慢性阻塞性肺病患者出院后1个月内再住院的影响因素调查研究  

Investigation of the influencing factors of readmission within 1 month after discharge in patients with chronic obstructive pulmonary disease

作　　者：陈艺萍[1] 何文芳[1] 熊淑云[1] 李观蓝[1] 程丹微 CHEN Yi-ping;HE Wen-fang;XIONG Shu-yun;LI Guan-lan;CHENG Dan-wei

机构地区：[1]广东省中医院呼吸消化科,广州市510000

出　　处：《护理实践与研究》2020年第6期4-7,共4页Nursing Practice and Research

摘　　要：目的探讨慢性阻塞性肺病(COPD)患者出院后1个月内再住院的影响因素。方法选择我院2017年1月至2019年6月收治的COPD住院并在出院1个月内再住院的患者46例为观察组,同时收集同时期,病情严重程度相近的COPD住院并在出院1个月内未再住院患者46例作为对照组。采用单因素及多因素logisitc回归分析确定造成COPD患者出院后1个月内再住院的影响因素。结果结果显示,合并症数量、碳青霉烯类抗生素药物使用、住院期间全身激素使用是COPD患者发生1个月内再住院的独立危险因素(P<0.05),而出院后药物吸入和出院后良好医嘱依从性是其保护因素(P<0.05)。结论COPD患者出院后1个月内再住院的相关影响因素诸多且复杂,医护人员需针对COPD患者临床需求合理选择应用抗生素、激素等药物,重视培养患者用药依从性,联合多学科全面诊断治疗,以降低患者二次入院率,减少致残率和死亡率。Objective To investigate the influencing factors of readmission within 1 month after discharge in patients with chronic obstructive pulmonary disease(COPD).Methods To select 46 cases of patients with COPD who were rehospitalized within 1 month after discharge and admitted to our hospital from January 2017 to June 2019 as an observation group.At the same time,46 cases of patients with COPD and similar disease severity who hospitalized and had not readmission within 1 month after discharge were collected as a control group.Univariate and multivariate logisitc regression analysis were used to determine the influencing factors that caused patients with COPD to be readmission within 1 month after discharge.Results The results showed that the number of comorbidities,the use of carbapenem antibiotics,and the use of systemic hormones during hospitalization were the independent risk factors for readmission within 1 month in patients with COPD(P<0.05),while drug inhalation and good medical order compliance after discharge were the protective factors of readmission within 1 month after discharge(P<0.05).Conclusion There were many and complicated factors related to the readmission within 1 month after discharge in patients with COPD.Medical staff need to rationally choose antibiotics,hormones and other drugs according to the clinical needs of patients with COPD,pay attention to cultivating patient's compliance,and combine multidisciplinary comprehensive diagnosis and treatment In order to reduce the second admission rate of patients,reduce rate of disability and mortality.

关 键 词：COPD 1个月内再住院 危险因素 

分 类 号：R473.5[医药卫生—护理学]