摘要
目的分析北京市某三级医院泌尿外科住院患者31天内非计划再入院的现状,研究患者31天内再入院的影响因素。方法选取2019年1月1日-2019年12月31日期间,31天内非计划再入院的泌尿外科住院患者,对患者再入院的原因和导致患者再入院的影响因素进行分析,进行描述性统计分析。结果北京市某三级医院泌尿外科2019年1月1日-12月31日共出院患者人数6521人次,其中31天内非计划入院患者人数为210人次,占总出院人数的3.22%。其中,患者是否具有社保、个人原因、手术条件不足、妇科相关问题对31天内非计划再入院有影响,差异有统计学意义(P<0.05)。具有医保的患者(OR=0.698,95%CI:0.554~0.778)是31天内非计划再入院的保护因素,具有妇科相关问题(OR=1.098,95%CI:1.021~1.113)、存在手术条件不足(OR=1.898,95%CI:1.554~1.978)、具有个人精神等原因(OR=2.698,95%CI:2.554~2.778),与31天内非计划再入院呈正相关。结论医院和科室要重视非计划再住院的管理指标,加强非计划再入院的管理和规范诊疗,加强科室专科培训,对患者入院前进行健康宣教,制定合理考核体系,有效地降低非计划再入院率。
Objective To analyze and study the status quo of unplanned readmission within 31 days of inpatients in urology department of a tertiary hospital in Beijing, and to explore the influencing factors of readmission within 31 days. Methods A descriptive statistical analysis was made on 210 unplanned readmissions within 31 days from January 1, 2019 to December 31, 2019 in the urology department of a tertiary hospital in Beijing, and the causes of readmission and the influencing factors were analyzed. Results From January 1 to December 31, 2019, 6521 patients were discharged from the urology department of a third level hospital in Beijing, and 210 patients were unplanned admitted within 31 days, accounting for 3.22% of the total discharged patients. Among them, whether the patients have social security, personal reasons, inadequate surgical conditions, and gynecological related problems have an impact on unplanned readmission within 31 days(P<0.05). The patients with medical insurance(or = 0.698, 95% CI: 0.554-0.778) were the protective factors of unplanned readmission within 31 days, with gynaecological related problems(or = 1.098, 95% CI: 1.021-1.113), lack of surgical conditions(or = 1.898, 95% CI: 1.554-1.978), personal spirit and other reasons(or = 2.698, 95% CI: 2.554-2.778) and unplanned readmission within 31 days. Conclusion Hospitals and departments should pay attention to the management indicators of unplanned readmission, strengthen the management and standardized diagnosis and treatment of unplanned readmission, strengthen the specialized training of departments, carry out health education for patients before admission, and develop a reasonable index evaluation system, which can effectively reduce the rate of unplanned readmission.
作者
焦蕊
Jiao Rui(Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)
出处
《中国病案》
2020年第10期74-77,共4页
Chinese Medical Record
