[1]陈 芳,张诚霖.心内科住院患者离院外出的原因分析及护理对策[J].医学信息,2019,32(15):123-125.[doi:10.3969/j.issn.1006-1959.2019.15.040]
　CHEN Fang,ZHANG Cheng-lin.Cause Analysis of Leaving Hospital and Nursing Strategy in Cardiology Department Inpatients[J].Journal of Medical Information,2019,32(15):123-125.[doi:10.3969/j.issn.1006-1959.2019.15.040]
点击复制

心内科住院患者离院外出的原因分析及护理对策()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
32卷
期数:
2019年15期
页码:
123-125
栏目:
调查分析
出版日期:
2019-08-01

文章信息/Info

Title:
Cause Analysis of Leaving Hospital and Nursing Strategy in Cardiology Department Inpatients
文章编号:
1006-1959（2019）15-0123-03
作者:
陈 芳; 张诚霖
江苏省盐城市第三人民医院心内科，江苏 盐城 224001
Author(s):
CHEN Fang; ZHANG Cheng-lin
Department of Cardiology,the Third People's Hospital of Yancheng,Yancheng 224001,Jiangsu,China
关键词:
心内科; 离院外出; 住院患者; 护理对策
Keywords:
Key words：Cardiology; Out of hospital; Inpatients; Nursing strategies
分类号:
R197.3
DOI:
10.3969/j.issn.1006-1959.2019.15.040
文献标志码:
A
摘要:
目的 探讨心内科住院患者离院外出的原因及护理对策。方法 采用自行设计的一般资料调查表对我院心内科2017年7月~2018年7月103例住院期间离院不归患者进行问卷调查和访谈，并对住院患者离院不归发生的不良事件进行讨论分析，提出具有针对性的护理对策。结果 共103例心内科住院离院外出患者，男性多于女性，其中＞60岁、已婚、小学及以下学历、非独居以及退休患者居多。共发生4件不良事件，其中1例发生外用过期药物致过敏性休克、房颤患者血栓脱落致脑卒中，1例发生跌倒致擦伤或扭伤。离院原因主要以角色的适应与转换为首位，其次为对疾病的危险性认识不足、住院保养患者，忽视医院规章制度、居住地离医院较近、医院环境因素、医护人员对患者健康宣教欠缺。结论 心内科住院离院外出患者中男性多于女性，主要离院原因为角色的适应与转换。在入院时综合评估患者的个体、家庭等因素，根据患者不同离院原因，采取相应护理措施，最大程度杜绝患者离院现象，避免不良事件发生。
Abstract:
Abstract：Objective To investigate the causes and nursing strategies of outpatients in hospital for cardiology.Methods A self-designed general data questionnaire was used to conduct a questionnaire survey and interviews with 103 patients who were hospitalized during the hospitalization period from July 2017 to July 2018 in our department of cardiology, and adverse events occurred in hospitalized patients who were discharged from hospital. Conduct discussion and analysis and propose targeted nursing strategies.Results A total of 103 patients with cardiology were hospitalized out of hospital, more men than women, including >60 years old, married, primary school and below, non-indigenous and retired patients. A total of 4 adverse events occurred, including 1 cases of anaphylactic shock caused by topical expired drugs, stroke caused by thrombus in patients with atrial fibrillation, and 1 cases of falls causing bruises or sprains. The reasons for leaving the hospital are mainly the adaptation and transformation of the role, followed by insufficient understanding of the risk of the disease, hospitalization and maintenance of patients, neglect of hospital rules and regulations, close proximity to the hospital, hospital environmental factors, medical staff lack of health education for patients.Conclusion There are more males than females in the outpatients who are hospitalized in the Department of Cardiology. The main reason for leaving the hospital is the adaptation and transformation of roles. At the time of admission, the patient's individual and family factors were comprehensively evaluated. According to the patient's different reasons for leaving the hospital, corresponding nursing measures were taken to minimize the patient's leaving the hospital and avoid adverse events.

参考文献/References:

[1]顾志英,黄利敏,张慧.普外科患者住院期间外出风险评估及安全管理[J].齐鲁护理杂志,2013,19(18):123-125. [2]吕霞,方琴.根本原因分析法在急性心肌梗死患者PCI术后住院期间外出风险管理中的应用[J].护理实践与研究,2017,14(4):20-24. [3]范红梅.健康教育在老年心血管疾病患者临床护理中的作用[J].医学信息,2016,29(5):125-126. [4]刘清娥,薛淑枝.肿瘤内科患者住院期间外出不归的心理需求分析及护理对策[J].全科护理,2015,13(14):1261-1263. [5]徐凯燕,谢彩琴.住院患者外出不按时返院的原因分析及对策[J].中国护理管理,2014,14(4):418-419. [6]欧阳利芳,邵英.品管圈在降低心血管内科患者夜间外出不归率中的应用[J].当代护士,2018,25(2):162-164. [7]陈奕梅,叶丽花,黄路珍.运用马斯洛需要层次论分析住院患者外出的原因[J].中医药管理杂志,2015(23):10-12.

更新日期/Last Update: 2019-08-01