基于路径分析模型的烧伤患者平均住院日影响因素分析  

Influential Factors Analysis on the Average Length of Stay of Burn Injury Patients Based on Path Analysis Model

作　　者：许毅从[1] 张秀来[1] 兰美娟[1] 朱晓华[1] 陈兴丽[1] 王丽娜[1] 鲍利青 蔡栋[1] 

机构地区：[1]浙江大学医学院附属第二医院医务部,杭州市310009

出　　处：《中国病案》2015年第1期57-59,共3页Chinese Medical Record

摘　　要：目的建立烧伤病人平均住院日影响因素模型,为缩短其平均住院日提供依据。方法采用路径分析模型分析各因素作用路径及作用大小。结果烧伤病人平均住院日为20.0天,对其有直接影响的变量按影响大小依次为烧伤面积、烧伤深度、并发症、烧伤部位、性别及呼吸道烧伤;有间接影响的变量依次为烧伤部位、烧伤面积及性别;总体影响按影响大小依次为烧伤面积(0.62)、烧伤深度(0.42)、烧伤部位(0.30)、并发症(0.26)、性别(-0.11)及呼吸道烧伤(0.05)。结论重点缩短小面积烧伤病人平均住院日,积极治疗大面积烧伤病人以预防并发症,指导烧伤病人早期现场正确处理是关键。Objectives To establish the influencing factors＇ model of the average length of stay in burn patients,so as to provide evidence for further decreasing of average length of stay.Method Path analysis model was adopted to analyze the action path and function of all factors.Results The average length of stay of burn injury patients was 20.0 days.Path analysis showed that the direct influential factors were burn area,depth,complications,body parts,gender and respiratory tract burn injury by the order.The indirect influential factors were burn body parts,burn area and gender successively.The total influential factors were burn area （0.62）,burn depth （0.42）,burn body parts （0.30）,burn complication （0.26）,gender （-0.11） and respiratory tract burn respectively （0.05）.Conclusions We should focus on shortening average length of stay in patients with small area burn injury,conduct active treatment of patients with large area burn to prevent complications,and the most important thing is to promote the knowledge of early correct field treatment for burn patients.

关 键 词：烧伤 平均住院日 影响因素 路径分析 

分 类 号：R197.32[医药卫生—卫生事业管理]