老年医学科应对呼吸系统传染病重症救治工作体会  

Experience in dealing with severe respiratory infectious diseases in geriatric medicine

作　　者：宋婧[1] 张斌[1] 赵冬梅[1] 张杨[1] 谢苗荣[1] SONG Jing;ZHANG Bin;ZHAO Dong-mei(Department of Geriatrics,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院老年医学科,北京100050

出　　处：《临床和实验医学杂志》2023年第24期2683-2686,共4页Journal of Clinical and Experimental Medicine

基　　金：国家自然科学基金青年科学基金项目(编号:82104310);北京市医院管理中心“青苗”计划专项经费资助(编号:QML20230117)。

摘　　要：目的总结呼吸系统传染病所致老年重症患者救治工作的经验,为提升老年医学科应对呼吸道传染病重症救治能力提供参考。方法进行横断面调查研究,分析2022年12月6日至2023年1月6日首都医科大学附属北京友谊医院老年医学科收治的呼吸系统传染病所致重症患者救治情况,统计医师、护士在岗、患病及返岗情况。系统梳理所采取的科室管理措施。结果老年医学科开放床位218张,住院患者总数持续升高,最高达199例,床位使用率91.3%,其中2022年12月30日、2023年1月1日重症患者数最高达59例,占在院例数的30.1%,是第3天重症例数的3.3倍。死亡患者平均年龄(92.1±6.6)岁,平均患基础疾病(27.0±14.0)种,前3位主要死亡原因为肺部感染、重症肺炎、呼吸衰竭。2022年12月初开始,老年医学科医务人员陆续出现感染,在12月8~13日之间感染人数快速增长,12月12日开始,患病医护陆续返岗。本研究时间段,病房医疗秩序正常有序,无患者积压状况发生,累计动员具备出院条件的患者出院16例(占原有住院人数的13.6%)。结论呼吸系统传染病可引起老年重症患者在短时间内剧增,并严重威胁老年人生命。老年医学科应对呼吸系统传染病高度重视,并建立大量重症患者救治的工作机制,保障医疗安全。Objective To summarize the experience in the treatment of elderly patients with severe respiratory infections caused by respiratory infectious diseases,so as to provide reference for improving the ability of geriatric medicine department to deal with severe respiratory infectious diseases.Methods A cross-sectional survey was conducted.The treatment situation of patients with severe respiratory infections caused by respiratory infectious diseases admitted to the Department of Geriatrics,Beijing Friendship Hospital,Capital Medical University from December 6,2022 to January 6,2023 was analyzed,physicians and nurses on duty,sick and returning to work were counted,and the department management measures taken were systematically sorted out.Results There were 218 open beds in the geriatric department,and the total number of hospitalized patients continues to increase,reaching a maximum of 199.The bed utilization rate was 91.3%,with 59 critically ill patients on December 30,2022,January 1,2023,accounting for 30.1%of the total number of patients in the hospital,which was 3.3 times the number of critically ill patients on the 3rd day.The average age of the deceased patients was(92.1±6.6)years old,with an average of(27.0±14.0)basic diseases.The top three main causes of death were lung infection,severe pneumonia,and respiratory failure.Starting from early December 2022,medical staff in the geriatric department began to experience infections,and the number of infections rapidly increased between December 8-13.Starting from December 12,sick medical staff gradually returned to work.During the period of this study,the medical order in the ward was normal and orderly,and there was no backlog of patients.A total of 16 patients who met the discharge conditions were mobilized and discharged(accounting for 13.6%of the original inpatient population).Conclusion Respiratory infectious diseases can cause a rapid increase in severe elderly patients in a short period of time,and seriously threaten the lives of the elderly.The geriatric m

关 键 词：老年医学 呼吸系统传染病 住院患者 管理 

分 类 号：R56[医药卫生—呼吸系统]