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目的:分析急诊观察区患者死亡的病重时段分布,以制定相应的护理对策。方法:对急诊观察区166例死亡病例进行回顾性分析,统计出死亡病种及时段。结果:166例死亡病例中主要为呼吸衰竭和心脑血管疾病,共96例(56%),患者的主要死亡时段为00:00-08:00,共76例(45.8%),高于早班48例(28.9%)(x2=10.09,P=0.001)和中班时段的42例(25.3%)(X2=15.198,P<0.001)。结论:呼吸衰竭和心脑血管疾病为急诊观察主要死亡病种,而主要死亡时间集中在夜间,管理上尽量集中安排治疗时间,夜间加强巡视,密切观察病情变化,减少患者夜间死亡率。
OBJECTIVE: To analyze the distribution of patients’ death in emergent observation area in order to make corresponding nursing countermeasures. Methods: A retrospective analysis of 166 deaths in the emergency observation area was made, and the deaths and the time period were counted. Results: Of the 166 deaths, 96 (56%) were respiratory failure and cardiovascular and cerebrovascular diseases. The main death period was 00: 00-08: 00, 76 (45.8%) were higher than early There were 48 cases (28.9%) in the class (x2 = 10.09, P = 0.001) and 42 cases (25.3%) in the midterm class (X2 = 15.198, P <0.001). Conclusion: Respiratory failure and cardio-cerebrovascular diseases are the major deaths in emergency observation. The main deaths are concentrated in the night. The management focuses on arranging the treatment time intensively. At night, it patrols more closely to observe the changes of the disease and reduce the nighttime mortality.