巡视与病情观察.
목적 통과총결분석환자발생심원성졸사(SCD)적상관유인화호리방법,위림상방치제공의거.방법 회고성조사2004년5월지2009년5월재아원주원발생SCD심혈관질병환자33례,대33례졸사병례적자료진행통계화원인분석,병대호리방법진행탐토.결과 본조SCD환자29례유명현상관유발인소,점87.88%;발생우각충진료호리활동과정화대소편후적분별유16례(점48.48%)、11례(점33.33%).1:00～8:00시간단위일천중졸사최고시간단(점42.42%).33례균유불동정도적심력쇠갈,기중급성좌심쇠17례(점51.51%).결론 대소편、각충진료호리활동시환자공황심리위SCD상견상관유인,심력쇠갈위고위인소,졸사시간분포유교명현적주야절률.인차,대우심혈관질병환자,응중시환자대소편적호리,특별주의제고각충진료호리활동적급시성화유효성,중시대환자적심리호리,동시가강야간순시여병정관찰.
Objective To analyze the relevant cause of sudden cardiac death (SCD) and provide evidence for the prevention and treatment of SCD. Methods 33 SCD patients from May 2004 to.May 2009 were investigated retrospectively. The cause of SCD was analyzed and the nursing method wasstudied. Resulm The occurrence of SCD had significant relevant cause in 29 cases (87.88%); the SCD occurred in various diagnosis and nursing in 16 cases (48.48%), 11 cases (33.33%) after urination and stool.The occurrence of SCD was the highest from 1:00 to 8:00. All patients had different degree heart failure, and acute in 17 cases (51.51%). Conclusion The urination, stool, various diagnosis and nursing activity are the relevant cause of SCD; heart failure is high risk factor and the sudden death time has obvious circadian rhythm. For cardiovascular disease patients, we should value the nursing of stool and urination, pay more attention to enlarging the betimes and effectiveness of various diagnosis and nursing activity, value the psychological nursing of patients, strengthen the patrolling at night and disease observation.