COPD患者“社会化住院”现状及影响因素分析  

Status quo and influencing factors of"socialized hospitalization"in COPD patients

作　　者：顾悦成 徐绶源 张金凤[2] 章富莲[2] Gu Yuecheng;Xu Shouyuan;Zhang Jinfeng;Zhang Fulian(Nursing School,Zhejiang Chinese Medical University,Hangzhou 310053,China;Respiratory Support Ward,Chengbei Branch,Hangzhou First People's Hospital(Hangzhou Geriatrics Hospital),Hangzhou 310022,China)

机构地区：[1]浙江中医药大学护理学院,杭州310053 [2]杭州市第一人民医院城北院区(杭州市老年病医院)呼吸支持病区,310022

出　　处：《中华现代护理杂志》2021年第30期4067-4072,共6页Chinese Journal of Modern Nursing

摘　　要：目的研究分析COPD患者“社会化住院”现状及其影响因素,并提出建设性应对策略。方法采用便利抽样法选取2018年6月—2020年6月杭州市第一人民医院收治的256例COPD患者作为研究对象,自制“社会化住院”现状及影响因素调查问卷对患者进行调查,采用单因素分析和多因素Logistic回归分析对影响COPD患者“社会化住院”的因素进行分析。结果256例COPD患者中,最终获得有效样本239例,共出现“社会化住院”者61例(25.52%)。“社会化住院”者的住院时间长于非“社会化住院”者,差异有统计学意义(t=16.510,P<0.01),住院费用高于非“社会化住院”者,差异有统计学意义(t=17.820,P<0.01)。单因素分析结果显示,“社会化住院”者与非“社会化住院”者的年龄、病程、医保类型、入院方式、医院获得性感染情况、精神状态评分、呼吸困难程度评分及基本生活活动能力评分比较,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,患者年龄、医保类型、入院方式、是否并发医院获得性感染、精神状态、呼吸困难程度及基本生活活动能力是COPD患者“社会化住院”的影响因素(P<0.05)。结论COPD患者多种生理及病理情况、家庭条件是COPD患者“社会化住院”的影响因素,应平衡医疗资源配置、配套完善护理体系、提高医护技术水平及质量以缓解“社会化住院”压力。Objective To explore the status of"socialized hospitalization"of chronic obstructive pulmonary disease(COPD)patients and its influencing factors,and propose constructive coping strategies.Methods From June 2018 to June 2020,convenience sampling was used to select 256 COPD patients admitted to Hangzhou First People's Hospital as the research object.The self-designed Socialized Hospitalization Status and Influencing Factors Questionnaire was used to investigate patients.Single factor analysis and multivariate Logistic regression analysis were used to analyze the influencing factors of the"socialized hospitalization"of COPD patients.Results Among 256 COPD patients,239 effective samples were finally obtained,and 61 cases(25.52%)were"socialized hospitalization".The hospitalization time of patients with"socialized hospitalization"was longer than those with non-"socialized hospitalization",and the difference was statistically significant(t=16.510,P<0.01).Hospitalization expenses were higher than those with non-"socialized hospitalization",and the difference was statistically significant(t=17.820,P<0.01).The results of single factor analysis showed that there were statistically significant differences in the age,course of illness,type of medical insurance,hospital admission method,hospital-acquired infection,mental status score,dyspnea score,and basic life activity ability in patients with"socialized hospitalization"and non-"socialized hospitalization"(P<0.05).The results of multivariate Logistic regression analysis showed that the patient's age, type of medical insurance,hospital admission method, hospital-acquired infection, mental status, dyspnea, and basic life activity abilitywere the influencing factors of COPD patients' "socialized hospitalization", and the difference was statisticallysignificant (P < 0.05). Conclusions Various physiological and pathological conditions and family conditionsare the influencing factors of "socialized hospitalization" in COPD patients. The allocation of medical resourcesshould be bal

关 键 词：肺疾病 慢性阻塞性 社会化住院 呼吸困难 医院获得性感染 

分 类 号：R473.5[医药卫生—护理学]