摘要
目的分析某院超长住院日的影响因素,为缩短患者住院天数提供对策。方法采集2014年全年出院患者信息进行回顾性病例研究,数据采用SPSS17.0统计软件进行统计分析。结果 2014年超长住院者共1462例,占总出院人数7.87%,占用床位总日26.38%;好发于白细胞类恶性血液病患者,多集中于血四科;超长住院日主要分布在35 d^54 d;综合Logistic回归分析,化验结果等待、院内感染、转科、季节变化、疾病危重和合并症是独立影响因素(P<0.05)。结论超长住院患者管理是一项长期、持续不断的动态监测行为,需要采取综合改进措施,能有效控制超长住院日、缩短住院时间。
Objective：To analyze the influencing factors for extra long hospitalization and provide countermeasures for shorten- ing hospitalization days. Method ： The authors made a retrospective study of the cases collected in 2014 and made the statistical analy- sis with SPSS 17.0 Software. Result：There are 1,462 cases of extra long hospitalization in 2014,accounting for 7.87% of the total hospitalization and the total bed taking days is 26.38 %, involving mostly the patients with diseases of malignant white blood ceils in blood four families. The extra long hospitalization days range from 35 to 54. With Logistic regression analysis, test result waiting, hospital infection, department transfer, season changes, disease graveness and complications are the independent factors （ P 〈 0. 05 ）. Conclusion：The management of extra long hospitalization is a long-term nonstop monitoring and comprehensive improving measures should be taken to effectively control the extra long hospitalization and shorten hospitalization.
作者
陈琳
郭嘉奇
王津雨
CHEN Lin GUO Jia-qi WANG Jin-yu(Institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Science, Tianjin 300020, China Beijing Shijitan Hospital Affiliated to Capital Medical University,, Beijing 100038, China)
出处
《现代医院管理》
2017年第2期42-44,47,共4页
Modern Hospital Management
关键词
超长住院日
平均住院日
血液系统疾病
extra long hospitalization
average days of hospitalization
disease of hematological system
