摘要
目的了解急诊肠造口患者术后3个月内非计划性再入院现状并分析其影响因素。方法采用回顾性研究方法,将2015年1月—2017年5月在某三级甲等医院胃肠外科行急诊肠造口手术的297例患者作为研究对象,通过医院电子病历系统及电话随访收集患者资料,分析患者术后3个月内非计划性再入院的影响因素。结果 297例患者中有58例患者在术后3个月内发生非计划性再入院,发生率为19.53%。Logistic回归分析结果显示,合并糖尿病、术后并发症、年龄、首次住院主要诊断为结直肠肿瘤梗阻及造口类型是急诊肠造口患者非计划性再入院的影响因素。结论急诊肠造口患者术后3个月内非计划性再入院发生率较高,医务人员应对有糖尿病、术后发生并发症、高龄及回肠造口的患者给予更多关注,加强术后指导及出院随访,降低其非计划性再入院的风险。
Objective To investigate the status of unplanned readmission of patients within 3 months after emergency enterostomy and to analyze its influencing factors. Methods A retrospective research method was adopted. Totally 297 patients after emergency enterostomy were selected during January in 2015 to May in 2017 from the Gastroenterological surgery in one tertiary hospital. The data of patients were collected through the electronic medical record system and telephone follow-ups. Logistic regression model was used to analyze the risk factors of unplanned readmission of patients after emergency enterostomy. Results The incidence of unplanned readmission of patients within 3 months after emergency enterostomy was 19.53%（58 of 297）. Logistic regression model showed that diabetes,postoperative complications and age were independent predictors of unplanned readmission. Conclusion The incidence of unplanned readmission of patients within 3 months after emergency enterostomy is still high. Medical staffs should pay more attention to the patients with diabetes,postoperative complications and elder ages,and strengthen the postoperative health education and follow-up to reduce the risk of unplanned readmission.
作者
王志霞
徐惠丽
李静
侯梦晓
WANG Zhi-xia;XU Hui-li;LI Jing;HOU Meng-xiao
出处
《中华护理教育》
2018年第11期860-864,共5页
Chinese Journal of Nursing Education
基金
河南省科技攻关计划项目(182102310147)
关键词
肠造口术
病人再入院
数据收集
Enterostomy
Patient Readmission
Data Collection
