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目的对妇产科病房患者住院的不合理性进行分析。方法应用改良评价方案对2008-2010年的住院进行分析。结果 842例患者的平均住院时间为(55.18±5.03)h。61.2%的患者住院时间延长,手术前无需住院的原因:手术患者未在辨认进行术前准备,不适当的诊断操作并导致紧急住院(OR=2.91,CI=1.53～5.28,OR=1.56,CI=1.10～2.99及OR=1.01,CI=0.08～2.58)。手术后延迟出院的最主要原因是:患者家居离医院远、医生推迟患者出院时间(OR=4.18,CI=2.57～13.20 andOR=2.06,CI=1.02～4.43)。结论 61.2%患者存在住院的不合理因素,如何使患者住院时间更加合理有待于进一步研究。
Objective To analyze the unreasonable hospitalization of obstetrics and gynecology wards. Methods An improved evaluation program was used to analyze hospitalizations during 2008-2010. Results The average hospitalization time of 842 patients was (55.18 ± 5.03) h. 61.2% of patients were hospitalized for prolonged hospital stay without surgery prior to surgery: patients were not identified for preoperative preparation, inappropriate diagnosis and emergency hospitalization (OR = 2.91, CI = 1.53-5.28, OR = 1.56, CI = 1.10-2.99 and OR = 1.01, CI = 0.08-2.58). The main reason for postponement of postoperative delayed discharge was that the patient was far away from the hospital and the doctor postponed the discharge time (OR = 4.18, CI = 2.57-13.20 and OR = 2.06, CI = 1.02-4.43). Conclusion 61.2% patients have unreasonable factors of hospitalization, and how to make hospital stay more rational needs further study.