CAJ | 학술논문

目的:总结分析79例患者重返ICU的原因,探讨能否通过护理干预措施减少患者重返的方法.方法:收集2009年1月-2011年12月入住ICU≥2次的病例资料,记录这些患者的临床特征,重返ICU的原因,通过资料分析重返ICU的影响因素.结果:在3760例入住ICU的患者中,共有79例重返ICU,重返率为2.1%;重返ICU的主要原因为呼吸道(51.9%)和心血管(17.7%)方面的问题;重返ICU的影响因素与人工气道、机械通气时间、出科时的APS、医院内感染性肺炎、入科时伴有慢性疾病密切相关.结论:普通病房缺乏后续的加强监护是患者重返ICU的主要原因,转科前全面评估患者病情,转科时详细交待和指导,加强患者气道护理,进行院内培训和护理会诊,加强患者与家属的沟通与宣教,对防止患者重返有重要的影响.
목적:총결분석79례환자중반ICU적원인,탐토능부통과호리간예조시감소환자중반적방법.방법:수집2009년1월-2011년12월입주ICU≥2차적병례자료,기록저사환자적림상특정,중반ICU적원인,통과자료분석중반ICU적영향인소.결과:재3760례입주ICU적환자중,공유79례중반ICU,중반솔위2.1%;중반ICU적주요원인위호흡도(51.9%)화심혈관(17.7%)방면적문제;중반ICU적영향인소여인공기도、궤계통기시간、출과시적APS、의원내감염성폐염、입과시반유만성질병밀절상관.결론:보통병방결핍후속적가강감호시환자중반ICU적주요원인,전과전전면평고환자병정,전과시상세교대화지도,가강환자기도호리,진행원내배훈화호리회진,가강환자여가속적구통여선교,대방지환자중반유중요적영향.
Objective:To analyze the causes of returning to ICU of 79 patients,to probe into the measures of diminishing the number of returning patients by nursing intervention.Method:We collected the clinical data of patients who checked in ICU for two times or more,we recorded their clinical characteristics and the causes of returning to ICU,then we analyzed the influencing factors.Result:In the 3760 patients who checked in ICU,there were 79 patients returning to ICU,The return rate is 2.1%;the main reasons were respiratory(51.9%)or cardiovascular(17.7%)ailments;the influencing factors were associated with artificial airway,the duration of mechanical ventilation,APS,acquired pneumonia in hospital and chronic diseases. Conclusion:The main reason of returning to ICU in general wards is lack of The follow-up care,so assessment of patients before shift to general wards, detailed guidance to general wards,nursing care of patients with airway,training in hospitals,nursing consultation,communication and education to patients and family members all have important influence on the returning rate to ICU.