基于PSM法的预住院模式在甲状腺外科手术中的应用效果评价  

Evaluation on the Application Effect of Pre-hospitalization Mode in Thyroid Surgery Based on Propensity Score Matching Method

作　　者：刘亚楠[1] 张瑞 弓玉红[3] 杨洋 闫乐池 付保丽[3] 王云华[3] 聂丽霞[3] Liu Yanan;Zhang Rui;Gong Yuhong(Shanxi Medical University,Taiyuan,Shanxi,030000,China;不详)

机构地区：[1]山西医科大学,山西太原030000 [2]南方医科大学珠江医院,广东广州510260 [3]山西医科大学第一医院,山西太原030000

出　　处：《中国医院管理》2023年第7期38-41,52,共5页Chinese Hospital Management

基　　金：山西医科大学第一医院院基金青年项目(YQ2217)。

摘　　要：目的评价预住院模式在甲状腺外科手术中的应用效果。方法纳入2021年4—12月在山西医科大学第一医院进行甲状腺外科择期手术的患者。首先采用倾向性评分匹配(propensity score matching,PSM)法校正组间的混杂因素,其次用独立样本t检验和χ^(2)检验综合分析PSM后预住院模式在甲状腺外科手术中的应用效果。结果在1215例患者中,405例(33.3%)为预住院组,810例(66.7%)为非预住院组,将两组患者的基线资料进行比较,其年龄、疾病名称、疾病严重程度差异均有统计学意义(P<0.05);PSM后,两组各有403例患者,其基线资料相比较,差异均无统计学意义(P>0.05)。与非预住院组相比,预住院组患者住院、术前住院等时长均明显减少,患者满意度为99.01%,呈上升趋势,预住院麻醉前评估后的不良情绪有所缓解。结论采用预住院管理模式可以明显缩短甲状腺外科手术患者的住院时间、减少患者术前候诊时间,减少患者负面情绪的产生。因此,预住院管理模式在甲状腺外科手术中值得借鉴和广泛应用。Objective To estimate the application effect of pre-hospitalization mode in thyroid surgery.Methods The retrospective cohort study included patients who underwent elective thyroid surgery in the First Hospital of Shanxi Medical University from April to December 2021.Firstly,the propensity score matching method(PSM)was used to correct mixed factors between the groups.Secondly,the independent sample t-test and χ^(2) test were applied to comprehensively analyze the application effect of pre-hospitalization pattern used PSM method in thyroid surgery.Results Among the 1215 patients,405(33.3%)were in the Pre-hospitalization group and 810(66.7%)were in the non-pre-hospitalization group.After comparing the baseline data of patients in these two groups,the result showed that there were statistical significances among the age,disease name and severity of disease differences(P0.05).However,after using PSM method,there were 403 patients in the each group,and there was no statistically significant between the baseline data(P0.05).Compared with the non-pre-hospitalization group,the length of hospitalization and preoperative hospitalization in the pre-hospitalization group was significantly reduced,patient satisfaction was 99.01%which was on the rise.The adverse mood after the pre-anesthesia evaluation in the pre-hospitalization group was significantly relieved.Conclusion The pre-hospitalization management model can significantly reduce the length of stay,preoperative waiting time and negative emotions of patients undergoing thyroid surgery.Therefore,the pre-hospitalization management model should be widely used in thyroid surgery.

关 键 词：预住院模式 倾向性评分匹配 甲状腺外科手术 

分 类 号：R197.323.2[医药卫生—卫生事业管理]