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目的分析影响重大疾病住院天数的主要因素,提出缩短超长住院天数的方法。方法从新疆某三级医院信息系统调取2015年下半年胃癌出院患者信息,收集1 588例胃癌患者住院临床信息,利用Excel表格功能以及多因素Logistic回归分析,了解胃癌患者超长住院天数的主要影响因素。结果 Logistic回归模型显示,胃癌患者的肿瘤分期、治疗方案、会诊情况、转科情况、抢救情况、手术等级、切口等级以及是否有消化道疾病对病人的住院天数的影响有统计学意义(P<0.05)。结论疾病进展程度、诊疗方案、会诊、转科、手术等级、切口大小以及是否有伴随性疾病等为影响胃癌超长住院天数主要的因素;对病人进行及时、合理的诊疗、分科、会诊以及简化程序是缩短住院天数的有效措施;只有综合考虑所有影响因素,有重点地控制主要因素,才能最大程度地缩短住院天数。
Objective To analyze the main factors influencing the number of days hospitalized for major diseases and to propose ways to shorten the length of hospital stay. Methods The information of patients discharged from gastric cancer in the second half of 2015 was collected from the information system of a tertiary hospital in Xinjiang. The clinical information of 1 588 patients with gastric cancer was collected. Using Excel spreadsheet and multivariate Logistic regression analysis, Influencing factors. Results The Logistic regression model showed that there were significant differences in the staging, treatment options, consultation status, transfer status, resuscitation status, operation grade, incision grade and the presence of gastrointestinal diseases in patients with gastric cancer (P < 0.05). Conclusions The extent of disease progression, diagnosis and treatment plan, consultation, referral, operation grade, incision size and concomitant disease are the main factors influencing the length of hospitalization for gastric cancer. The timely and reasonable diagnosis and treatment of patients, subdivision, consultation and simplification Procedures are effective measures to shorten the length of hospital stay; only by focusing on all the influencing factors and by focusing on the major factors can the number of days of hospitalization be shortened.