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目的:分析入住家庭病床科患者疾病分布,探讨家庭病床科医疗、护理人员配置。方法:对我院近十几年来入住家庭病床科3 678名患者的性别、年龄、病种及入住原因进行系统分析。结果:入住家庭病床科3 678名患者,男2 576,女1 102,男女之比约为2.3∶1。年龄45～92岁,其中60～69岁占38%,70～79岁占37%;内科病占89.5%,外科占6.5%,其余占4.0%。内科疾病中以心血管疾病为最多,为1 710例(46.5%);脑血管病1 571例(42.7%),呼吸系统疾病132例(3.6%),糖尿病77岁(2.1%),肿瘤晚期及外伤后恢复期37岁(1.0%);其他慢性疾病151岁(4.1%)。3678例患者中有2 830例(76.9%)同时患有两种以上疾病。因病致残412例(11.2%),主要为脑血管病后遗症。结论:家庭病床科医疗人员配置应以心、脑血管医生为主,年资高的全科医生更好;护理人员要求有一定年资的、穿刺技术娴熟、工作耐心细致、能吃苦耐劳、自身素质修养好的人员。
OBJECTIVE: To analyze the distribution of diseases in family sickbed patients, and to explore the distribution of family sickbed medical staffs and nursing staffs. Methods: The gender, age, disease type and occupancy reasons of 3 678 patients admitted to family sick bed department in our hospital in recent ten years were systematically analyzed. Results: There were 3 678 patients admitted to the family sickness department, with 2 576 males and 1 102 females. The ratio of males and females was about 2.3: 1. Aged 45 to 92 years old, of which 60 to 69 accounted for 38%, aged 70 to 79 accounted for 37%; medical disease accounted for 89.5%, surgery accounted for 6.5%, the remaining 4.0%. Cardiovascular diseases were the most common medical diseases, accounting for 1 710 (46.5%); 5771 (42.7%) with cerebrovascular diseases, 132 (3.6%) with respiratory diseases, 77 (2.1%) with diabetes, And post-traumatic recovery 37 years (1.0%); other chronic diseases 151 years (4.1%). Of the 3678 patients, 2 830 (76.9%) had two or more diseases at the same time. 412 cases of disability due to illness (11.2%), mainly for cerebrovascular sequelae. Conclusion: The family medical staff should be mainly cardiothoracic and cerebral vascular doctors, and the senior general practitioners should be better. Nurses need a certain seniority, skilled punctuality, patient workmanship, hard-working Good quality of personnel.