住院时间超30d患者的分布情况和主要影响因素探讨  

Discussion on the Distribution and Main Influencing Factors of Patients in Hospital for More Than 30 Days

作　　者：李明霞[1] LI Mingxia(Department of Quality Control,Ji’nan Third People’s Hospital,Ji’nan Shandong 250132,China)

机构地区：[1]济南市第三人民医院质量管理科,山东济南250132

出　　处：《中国卫生标准管理》2022年第20期39-42,共4页China Health Standard Management

摘　　要：目的 围绕济南市第三人民医院2020年1月—2021年12月住院时间超30 d患者的分布情况、主要影响因素进行探讨,为缩短患者平均住院时间、提高医疗资源合理利用率提供参考。方法 调取济南市第三人民医院2020年1月—2021年12月病案管理系统中超30 d患者的病案信息,针对其分布情况进行统计,探讨其影响因素。结果 在2020年1月—2021年12月中,住院时间超过30 d患者上报2 083例,其中首次上报1 469例(70.52%),原因分析:疾病本身治疗周期长1 077例(51.70%),存在并发症313例(15.03%),存在合并症304例(14.59%),患方原因拒绝出院93例(4.46%),医院感染病例227例(10.90%),涉及疾病确诊及转科17例(0.82%),手术及操作并发症52例(2.50%),无医疗纠纷发生;在2020年1月—2021年12月,住院时间超过30 d患者2 083例共涉及34个科室,其中患者集中于康复医学科419例(20.12%),创伤骨外一科205例(9.84%),重症医学一科191例(9.17%),综合治疗二科161例(7.73%),神经外一科157例(7.54%)。结论 住院时间超30 d患者主要原因为疾病本身治疗周期长及存在并发症、合并症等,且主要集中在康复医学科及创伤骨科中,需引起高度重视,采取积极措施缩短患者治疗时间。Objective To explore the distribution and main influencing factors of patients with hospital stay of more than 30 days in Ji’nan Third People’s Hospital from January 2020 to December 2021,so as to provide reference for shortening the average hospital stay and improving the rational utilization of medical resources.Methods Collected the medical record information of patients with more than 30 days in the medical record system of Ji’nan Third People’s Hospital from January 2020 to December 2021,made statistics according to its distribution,and explored its influencing factors.Results From January 2020 to December 2021,2 083 patients were hospitalized for more than 30 days,of which 1 469 cases(70.52%) were reported for the first time.Cause analysis:1 077 cases(51.70%) had a long treatment cycle,313 cases(15.03%) had complications,304 cases(14.59%) had complicating disease,93 cases(4.46%) refused to leave the hospital for reasons of the patient,227 cases(10.90%) had nosocomial infection,17 cases(0.82%) were related to disease diagnosis and referral,and 52cases(2.50%) had surgical and operative complications,no medical disputes.From January 2020 to December 2021,2 083 patients were hospitalized for more than 30 days,involving a total of 34 departments,of which 419 patients(20.12%) were concentrated in the department of rehabilitation medicine,205 patients(9.84%) in the first department of traumatic osteotomy,191 patients(9.17%) in the first department of critical medicine,161 patients(7.73%) in the second department of comprehensive treatment,and 157 patients(7.54%) in the first department of neurosurgery.Conclusion The main reasons for patients hospitalized for more than 30 days are the long treatment period of the disease itself and the complications,which are mainly concentrated in the department of rehabilitation medicine and trauma orthopedics.It is necessary to attach great importance and take active measures to shorten the treatment time of patients.

关 键 词：住院 治疗周期 患者分布 影响因素 手术并发症 医院感染 

分 类 号：R197[医药卫生—卫生事业管理]