目的：探讨急诊留观患者时间和病种分布规律及护理人力资源配置。方法回顾性分析2014年1月1日～12月31日山东省立医院急诊科收治的4745例留观患者护理记录单中记录的资料。结果平均留观时间（1.8±0.64）d；留观转归：出院2769例（58.3%），住院1939例（40.9%），死亡37例（0.78%）。急诊留观患者病种前三位依次为上呼吸道感染、冠心病及脑卒中，5月份和8月份留观患者人数最多，留观时间主要集中于8：00～22：00，其中16：00～22：00为全天高峰，占36.2%。结论急诊留观患者的疾病和时间分布具有一定的规律，应根据此规律合理的配置护理资源。%Objective To investigate the time and disease distribution regularities of patients in emergency observation ward and discuss the nursing human resources allocation. Methods Retrospectively analysis the nursing record data of 4 745 patients admitted in the emergency observation ward in Shandong provincial hospital from January 1 to December 31, 2014. Results The median under observation time was (1.8 ± 0.64)d. Under observation outcome:2 769 cases (58.3%) were discharged from hospital, 1 939 cases (40.9%) were hospitalized, 37 cases (0.78%) were died. The ifrst three places of the diseases in emergency observation ward respectively was upper respiratory tract infection, coronary heart disease, and stroke. Most patients admitted in May and August, admitted time focused on 8:00~22:00, 16:00~22:00 was the all-day peak, accounting for 36.2%. Conclusion The disease and time distribution of the patients in emergency observation ward has certain regularities, should reasonable conifgurate the nursing resources.
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