查詢結果分析
相關文獻
- 內科重症病人疾病嚴重度及其相關因素探討
- 內科加護病房院內肺炎感染相關危險因子的探討
- 院內黴菌血流感染之調查
- 加護病房評估疾病嚴重度之資料正確性
- Comparison of the APACHEⅡ and APACHEⅢ Scoring Systems in Patients with Respiratory Failure in a Medical Intensive Care Unit
- The Relationship of Exhaled Nitric Oxide Levels with Measures of Disease Control and Disease Severity in Asthma
- Continuous Lateral Potational Therapy in the Medical Intensive Care Unit
- 應用APACHE Score於加護病房護理行政業務之探討
- 某區域醫院急性缺血性腦中風之醫療成本
- 談內科加護病房Acinetobacter anitratus院內感染之流行與控制
頁籤選單縮合
題名 | 內科重症病人疾病嚴重度及其相關因素探討=Disease Severity of Patients in Medical Intensive Care Unit and Related Factors |
---|---|
作者 | 吳品萱; 潘雪幸; 符芳蕙; 張秉宜; 吳清平; | 書刊名 | 中華民國重症醫學雜誌 |
卷期 | 8:3 2007[民96] |
頁次 | 頁95-106 |
分類號 | 419.52 |
關鍵詞 | 內科加護病房; 疾病嚴重度; Medical intensive care unit; Disease severity; |
語文 | 中文(Chinese) |
中文摘要 | 本研究旨在瞭解内科重症病人疾病嚴重度與人口學資料、加護病房住院天數及死亡率間的關係。研究採敘述性相關設計,使用APACHE II評分系統以評估北部某醫學中心的内科加護病房603位病人之疾病嚴重度得分,再以描述性統計及推論性統計進行分析。 研究結果:(1)病人年齡愈大者,其轉出前24小時之疾病嚴重度分數較年齡愈小者為高(r=0.093,p<0.05)。(2)胸腔内科病人住入加護病房滿24小時及轉出前24小時之疾病嚴重度分數皆較其他科別的病人為高(t=-2.72,p<0.01;t=-2.23,p<0.05)。(3)病人住加護病房滿24小時及轉出前24小時之疾病嚴重程度越高者,其死亡率越高(x²=89.46,p<0.01;x²=416.43,p<0.01)。(4)病人住加護病房滿24小時之疾病嚴重度分數為41分(含)以上者,加護病房平均住院天數僅4.89天。(5)性別、病人來源則與疾病嚴重度分數無顯著相關。 結論:疾病嚴重度分數越高,顯示病人病況愈不穩定,且可能於短時間内死亡。對於此類病人,醫謢人員應迅速確立問題與介入措施,以有挽救病人生命。建議護理行政者亦可根據病人疾病嚴重度分數,安排適當護理人力,以提供病人最適切照護、並降低護理人員工作負荷及壓力。 |
英文摘要 | The purposes of this study are to explore disease severity of patients in medical intensive care unit, as well as the relationship between disease severity and demographics, length of ICU stay, and mortality rate. APACHE II scores of 603 ICU patients in a medical center of northern Taipei were collected and analyzed by descriptive and inferential statistics. Results: (1) The elder the patients, the higher the APACHE II scores (r=0.093, p<0.05). (2) Patients of chest medicine division have higher APACHE II scores than those of other divisions at the first 24 hours after admission and 24 hours before trans-out (t=-2.72, p<0.01; t=-2.23, p<0.05). (3) Patients with higher APACHE II scores either at the first 24 hours after admission or 24 hours before trans-out have higher mortality rate (χ²=89.46, p<0.01; χ²=416.43, p<0.01). (4) The average length of ICU stay is 4.89 days when patients' APACHE II score are greater than 40 at the first 24 hours after admission. (5) Gender and source are not related to APACHE II scores. There results contribute to further understanding of the patients' disease severity and providing reference value in clinical decision-making to improve efficiency of MICU. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。