住院慢性非传染性疾病病人死亡风险监测指标调查研究

摘要

[目的]调查慢性非传染性疾病病人的死亡风险监测指标,为制定慢性病危重病人护理评估标准提供依据.[方法]选择2015年1月—12月在上海某三级甲等医院死亡的556例慢性非传染性疾病病人为研究对象,采用自行设计调查表提取病人死亡前24 h的临床资料进行分析.[结果]慢性非传染性疾病死亡病人年龄为(72.47 ± 12.96)岁;死亡高峰时间为08:00~12:00;恶性肿瘤、心血管系统、脑血管系统、呼吸系统疾病等为主要死亡原因,不同疾病病人死亡前24 h生命体征、白蛋白、血小板、D-二聚体的异常指标分布差异具有统计学意义(P<0.05);不同疾病异常指标的范围均在危急值边缘且范围各不相同.[结论]护理人员应针对慢性病各专科的预警范围进行护理评估,促进病人不良结局的转归.%Objective:To investigate the risk monitoring indicators of death in patients with chronic non-com-municable diseases so as to provide evidences for the development of critical patients with chronic disease evalu-ation criteria.Methods:A total of 556 patients with chronic non-communicable diseases who died in a third grade hospital in Shanghai from January to December 2015 were selected as the study subjects.The self-de-signed questionnaire was used to analyze the clinical data of patients in 24 hours before their death.Results:The age of death of patients with chronic non-communicable diseases was(72.47 ± 12.96)years old.The peak time of death was 08:00~12:00.Malignancy,cardiovascular diseases,cerebrovascular diseases and respiratory disea-ses were the main causes of death.There were statistically significant differences in the distribution of abnormal indexes of vital signs,albumin,platelets and D-dimers in patients with different diseases before death(P<0.05). The range of abnormal indicators of different diseases were at the edge of the critical value and vary in scope. Conclusions:Nursing staff should carry out nursing assessment aiming at the chronic diseases specialist early warning scope to improve the patient's adverse outcomes.