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최수호 ( ) - 가톨릭대학교 의과대학 간호학과
경만호 ( ) - 가톨릭대학교 의과대학 간호학과
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Abstract
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This study examined distributions of personal and physiological factors among those patients who died in a hospital located in Seoul. Three hundred thirty six cases were included in this study, excluding 74 cases whose information was incomplete among those 410 deaths occured during the entire years of 1982, 1987, and 1992. Data were collected from medical records, death certificates and death confirmation notes. The results are summarized as follows :
1. Those 410 deaths made up 1.3% of the hospitalized patients during those three years. Mortality rate was 0.9% for 1982, 1.2% for 1987, and 1.6% for 1992, showing the increasing tendency over the years.
Of those 336 deaths included in this study, sex ratio during the three years was 1.1 to 1. Sex ratio by year was 1 to 1, 1.19 to 1, and 1.08 to 1 for 1982, 1987 and 1992, respectively.
2. Deaths occurred most in December by the month, in the winter by the season, and between 8AM and 9AM during the day.
3. With regard to the leading causes of death, diseases of cerebrovascular system and diseases of circulatory system ranked the first and the second, respectively in 1982. However, the most frequent cause of death in 1987 and in 1992 was neoplasms, indicating a notable increase of deaths caused by neoplasms over these years.
4. Agespecific causes of deaths showed prematurity as the most common among infants. Traffic accident ranked top cause of deaths in the twenties and seizure in the thirties, while neoplasm at such sites as stomach, lung, and liver caused deaths most frequently in the forties, fifties, and sixties.
5. As to changes in vital signs, abnormal patterns were most apparent between 2 and 1.5 hours be-fore death : the average changes were from 81.56 /46.14 mmHg to 62.54 /36.16 mmHg for systolic /diastolic blood pressure, from 96.79 to 82.28 for pulse rate per minute, and 21.69 to 16. 91 for respiration rate per minute.
6. Unconsciousness was found before death among 76.8% of all deaths. The average interval between the loss of consciousness and death was 19.8 hours with the range from 4 days to 1 hour or less.
7. Hematologic findings before death were below the normal levels. The average was 15.64 x 103 /mms for WBC count, 12.018 /dl among men and 11.29g /dl among women for Hb, and :36.9% among men and 34.4% among women for Hct.
8. As to the findings of serum electrolytes before death, Na was averaged 136.44niEq /L, which was below the normal level. The average scores of K(4.42mg/dl), cl(89.89rnEq/dl), Ca(8.23 mg /dl) and P (4.46mg /dl) were within the normal ranges.
The above findings indicate that some changes in consciousness, vital signs, and hematologic and serum electrolyte findings would provide clues to the imminent death among hospitalized patients who are faced with death. Furthermore, prediction of the occurrence of death based upon these kinds of information would facilitate adequate nursing interventions in caring for them.
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KeyWords
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죽음
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원문 및 링크아웃 정보
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등재저널 정보
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