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Emergency Intensive Care Unit Last Medical Implementation Present Situation Investigation

Posted on:2018-01-23Degree:MasterType:Thesis
Country:ChinaCandidate:X XiongFull Text:PDF
GTID:2334330536464247Subject:General medicine
Abstract/Summary:PDF Full Text Request
Objective:To determine the emergency intensive care unit last medical implementation situation,understand the emergency intensive care unit at the same time,the implementation of humanistic aspects of critically ill patients,found that the existing problems,and puts forward corresponding solving strategy guide or cause to the attention of the humanistic care in critical patients.Methods: In November 2015-October 2016 to the hospital emergency intensive care unit in hospital patients to complete basic information collection,according to a study in the Ethicus II provides questionnaire to complete all of the content,and completed within 24 hours the APACHE II score.According to the result of survey last category can be divided into limited,evacuation,limit-evacuation,cardiopulmonary resuscitation(CPR)in all four groups for data analysis.Results: This research shows that the intensive care unit patients dying medical overall incidence of 42.3%,mainly the withdrawal treatment.Give priority to with EICU common disease,frequently-occurring disease.Patients and physicians did not affect the implementation of the health of religion.Palliative medical implementation main body is competent doctors and patients' families,families as the main forward party,implementation of the main reason is a chronic disease.The content mainly enteral nutrition and intravenous fluids.The prognosis of death affected by health care type and APACHE II score.Conclusion: Different ICU,national,regional,there are large difference between the implementation of the final medical;The implementation of the religion did not affect final medical;Economic factors are the important factors influencing the prognosis of patients died.Palliative medical implementation found that patients will shortage,and low level of nurses in question.By using the method of evidence-based medicine can be more effective communication with their families,promote palliative medical quality.
Keywords/Search Tags:emergency intensive care unit, acute critical patients, end-of-life health, withhold or withdrawal treatment
PDF Full Text Request
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