VIETNAM MEDICAL JOURNAL H°1 - JUNE - 2017 phdng phe cau thdng dung. Vaexin Pneumo 23
tiem chiing cho tre tff 2 tuoi trd len bao gom 23 typ huyet thanh (PVC23): 1, 2, 3, 4, 5, 6B, 7F, 8, 9N, 9V, lOA, l l A , 12F, 14, 15B, 17F, 18C, 19F, 19A, 20, 22F, 23F, 33F. Cac b/p huyet thanh ciia phe cau trong nghien cffu ciia chiing tdi xac djnh dffde deu cd trong thanh phan ciia vaexin Pneumo 23 (69,6%). Vaexin Synflorix tiem chiing cho tre tff 6 tuan tdi 5 tudi bao gom 10 typ huyet thanh (PVCIO): 1, 4, 5, 6B, 7F, 9V, 14, 18C, 19F, 23F. Cac typ huyet thanh cua phe cau trong nghien cffu ciia chiing tdi xac dinh dffdc cd trong thanh phan ciia vaexin Synflorix la 54,9%. Ngoai ra edn cd vaexin PVC13 bao gdm 13 typ huyet thanh: 1, 3, 4, 5, 6A, 6B, 7F, 9V, 14, 18C, 19A, 19F, 23F, vaexin nay cung tiem phdng diidc cho 1je bjf 2 thang tuoi. Cac typ huyet thanh eiia phe eau trong nghien euli cua chung tdi xac dinh dffdc cd trong thanh phan ciia vaexin nay la 63,6%.
V. KET LUAN
- Nguyen nhan gay viem phdi cdng dongdo vi khuan: Ti le viem phoi do vi khuan cao nhat la H.influenzae chiem 24,2%, tiep theo la 5.
Pneumoniae chiem 14,7%.
- Phan bd typ huyet thanh cua 5. pneumoniae va H. influenzae:
+ H.influenzae. loai khdng vd chiem 9 0 , 1 % , typ b chiem 9,9%.
V- S.pneumoniae. typ 6A/B, 19F, 23F chi&n ti le lan Iffdt la 24,6%; 18,8%; 10,1%, typ m 8,7%, typ 17F 4,3%, typ l l A / D , 14 chiem 1,4, TAI UEU T H A M KHAO
1. Nguyen Thj Hien Anh, Bang Du'c Anh Nguyen Cong Khanh va Cs (2008), 'Tfnh nhav cam khang sinh va phan bo typ huyet thanh cia cac chiing phe cau phan lap tff tre nhap viSntai Benh vien tre em Hai Phdng", Y hoc 'dii nhnnn 97(5),j3p.ll-17. • ^' 2. Nguyen Van Bang, Hoang Minh Hang (2011)
"Gia trj chan doan nguyen nhan vi khuan ciia mot so tneu chffng lam sang va can lam sang trong viem phoi tre em". Tap chi nghien cuu v hoc
74(3), tQl43-146, ^ 3. Tran Do Hun£| (2008), "Nghien culi can nguyen
gay viem phoi do Haemophilus influenzae va Streptococcus pneumoniae d tre em du6i 5 tuoi tei Benh vien Nhi dong Can Thd, Y hoc thut hanh ^ j',tr,26-28.
4. Dang Due Anh , Phan Le Thanh Huong, Kiwao Watanabe el al (2007), "Increased rates o[
intense nasopharyngeal bacterial colonizahon of Vietnamese children with radiological pneumonia", Tohoku J Exp Med, 213, pp.167-172.
5. Cripps AW (2010), "Nontypeable Haemophilus influenzae and childhood pneumonia", P H G Med J, 53(3-4), PP.H7-150.
o. Hassan MK, Al-Sadoon I (2001), "Risk factors for severe pneumonia in children in Basrah" Tmp Coit, 31(3), pp.139-141.
7. Timothy R. Peters, Jon S. Abramson (2011),
"Streptococcus pneumoniae {Pneumococcus}", Nelson Textbook of Pediatrics, Chapter 175.
DANH GIA CHAT LlfffNG CUOC SONG CONG NHAN KHAI THAC THAN BI VIEM MUI XOANG MAN TINH CONG TY THAN NAM MAU
UONG BI Q U A N G N I N H
Nguyin Nhir Dua*, Luffng Thi Minh Hu-ffng**, Truong V18t Diing***
T O M TAT
Hoan canh nghien cffu: Viem miji xoang man tfnh (VMXMT) la mot benh man ti'nh hay gap nhat, co ty le mac cao, ngay ca cac nffdc cong phat trie'n nhU Tay Au va My benh lam anh hu'dng khoang 15% dan so.
Oac biet mot sd nganh cong nghiep lam viec trang moi trffdng co nong do bui va cac yeu to doc hai cao lam tang t^ le VMXMT. Ooi tffdng va phu'cfng phap nghien
*Khoa Y- Dddc, DHQGHN
**B6Mdn Tai Miii Hong, DHYHN
***'Khoa Y-Dudc DHQGHN Chiu trach nhiem chfnh: Nguyen NhU Dua Email: [email protected] Ngay nhan bai: 20.01.2017 Ngay phan bien khoa hgc: 17.4.2017 Ngay duyet bai: 28.4.2017
cifu: Mo ta cat ngang cd phan tfch. Bao gom 68 benti nhan dUOc kham va chan doan VMXMT tai c6ng ly than Nam Mau Uong Bf Quang Ninh. Thdi diem thang 8/2016. Ket qua nghien cffu: Tuo'i nghe >20 nam oity le cao nhat 57,35%. Cac thang diem ve cac triaj chifng ciia benh nhan VMXMT nhff cac trieu ehimg ye mui, cac trieu chffng canh mui, cac trieu chihig lien quan den giac ngu, sff sut kem ve xa hoi va sut kem ve mat cam xuc deu d diem so cao la 8,588; 6,897;
5,162; 6,338. Kit luan: VMXMT co the gay ra cac trieu chffng lam sang nghiem trong, lam giam chat lu'Ong cugc song ciia ngu'di benh.
T& khoa: Viem mui xoahg man tinh, chat luHng cuoc song.
SUMMARY
EVALUATION OF THE QUALITY OF LIFE IN THE COAL M I N I N G WORKERS WHH
156
TAP CHi Y HOC VIET NAM TAP 455 - T H A N G 6 - SO 1 - 2017
CHRONIC RHINOSINUSITZS NAM MAU COMPANY UONG BI QUANG N I N H Background: Chronic rhinosinusitis (CRS) is one of the most common chronic diseases, with a high incidence, affecting about 15% of the Western and American population. Especially, some industry branches that employee work in a labour enviroment with concetration of dust and toxic factors to make incidence of CRS to increase highly. Subjects and Methods: Cross-sectional study with analysis.
Including 68 patients were examined and diagnosed CRS at the Nam Mau company, Uong Bi, Quang Ninh.
In 8/2016. Results: Seniority age >20 years was the highest percentage 57,35%. The scale of the symptoms of the patients with C l ^ such as nasal symptoms, paransal symptoms, sleep related symptoms, and social and emotional impairment, which has high scores as: 8,588; 6,897; 5,162; 6,388. Conclusions. CRS IS able to tiring about serious dinic symptoms, which reduces the quality of life of patients.
/feywortfe.-Chronic rhinosinusitis, quality of life.
I. OAT VAN DE
Viem mui xoang man tinh (VMXMT) la mpt trong nhffng benh man tfnh pho bien nhat, benh anh hffdng den khoang 15% dan sd ciia cac nffdc Tay Au va la ganh nang dang ke vdi chi phi trffc tiep hang nam len den 5,8 ty dd la [1].
Ngoai nhffng hao tdn ve kinh te benh cdn anh hffdng den moi ca nhan, cong dong va xa hpi lam mat thdi gian danh eho cdng viec va hpc tap anh hffdng den nang suat lao ddng [2].
V M X l ^ la qua trinh viem ciia niem mac mui va xoang, diidc xac dinh bang hai hoac ldn hdn hai trieu ehffng la sung huyet nghet tac mui hoac chay mui ra cffa mui trffdc, mui sau cd the kem theo dau cang tffe vung mat hoac giam ngifl mat ngffi keo dai hcfn 12 tuan. Ciing vdi hinh anh benh ly npi soi tim thay d khe giuS mui va/hoac tren phim CT ed sff thay doi ben trong phffe hdp lo ngach va/hoac trong xoang. Polyp rntii la mot phan nhdm ciia VMXMT [ 3 ] . Nam 2009 Hopkins va cdng sff da chl ra VMXMT anh hffdng dang ke len chat Iffdng cuoc song. Mac dau cac trieu chffng ciia viem mui xoang khong de dpa tfnh
mang ngffdi benh nhffng no lam giam chat Iffdng cupe song.
Trong nganh cdng nghiep khai thac than tinh trang d nhiem bui va cae yeu to dpc hai khac tai mdi trffdng lao dpng dffdc danh gia tff mffc dp vira den nghiem trpng. So lffdng ngffdi lao ddng trong ITnh vffc nay rat Idn, len den hang chuc van ngffdi, nhffng doi tffpng nay thffdng mac cac benh ly dffdng ho hap, pho bien la benh mui hong va phe quan, trong do ty le mac benh mui xoang rat cao.
Viec danh gia chat IffPng cudc sdng ciia edng nhan nganh than bj benh VMXMT de dffa ra cac giai phapdieu^tri phii hdp giiip cai thien chat Iffdng cuoc song va nang cao nang suat lao ddng, vi vay de tai thffc hien vdi muc tieu sau:
Danh gia s& anh hu'dng cua benh viem mui xoang man tinh din ehat lddng cugc song cua eong nhan khai thac than Nam Mau Uong Bi Quang Ninh.
II. OOI TLCpNG VA PHUONG PHAP NGHIEN CUU 1 . Ooi tu'dng nghien cu'u: Bao gom 68 ngffdi dffdc kham va chan doan VMXMT. Cong nhan d rriot sd phan xffdng khai thac, dao Id, sang tuyen va van ehuyen.
2. Phu'dng phap nghien cu'u: Nghien cffu md ta eat ngang cd phan ti'ch.
3. Cac chi so nghien cu'u: Cac chi so dffdc chia thanh 5 phan nhdm: cae trieu chffng ve mui, cac trieu ehffng canh miji, cae trieu chffng lien quan den giae ngii, sff siit kem ve xa hpi va sut kem ve mat cam xiie.
4. Phu'dng tien thu thap cac chi so: Sff dung phffPng tien thu thap la bang cau hdi SNOT-22 (Sino-nasal outcome test - 22 questionaire). Cac nha phau thuat eiia dai hpc hoang gia Anh da sff dung SNOf-22 trong mdt kiem tra so sanh cap quoc gia cho nhffng phau thuat polyp mui va VMXMT, giff lieu nghien cffu tff 3128 benh nhan dimg bang cau hdi SNOT-22.
Nam 2009 SNOT-22 da dffdc thdng qua va de nghi sff dung thffe hanh lam sang thffdng qui theo Hopkins va cs 2009.
Khoanh tron vao so phu htfp vdi trieu ^ chu'ng cua thanh diem
Can thonq khi mui Hat xi iidi Chay mui
Ho Chay miji sau Chav mui dac
Khdng trieu chii'ng
0 0 0 0 0 0
Trieu chu'ng rat nhe 1 1 1 1 1 1
Trieu chu'ng nhe
2 2 2 2 2 2
Trieu chu'ng trung binh
3 3 3 3 3 3
Trieu chu'ng
nang 4 4 4 4 4 4
TriSu Chiang rat nang
5 5 5 5 5 5
VIETNAM MEDICAL JOURNAL H''1 - JUNE - 2017 Oac dav tai
Hoa mat Dau tai Dau/ canq so mat
Kho nqu Tinh qiac dem Nqu I<h6nq nqon qiac
Tinh nqu met I^et moi Giam nanq suat lao dong Giam tap trunq lam viec De b| kich thich/that
vonq/ bon chon Buon chan Boi rol/nqu'dnq tiep xuc Roi loan khiJu qiac/vi qiac
Tac/ nqat mui 5. Xu' iy so iieu: Phu'dng
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 phap tho
2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 ng ke y hoc theo chu'dng trinh SPSS 16.0
5 5 5 5 5 5 5 5 5 5 5 5 5 5 5 5
. KET QUA
1 . Phan bo benh nhan VMXMT theo nhom tuoi ngh€:
Bangl: Ty le benh nhan VMXMT theo nhdm tudi nghe.
Nhom tuoi nghe Ty ie °/o
10-15 nam 11 16,18
15-20 nam 26,47
> 20 nam
39 57,35
Tonq
68 100,00
Nhan xet: Nhom tuoi nghe tren 20 nam nhieu nhat chiem 57,35%
2. Cac trieu chu'ng ve mui va phan do trieu chu'ng it cong nhan than VMXMT;
Bang 2: fy le cac trieu chu'ng ve mQi va phan do trieu ch&ng d cong nhan khai thac than VMXMT '
~"~~-—^__Phan do Trieu c h m i ^ ^ — _ ^
Ngat tac mui Hat hdi Chay mui Roi loan nqui
Ho Nhan xet: J<i le trie
Khong TC
0 0 0 25(36,8%) 18(26,5%) u chirng ng
TC rat nhe 7 (10,3%) 20(29,4%) 23(33,8%) 28(41,1%) 30(44,1%) t tac mui va
TC nhe 30(44,1%) 35(51,5%) 32(47,1%) 10(14,7%) 12(17,6%) lat hdi chay
TC trung binh 18(26,5%) 11(16,2%) 10(14,7%) 4(5,9%) 6(8,8%) mui d mu'c do
TC Nang 7(10,3%) 2(2,9%) 3(4,4%) 0 2(2,9%) nhe chiem ty
TCitat nang 6(8,8%)
0 0 1(1,5%)
0 le cao nhat lan Iffdt 4 4 , 1 % , 51,5% va 4 7 , 1 % . Diem bang cau hdi: 8,588
3. Cac trieu chu'ng canh hoc mui va phan dp trieu chu'ng d cong nhan than VMXMT.
Bang 3: ty le t^c trieu ch&ng canh hoc miii va phan do triSu ch&ng d cSng nhan khai thac than VMXflfT
~ ~ - ^ ^ _ _ P h l n do Trieu ch^^ng ^-...^^
Dac, day tai Hoa mat
Dau tai Oau so mat
Khong TC 0 18(26,5%) 22(32,4%) 13(19,1%)
TC rat nhe 7(10,3%) 24(35,5%) 24(35,5%) 8(11,8%)
T C n h e 19(27,9%) 23(33,8%) 11(16,2%) 30(44,1%)
TC trung
binh
33(48,5%)2(2,9%) 5(7,4%) 12(17,6%)
„ „ . 1 TCRat T C N ? " 9 1 nana_
9(13,2%) l(l,5»/q) 6(8,8%)
0 0 0 5(7,4%) 1 0 , yvftanjfefc*Trieu chffng dau eang so mat mffc do nhe ehiem ty le cao nhat 4 4 , 1 % . Diem bang cau hdi: 6,897
4. Cac trieu chutig rc^i loan giac ngii va phan do trieu chu'ng d cong nhan than VMXMT.
Bang 4: Ty le cac triSu ch&ng rol loan giac ngii va phSn do trieu ch&ng d cong nhan khai thac than VMXMT.
TAP CHI Y HOC VIET NAM TAP 455 - THANG 6 - SO 1 - 2017
Khong TC T C r a t nhe
TC trung binh
TC Nang
T C R a t nang Kho nqu
18(26,5%)
23(33,8%)20(29,4%)
4(5,S 3(4,4' Tmh qIac17(25,0%)
20(29,4%)27(39,7%)
3(4,4%)1(1,5%)
Nqu khonq ngon 17(25,1 22(32,4%) 25(36, 2(2,S2(2,9%)
Tmh nqu met
15(22,1%) 21(30,9%) I 29(42,6%)
3(4,4%)Nhan xet: O nhom roi loan ve glae ngu chu yeu gap 6 trieu chuhg rat nhe va nhe tuy nhien van gIp mirc do nang d cac trieu chu'ng kho ngu, va tinh giac la 4,4%, 1,5%. Diem bang c i u hoi: 5,162
5. Cac trieu chu'ng sut icem ve xa hoi, cam xuc va phan ioai trieu chuYig d cong nhan than VMXMT.
Bang 5: Ty le cac trieu chii'ng sut kem ve mat xa hoi, cam xuc va phan loai d cdng nhan khai thac than VMXMT.
^ - _ _ l » h a n dp Trieu c h i H g " — — _ Giam nanq suat lao donq
Giam tap trunq lam viec Met mdi Budn rau De bi kich thich
Khong TC 10(14,7%) 9(13,2%) 19(27,9%) 21(30,9%) 18(26,5%)
TC rat nhe 25(36,8%) 21(30,9%) 17(25,0%) 34(50.0%) 23(33,8%)
T C n h e 27(39,7%) 34(50,0%) 26(38,2%) 9(13,2%) 24(35,5%)
TC trung binh 5(7,4%) 4(5,9%) 6(8,8%) 3(4,4%) 3(4,4%)
TC Nang 1(1,5%)
0 0 1(1,5%)
0 TC Rat
nang 0 0 0 0 0 Nhan xet: ^ikxn bang eau hdi: 6,338
IV. BAN \.\}hW
Nghien cffu diicic tien hanh thffc hien d mdt so phan xffdng khai thac, sang tuyen va van chuyen, nhffng khu nay ed ham Iffdng bui cao, khdng khf Iffu thdng kem nen ty le gap benh VMXMT thffdng cao. Theo Tran Van Tuan va cs tai cdng ty than Ddng Bac cho thay benh mui xoang ehiem ty le rat cao 45,59%. Theo bang 1 ty le VMXMT deu gap d cac Iffa tuo'i cua nghe nghiep nhffng gap nhieu hdn d nhffng ngffdi lam viec lau n i m cd tuoi nghe cao 57,35% do phai tiep xuc vdi cac yeu t d nguy cd keo dai. Vdl nhdm co tudi nghe 10-15 nam chiem ty le thap hdn 16,18%.
Trong bang 2 d nhffng benh nhan VMXMT bieu hien cac trieu chffng d mui ro ret nhat, day cung la nhffng trieu chffng tieu chuan de chan doan VMXMT. Vdi trieu chffng nhe va trung binh chiem ty cao nhat 4 4 , 1 % va 26,5% d nhffng ngffdi lao ddng nang nhff cdng nhan nganh than nhu cau trao doi khong khf eao nen ngoai nhffng trieu chffng ngat tac mui cdn do nhu rau trao ddi khi tff phoi tang lam ngffdi benh cam thay nhff thieu 02 trong qua trinh hd hap, Mffc dd ngat rat nhe va ngat nang tffdng dffdng nhau 10,3%.
Trieu chffng roi loan ve ngffi gap ft nhat da so benh nhan khong cd trieu chffng gi roi loan ve ngffi 36,8% va trieu chffng roi loan ngffi rat nhe la 41,1%, cd mpt trffdng hdp 1,5% roi loan ngffii rat nang nhffng soi ttiay tdn thffdng d mui khong tffdng xffng vdi trieu chffng mat ngui cd the do ton thffdng cd quan than kinh khffu giac. Trieu chffng ho gap rat nhe va khdng ed trieu ehffng ho la 4 1 , 1 % va 26,5%. Cdn trieu ehffng chay mui gap nhieu nhat d mffc do nhe 4 7 , 1 % .
Ty le cac trieu chffng d canh miJi cd sff khac biet ve phan loai nang nhe khac nhau. Trieu chffng dac va day d tai gap mffc dp trung binh nhieu nhat 48,5%, vdi trieu chffng hoa mat va dau tai phan ldn la khdng cd trieu chffng hoac trieu chffng cung rat nhe 26,5% va 35,5%. 6 trieu chffng dau cang sp mat bieu hien mffc dp nhe chiem ty le cao nhat 4 1 , 1 % .
Doi vdi cac trieu chffng roi loan ve giac ngu d benh nhan VMXMT thi mffc dp trieu ehffng rat nang khong gap tneu chffng nao trong khi dd cac trieu rat nhe va nhe gap nhieu nhat va tffdng dffdng nhau. Trieu chffng ngu khdng ngon va tinh ngu met mffc dp rat nhe la 32,4% va 30,9%. Ngoai ra d cdng nhan bi VMXMT eac trieu chffng rdi loan ve giae ngu cDng gap rac rdi d mpt sd ngffdi cd bleu hien trieu chffng nang b/ le gap phai la 4,4%, 2,9% trong 68 trffdng hdp.
Anh hffdng cua benh VMXMT lam sut kem ve mat xa hpi va cam xue, nd dffde the hien qua cac trieu ehffng dffdc tham dd tren tffng ngffdi benh nhff giam nang suat lao ddng, giam do tap trung vao cdng viec, ludn cam thay met mdi, buon rau va d l bi kich thfch eau gat. Trong bang thdng ke 5 eho thay trieu chutig giam nang suat lao dpng d 68 trffdng hdp dffdc chan doan VMXMT deu cd bieu hien mffc dp nhe cho den nang mffc do nang chiem ty le ft nhat vdi 1,5%, trung binh la 7,4%, cdn mffc dp nhe 39,7%.
Danh gia cac diem tren bang cau hdi 2,3,4,5 trieu chffng cua VMXMT thay X ± SD 5,769±1,429 diem, ket qua cung phu hdp vdi nghien cffu cua Hopkins C [7] va nghien effu cua Gillett S.
VIETHAM MEDICAL JOURNAL N°1 - JUHE - 2017
V. KET lUiDlN
VMXMT la mdt benh cd ty le mac cao, nd anh hffdng dang ke den chat Iffdng cudc song. Chat Iffdng eupc sdng ciia benh nhan bi anh hffdng khdng chi bang cac trieu chuhg VMXMT nhff ngat tac mui, ehay mui, dau cang viing mat, dau dau, mat khuli giae ma ran kem theo sut giam ve the tffe, sff lo au, roi loan giac ngu va cam thay met mdi.
K§t qua tra Idi bang eau hdi SNOT-22 (5a ehi ra diem ciia benh ly VMXMT d mffc diem cao gay anh hffdng xiiu den chat Iffdng cuoc sdng eua nhffng benh nhan bi mac benh VMXMT.
TAI U | U THAM KHAO
1. Anand, VK (2004}. Epidemiology and economic impact of rhinosinusitis. Ann Otol Rhlnoi Laryngo, Suppl, 193:3-5.
z. Benninger, MS, Khalid, AN, Benninger, MR et al (2010).Surgery for chronic rhinosinusitis may improve sleep and sexual functon. Laryngoscooe
Vol. 120:1696 - 1700, ' 3. Fokkens, WJ., Lund, VJ., Mullol, 3 et a).
(2007). Position peper on Rhinosinusitis and Nasal Polyps 2007. Rhinology Suppl. Vol. 20:1-136.
4. Caiman. KC. (1984). Quality of life in cancer patients - an hypothecs. J Med Ethics, Vol. 127:167-174.
3. Carr, A3., Gibson, BA. & Robinson, PG. (2001).
Is quality of life detennined by expectations or experience'' Biv|j, Vol. 322: 1240-1243 6. Gliklich, RE. & Metson, R (19g5). The healt
impact of chronic sinusitis in patients seeking otolaryngologic care. Otolaryngol Head Neck Sm Vol. 113:104-109
7. Hopkins, C , Gillett, S., Slack, R., Lund, V]. &, Browne, JP. (2009). Psychometric validi^ of 22- item sinonasa! outcome test. Cim Otolaryngol, Vol 34:447-454
CHAT LirgNG VA MOT SO YEU TO LIEN QUAN DEN NHAN DfNH TiNH TRANG NGU'ai BENH KHI VAO KHOA HOI SU'C TfCH CU'C
BENH VIEN BACH MAI CUA DIEU DU'O'NG NAM 2 0 1 6 Hoang Minh Hoan', Dao Xuan Co^, Pham Huy Tuan Kigt^
T O M TAT
DSt van dS: viec danh gia chinh xac benh nhan cua dieu du3ng luc vao khoa Hoi sffc tich effc (HSTC) vo ciing quan trpng, dieu nay giiip cho dieu dffdng cung bac sy nhanh chong phoi hop vdi nhau de phan Ioai va xff tri benh nhan hp thdi. Muc tieu: l.Mo ta bide trang viec nh$n dinh ngddi benh luc vao HSTC cua dieu dudng. 2. Xac dinh mot so yeu to lien quan den vi$c nhan djnh ngddi benh lue nvao khoa HSTC cua dieu du&ng. PhUdng piiap: Nghien cffu thiet ke mo ta cSt ngang. Kit gua: Cd 394 lifOt tiep ddn ngu'di b^nh ciia dieu du'Sng khoa Hoi sffc tfch cu'c benh vi|n Bach Mai tffthang 11 nam 2016 den thang 03 nam 2017 20, ket qua cho thay thffc trang nhan dinh ngffdi benh ciia dieu du'dng khoa Hoi sffc tich cu'c con chu^ du'dc tot vdi t / le nhan dinh ngffdi benh dat chat lu'Ong tdt chi dat 62,7%, dat idai kha dat 27,4%
va 9,9% chat lu'Ong nhan dinh dat loai trung binh va kem. Nghien cffu cCing chi ra mot so yeu td anh hu'dng den chat lu'Ong nhin dinh ngffdi benh nhff tuoi cua dieu dudng, tnnh do dao tao, thdi gian lam viec tai khoa HSi sffc tich cffe.
T&khda: nhan dinh - khoa Hdi sffc tich cffe benh vien Bach Mai
'"^ Benh vien Bach Mai
^ Trddng Dai hpc Y-Ha Ngi Chju trach nhiem chinh: Ho^ng Minh Hoan Email: [email protected] Ngay nhan bai: 9.3.2017 Ngay phan bien khoa hoc: 28.4.2017 Ngay duyet bai: 9.5.2017
SUIVIMARY
THE QUALITY AND FACTORS RELATING TO NURSING ASSESSMENT ON PATIENTS ADMITTED TO INTENSIVE CARE UNIT IN
BACH M A I HOSPITAL Accurately evaluation of nurses to patients admitted to ICU is very important that helps nurses and doctors classify and manage patients timely.
Objectives: 1. Describe the assessment of nurees on patients admitted to intensive care unit. 2. Define Bie factors relating to assessment of nurses on patients admitted to intensive care unit. Methods. A cross- sectional study. Results, having 394 patients admitted to ICU were assessed by 46 nurses from November 2016 to March 2017, the results showed that the patient evaluation of nurses was not good with tJje high, medium and low quality of assessment vrere 62,7%, 27,44%, 9,9% respectively. Some factors sudi as the age, degree and experience in ICU of nurses also affected the quality of patient assessment.
I. OJC^T V A N DE
Khoa HSTC benh vien Bach Mai trung binii tiep nhan 1500-1700 ngffcJi benh nang va nguy kjch hang nam. Ben canh viec tham kham, nh|n djnh eiia bac sT ve tinti trang ngffdi benh thi viec danh gia chfnh xae benh nhan eua dieu diiSrig luc vao khoa HSTC vo cung quan trpng, dieu nay giup cho dieu dffSng ciJng bac sy nhanh chong phoi hdp vcfi nhau de phan loai va xff trf benh nhan kip thdi. Nhffng nam gan day khoa HSTC
