14岁以下重症哮喘患儿住院时间与家庭经济负担调查  

Hospitalization time and family financial burden of children under 14 years old with severe asthma

作　　者：赵雪琴[1] 秦巧稚 经纬[1] 张娴[1] ZHAO Xueqin;QIN Qiaozhi;JING Wei;ZHANG Xian(Department of Pediatrics,Subei People′s Hospital,Yangzhou,Jiangsu 225000,China)

机构地区：[1]江苏省苏北人民医院儿科,江苏扬州225000

出　　处：《公共卫生与预防医学》2021年第4期96-99,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的探究扬州地区14岁以内重症哮喘患儿住院时间与家庭经济负担情况。方法选取2017年1月到2019年12月江苏省苏北人民医院收治的14岁以内因急性发作入院的重症哮喘患儿,采用问卷调查、查询医院收费系统和随访方式收集患儿临床资料、住院时间、直接及间接费用等,并采用逐步回归分析影响患儿总费用的因素。结果2017—2019年共纳入206例,其中男117例,女89例,平均年龄(7.24±1.53)岁,总年龄分布为6月~3岁(33.01%)、>3~4岁(24.27%)、>6~13岁(20.39%)为主,发病季节以秋冬季(33.01%)为主,平均住院时间为(8.50±1.42)d,年均家庭总费用(6884.20±957.61)元,患儿住院时间逐年减少、总费用呈逐年上升,差异具有统计学意义(P<0.05);多元逐步回归分析显示,患儿住院时间、抗生素使用时间、是否有过敏性鼻炎、是否有肺心病、是否进行GINA规范治疗是影响重症哮喘患儿总费用的相关因素(P<0.05)。结论2017—2019年扬州地区<14岁重症哮喘患儿住院时间有逐渐减少趋势、总费用有逐渐增加趋势,缩短住院时间、积极防控并发症、规范化治疗可有效减轻患儿家庭经济负担。Objective To explore the hospitalization time and family financial burden of children under 14 years old with severe asthma in this region.Methods Children under 14 years old with severe asthma who were admitted to our hospital from January 2017 to December 2019 as a result of an acute attack were selected in this study.Questionnaire surveys,hospital charging system,and follow-up methods were used to collect clinical data,length of hospital stay,and direct and indirect costs of the children with asthma.Stepwise regression was applied to analyze the factors influencing the total cost.Results A total of 206 children were enrolled from 2017 to 2019,including 117 males and 89 females,with an average age of(7.24±1.53)years old.The total age distribution mainly consisted of six months to 3 years old(33.01%),>3 to 4 years old(24.27%),and>6-13 years old(20.39%).The onset season was mainly autumn and winter(33.01%).The average length of hospital stay was(8.50±1.42)d.The annual average family cost was(6884.20±957.61)RMB.The length of hospital stay decreased year by year,while the total cost increased year by year(P<0.05).Multiple stepwise regression analysis showed that the length of hospitalization,antibiotic use time,and presence/absence of allergic rhinitis,pulmonary heart disease and GINA standard treatment were the related factors affecting the total cost in children with severe asthma(P<0.05).Conclusion From 2017 to 2019,the hospitalization time of children under 14 years old with severe asthma in this region decreased over time,while the total cost gradually increased.Shortening the hospitalization time,actively preventing and controlling complications,and standardizing treatment can effectively reduce the financial burden of children′s families.

关 键 词：重症哮喘 住院时间 家庭经济负担 

分 类 号：R181[医药卫生—流行病学]