四川省综合性医院老年科开展老年综合评估影响因素探讨  

Exploration of influencing factors for comprehensive geriatric assessment carried out in geriatric departments of comprehensive hospitals in Sichuan province

作　　者：谢冬梅[1] 董碧蓉[1] 岳冀蓉[1] Xie Dongmei;Dong Birong;Yue Jirong(Center of Gerontology and Geriatrics,West China Hospital,Sichuan University,National Clinical Research Center for Geriatrics,Chengdu 610041,China)

机构地区：[1]四川大学华西医院老年医学中心国家老年疾病临床医学研究中心,成都610041

出　　处：《中华老年医学杂志》2018年第12期1407-1411,共5页Chinese Journal of Geriatrics

摘　　要：目的 探讨老年综合评估(CGA )在四川省综合医院老年科的开展情况以及影响因素,明确老年科的人员构成及培训教育是否对CGA的开展有影响. 方法 采用问卷的方法,对纳入所有四川省质控中心的参加单位,对综合性医院的老年科现状进行调查.分析开展CGA条目数与相关影响因素的线性关系,并采用SPSS统计软件进行多元线性逐步回归分析. 结果 医院级别(β= -5.4 ,P=0.03)、参加老年性疾病相关培训班≥3次的人数(β=0.2 ,P=0.05)、每床配备护士人数(β=15.6 ,P=0.03)、医师硕士人数(β= -0.2 ,P=0.04)、医务人员平均年龄(β= -0.6 ,P=0.05)与CGA开展的条目数相关. 结论 CGA开展的条目数目与医院级别、积极参加老年专科培训、每床配备护士人数、医师硕士人数、医务人员的年轻化正相关.Objective To investigate influencing factors for comprehensive geriatric assessment carried out in geriatric departments of comprehensive hospitals in Sichuan province and its influential factors ,in order to verify whether education affects CGA and to raise medicine quality of senile disease. Methods The self-designed questionnaires were distributed to 40 hospitals in difference downs and cities in Sichuan province. The data were collected ,including items of CGA carried out in each hospital ,structure of staff ,scale ,bed distribution ,numbers of bed in geriatric department ,etc. The correlations of CGA items with the related factors were analyzed by using multiple linear regression analysis. Results The items of CGA carried out was positively related with hospital grade (β= -5.4 ,P=0.03) ,the staff-attending three times or more of geriatric training course (β=0.2 ,P=0.05) , the number of nurses per bed(β=15.6 ,P=0.03) ,the number of physicians with master's degree(β=-0.2 ,P=0.04) ,and the lower average age of medical staff (β= -0.6 ,P=0.05). Conclusions The grade of hospital ,attending actively geriatric training course ,the number of the nurses per bed ,the number of physicians with master's degree ,and the younger average age of medical staff were positively associated with the items of CGA carried out in hospitals.

关 键 词：老年综合评估 老年科 问卷调查 危险因素 

分 类 号：R197.3[医药卫生—卫生事业管理]