卒中后30d患者发生非计划再入院的影响因素分析  

Analysis of influencing factors of unplanned readmission in patients 30 days after stroke

作　　者：吕俊俊 LYU Junjun(4^(th)Ward of Encephalopathy of Zhoukou Hospital of Traditional Chinese Medicine,Zhoukou 466000 Henan,China)

机构地区：[1]周口市中医院脑病四区,河南周口466000

出　　处：《中国民康医学》2025年第1期4-6,10,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析卒中后30 d患者发生非计划再入院的影响因素。方法:选取2021年4月至2022年11月该院收治的102例卒中患者进行横断面研究,根据卒中后30 d是否发生非计划再入院将其分为再入院组(n=24)与非再入院组(n=78)。收集患者一般资料,并采用Logistic回归分析卒中后30 d患者发生非计划再入院的影响因素。结果:102例卒中后30 d患者发生非计划再入院24例,发生率为23.53%;单因素分析结果显示,两组性别、文化程度、婚姻状况、医疗费用支付方式、吸烟史、饮酒史、合并糖尿病、住院时间、体质量指数(BMI)等比较,差异均无统计学意义(P>0.05);再入院组年龄>70岁、合并高血压、合并高脂血症、服药依从性差、未接受院内康复等占比均高于非再入院组,差异有统计学意义(P<0.05);Logistic回归分析结果显示,年龄>70岁、合并高血压、合并高脂血症等均为影响卒中后30 d患者发生非计划再入院的危险因素,服药依从性良好、接受院内康复等均为影响卒中后30 d患者发生非计划再入院的保护因素(P<0.05)。结论:年龄>70岁、合并高血压、合并高脂血症等均为影响卒中后30 d患者发生非计划再入院的危险因素,服药依从性良好、接受院内康复等均为影响卒中后30 d患者发生非计划再入院的保护因素。Objective:To analyze influencing factors of unplanned readmission in patients 30 days after stroke.Methods:A cross-sectional study was conducted on 102 stroke patients admitted to the hospital from April 2021 to November 2022.According to whether unplanned readmission occurred 30 days after stroke,these patients were divided into readmission group(n=24)and non-readmission group(n=78).The general data of these patients were collected.Logistic regression was used to analyze the influencing factors of unplanned readmission in the patients 30 days after stroke.Results:24 cases of unplanned readmission occurred in the 102 patients 30 days after stroke,with an incidence of 23.53%.The univariate analysis showed that there were no significant differences in gender,education level,marital status,payment method of medical expenses,smoking history,drinking history,diabetes mellitus,hospitalization time and body mass index(BMI)between the two groups(P>0.05).The proportions of the patients with age>70 years old,combined hypertension,combined hyperlipidemia,bad medication compliance,and no in-hospital rehabilitation in the readmission group was higher than that in the non-recurrence group,and the difference was statistically significant(P<0.05).Logistic regression analysis showed that age>70 years old,combined hypertension and combined hyperlipidemia were risk factors for unplanned readmission in the patients 30 days after stroke,and good medication compliance and in-hospital rehabilitation were protective factors(P<0.05).Conclusions:Age>70 years old,combined hypertension and combined hyperlipidemia are the risk factors for unplanned readmission in the patients with 30 days after stroke,and good medication compliance and in-hospital rehabilitation are the protective factors for unplanned readmission.

关 键 词：卒中 非计划再入院 高血压 高脂血症 服药依从性 

分 类 号：R743.3[医药卫生—神经病学与精神病学]