摘要
目的通过对医院非医嘱离院患者相关因素进行分析,为医院管理提供依据。方法首先用描述性统计方法列出2016年3月-9月1963例非医嘱离院患者的一般情况、科室构成、疾病构成;再用Logistic逐步回归分析其相关因素,了解非医嘱离院的具体原因。结果非医嘱离院患者男性多于女性(X^2=76.98,P<0.001,差异有统计学意义),年龄中位数49岁;外科患者占比最高,病种以损伤、中毒最多;经Logistic逐步回归分析显示变量年龄、离异、农民、全自费、有无手术、有无抢救、住院天数与患者非医嘱离院相关。结论医院应重视非医嘱离院群体,不断提高医疗服务质量,加强有效医患沟通,从而减少患者非医嘱离院的发生以及随之带来的负面影响。
Objective Through analyze on the related factors of discharged patients without doctor＇s advice, to provide the basis for hospital management. Methods To use descriptive statistical methods list the patient＇s general condition, unit and disease composition of 1963 cases of discharged patients without doctor＇s advice from March to September 2016, then adopt Logistic stepwise regression to analyze its related factors and understand the doctor＇s advice the specific reason for the departure from the hospital. Results There were more male than female in discharged patients without doctor＇s advice, （Х^2=76.98, P〈0. 001, had statistical significance）. The average age was （42. 97 ± 27.99）, surgical patients accounted for the highest proportion, the most diseases entities were injury and poisoning. The Logistic stepwise regression analysis showed thin variables of age, divorced, farmers, at all, patients with surgery, presence of rescue, hospitalization days were related to the discharged without doctor＇s advice of patients. Conclusions Hospital should pay attention to the group of discharged without doctor＇s advice, and constantly improve the quality of medical service, strengthen the doctor-patient communication effectively, so as to reduce the occurrence and negative impacts of discharged without doctor＇s advice.
作者
曹静
Cao Jing(Department of Medical Records and 410004, Hunan Province, China Analysis Statistics, Changsha Central Hospital, Changsha)
出处
《中国病案》
2017年第7期24-26,共3页
Chinese Medical Record
关键词
医嘱
离院
分析
Doctor＇s advice
Discharged from hospital
