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为了解扬州市某社区家庭病床的现状,笔者对本社区2010年1—12月166例家庭病床患者的年龄及病种构成、疾病转归等方面情况进行了统计分析。结果表明,家庭病床患者中70～89岁者占78.92%。病种构成:脑血管疾病占首位,其次为肿瘤,高血压病、冠心病等慢性疾病亦占有一定的比例。转归情况以好转居多。对家庭病床患者患病特点、患者的治疗与管理、家庭病床的医疗风险作了分析和讨论。认为家庭病床的开设在为医疗卫生资源的合理安排、为减轻患者的经济压力、为社会减轻负担以及维护社会安定等方面起到了巨大的作用。家庭病床为老年患者、慢性病患者的治疗带来了便利的同时,也带来了医疗风险,但只要社区医生加强自身素质培养,不断提高医疗技术水平,及时发现危险因素,解决存在的问题,家庭病床的医疗风险是完全可以规避的。
To understand the status quo of family beds in a community in Yangzhou City, the author conducted a statistical analysis on the age, disease constitution and disease outcome of 166 family beds in the community from January to December in 2010. The results showed that 70.99% of patients in family beds accounted for 78.92%. Diseases constitute: cerebrovascular disease in the first place, followed by cancer, hypertension, coronary heart disease and other chronic diseases also occupy a certain proportion. Go to the situation to improve the majority. The characteristics of patients in family beds, the treatment and management of patients, and the medical risks of family beds were analyzed and discussed. It is believed that the establishment of family beds has played a significant role in the rational arrangement of resources for medical and health care so as to alleviate the economic pressure on patients, reduce the burden on society and maintain social stability. Family beds for the elderly, patients with chronic diseases brought convenience, but also brought medical risks, but as long as community doctors to enhance their own quality training, and constantly improve the level of medical technology, timely detection of risk factors, to solve the problems, the family The medical risk of a hospital bed can be completely circumvented.