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老年患者急诊特点及护理 被引量:6

Emergency Characteristics of Senile Patients and the Nursing Strategies
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摘要 回顾性分析总结285例老年患者的急诊特点,发现老年患者全身合并症多,症状不典型;夜间就诊多。以疼痛为特征的疾病,疼痛症状常常缺失;肺部感染患者无明显咳嗽、咯痰症状,而以神经、精神、消化系统症状或仅以发热就诊;部分脑梗死患者无神经系统症状。因此护理人员需熟悉老年急诊患者不同于年轻患者的症状特点,尤其是要敏锐识别老年患者临床表现不典型的症状,密切、细致观察病情;不断学习新知识,提高急诊急救技术;向清醒的患者及其家属讲解有关自身疾病的知识及特点,指导其识别病情突变的先兆表现、发病时的简单处理方法及注意事项,同时强化安全责任意识;重视沟通,注意心理疏导。 Emergency characteristics of 285 senile patients were analyzed and summarized retrospectively, with the findings that senile patients had many general complications with atypical symptoms and most visits were paid during the night. Pain always lost in patients with diseases characterized by pain. Obvious cough and expectoration were not observed in patients with pulmonary infection. Instead, those patients went to hospital because of symptoms in the nerve system, psychiatric or digestive system, or just because of fever. Part of the cerebral infarction patients didn't show symptoms in the nerve system. Therefore, it's necessary for nurses to: firstly, be familiar with the emergency characteristics of senile patients which are different from those of young patients, particularly to recognize symptoms with atypical clinical manifestation, and observe the diseases closely and carefully; secondly, keep studying new things, improving emergency skills; thirdly, explain the knowledge and characteristics of self-diseases to conscious patients and their family members, guide them to recognize the pre-symptoms for sudden disease changes, teach them simple treatments as well as precautions and strengthen their own sense of safety and responsibility; finally, pay more attention to communication and psychological guidance.
出处 《护理学报》 2009年第2期57-58,共2页 Journal of Nursing(China)
关键词 老年患者 急诊 护理 senile patient emergency nursing
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