新疆某三甲医院住院患者出院后健康管理需求调查  

Survey on health management＇ needs among hospitalized patients after discharge in one grade 3 and first-class hospital of Xinjiang

作　　者：李萍[1] 王玲玲[2] 陈晨[3] 张爱华[4] 

机构地区：[1]新疆维吾尔自治区人民医院护理部,乌鲁木齐830001 [2]新疆医科大学护理学院,乌鲁木齐830001 [3]石河子大学医学院护理系,832000 [4]新疆医科大学第五附属医院教科办,乌鲁木齐830011

出　　处：《中华现代护理杂志》2013年第10期1142-1147,共6页Chinese Journal of Modern Nursing

基　　金：新疆维吾尔自治区科技支撑计划项目（201142165）

摘　　要：目的调查新疆某三级甲等综合医院住院患者出院后对健康管理模式的需求状况，了解患者对健康管理模式需求情况。方法2012年3—5月采用分层随机抽样法，对某三级甲等综合医院即将出院的700例患者进行问卷调查。结果92.9%的受调查者最渴望得到所患疾病的基本知识。不同文化程度、个人收入、医疗费用支付方式及年龄的患者对电话随访的频次的需求不同，差异有统计学意义（χ2值分别为32.97,37.19,31.35,34.51；P〈0.05）。不同民族、职业、医疗费用支付方式及居住地的患者对短信提醒的频次需求不同，差异有统计学意义（χ2值分别为30.314,39.669,29.146,13.013；P〈0.05）。不同民族、职业、文化程度、医疗付费方式、居住地及年龄的患者对电话随访时间段的需求不同，差异有统计学意义（χ2值分别为42.747,69.404,83.346,63.249,37.009,63.122；P〈0.05）。不同民族、文化程度、医疗付费方式、居住地的患者对短信提醒时间段的需求不同，差异有统计学意义（χ2值分别为45.099,54.699,57.745,31.769；P〈0.05）。结论出院患者渴望得到方式多样化、时间段及频次具体化、时间期限合理化的健康管理需求，医院在健康管理方式上需增加相应的形式，以满足出院患者的具体需求；性别和婚姻不是电话随访和短信提醒二者的频次、期限和时间段的需求的主要影响因素。Objective To investigate the need of health management of hospitalized patients after discharge in one class A comprehensive hospital so as to explore the patients expect health management mode. Methods In a three level of first-class comprehensive hospital, totals of 700 patients were investigated with questionnaire when they discharge between March and May 2012. Results 92.9% of respondents were most eager to get basic knowledge of disease. Patients with different education degree, personal income, hospitalization costs payment model, age had significantly different need regarding telephone follow-up frequency （ χ^2 = 32.97,37.19,31.35,34.51 ; P 〈 0.05 ）. And patients with different nation, profession, hospitalization costs payment model, place of residence had significantly different needing of text messages reminding frequency （ χ^2 = 30. 314,39. 669,29. 146,13. 013 ;P 〈 0.05 ）. Patients with different nation, profession, education level, hospitalization costs payment model, place of residence had significantly different needs regarding follow-up time quantum via telephone （χ^2 = 42. 747,69. 404,83. 346,63. 249,37. 009,63. 122 ; P 〈 0.05）. Patients with different nation, profession, education level, hospitalization costs payment model, place of residence and age had significantly different needs regarding time quantum of remind via telephone message （ χ^2 = 45. 099, 54.699,57. 745,31.76 ;P 〈 0.05 ）. Conclusions Discharged patients desire to get the health management that way diversification, the time and frequency concretization, time period rationalization, and hospital should increase the corresponding form to meet the specific needs. Sex and marriage are not the important factors for the remind frequency of telephone follow-up and text messages, time limit and time quantum.

关 键 词：出院患者 健康管理 需求 

分 类 号：R197[医药卫生—卫生事业管理]