摘要
目的通过对温州市某三级精神专科医院住院精神病患者意外死亡原因的分析,提出防范意外死亡发生的对策。方法对某三级精神专科医院2010年1月至2016年2月住院患者中意外死亡案例进行回顾性分析。结果期间发生的37例意外死亡案例中,男女分别占62.2%和37.8%;青、中、老年三个年龄段均有死亡患者,且例数无显著差异;文化程度以小学居多,占40.5%;病程为0-9年的病例最多,占40.5%;所患疾病中慢性精神分裂症占首位为59.5%,意外死亡原因前3位为猝死、全身脏器功能衰竭、噎食窒息死亡,分别占意外死亡的37.8%、21.6%、16.2%。结论精神病患者是一个特殊群体,住院精神病患者意外死亡的发生具有突发性、多样性的特点,针对不同原因采取不同防范措施,能有效地防止意外死亡的发生,减少医患纠纷,保证医疗安全。
Objective Through analyzing the death cause of psychotic inpatients in a tertiary psychiatric hospital in Wenzhou, put forward countermeasures for their accidental deaths. Methods Retrospective analysis on the death cause of psychotic inpatients from Jan.2010 to Feb.2016 in a tertiary psychiatric hospital was conducted. Results In 37 accidental death cases during the past 6 years, 62.2% were male and 37.8% were female. Among these 37 cases, there was no significant difference in the number of deaths among youth, middle-age and old age groups. The literacy of majority was primary school, accounting for 40.5% of the cases. The course of disease was 0-9 years, accounting for 40.5% of the cases. 59.5% of the cases suffered from chronic schizophrenia. The top three causes of accidental death were sudden death, systemic organ failure, choking and suffocation, accounting for 37.8%, 21.6% and 16.2% respectively. Conclusion Psychotic was a special group. The accidental death of psychotic inpatient was featured by sudden and diversity. It＇s suggested that different precautions should be taken according to the different causes so as to reduce the disputes between doctors and patients and ensure medical security.
作者
陈策
郑丽丹
朱素珠
孔令光
蔡子耀
CHEN Ce ZHENG Li-dan ZHU Su-zhu KONG Ling-guang CAI Zi-yao(Wenzhou Seventh Hospita)
出处
《医院管理论坛》
2017年第6期12-14,共3页
Hospital Management Forum
关键词
精神病患者
住院
意外死亡
Psychotic
Hospitalization
Accidental death
