择日住院管理在甲状腺肿瘤和乳腺癌患者中的应用效果

Application effect of selective hospitalization management in patients with thyroid tumor and breast cancer

目的：回顾性调查分析比较同期甲状腺肿瘤、乳腺癌患者实施择日住院管理与未实施择日住院管理住院时间与住院费用,了解实施择日住院管理缩短肿瘤患者平均住院日的效果。方法回顾性调查2013年3月—2016年2月福建省立医院收治的419例甲状腺肿瘤以及318例乳腺癌患者作为为研究对象,按实施择期住院管理与未实施住院管理分为两组,分别比较两组之间的患者平均总住院日、术前住院日、术后住院日以及住院费用情况。结果与同期未实施择日住院管理的甲状腺肿瘤、乳腺癌患者相比,实施择日住院管理的患者平均总住院日[（6.56±2.94） vs （8.09±3.71）d,（12.44±3.91） vs （14.73±6.66）d）]和术前住院日[（2.42±1.94） vs （4.17±2.68）,（2.98±1.70） vs （5.29±4.00）d]均降低,差异均有统计学意义（ P〈0.05）；而术后住院日差异无统计学意义（ P〉0.05）；同时两种肿瘤患者择日管理组与未择日管理组平均住院费用差异无统计学意义（ P〉0.05）。结论择日住院管理在不增加患者经济负担基础上,可有效缩短择日手术患者住院时间,提高床位周转率,对医院产生良好的社会效益和经济效益。

Objective To retrospectively compared the hospitalization days and hospitalization costs of patients with thyroid tumor and breast cancer between patients who accepted selective hospitalization management and patients who accepted routine hospital management, and analyze the effect of selective hospitalization management to shorten the average hospitalization days.Methods A total of 419 patients with thyroid tumor and 318 patients with breast cancer who were treated in Fujian Provincial Hospital from March 2013 to February 2016 were chosen as the study object, and they were divided into the control group and the study group according to whether accepting the selective hospitalization management. Evaluating indicators included the total hospitalization days, preoperative hospitalization days, postoperative hospitalization days and hospitalization costs.Results Compared with the control group, the average total hospitalization days [（6.56±2.94）d vs （8.09± 3.71）d,（12.44±3.91）d vs （14.73±6.66）d）] and preoperative hospitalization days[（2.42±1.94）d vs （4.17± 2.68）d,（2.98±1.70） vs （5.29±4.00）d] in the study group were all reduced （P〈0.05）. There was no significant difference in the postoperative hospitalization days and the average hospitalization costs between two groups （ P 〉 0. 05 ） . Conclusions Selective hospitalization management could effectively shorten the hospitalization days of patients undergoing selective operation, and increase beds turnover rate. So the new management method would produce good social and economic benefits for the hospital.