高龄产妇剖宫产住院日影响因素分析

FACTORS INFLUENCING HOSPITAL STAY IN ELDERLY PREGNANCY UNDERGOING CESAREAN SECTION

目的探讨产科高龄产妇剖宫产住院日及其影响因素,并提出减少住院日的对策。方法以某院2009年1月—2011年12月间住院的年龄在35岁以上的剖宫产产妇为调查对象,收集病案资料,用自制的调查表调查相关因素,采用多元逐步回归分析对高龄产妇剖宫产平均住院日的影响因素进行分析。结果高龄产妇剖宫产平均住院日为8.55d,影响高龄产妇剖宫产平均住院日的因素为年龄、付款方式、入院病情、新生儿体质量、高龄初产、并发症、产前检查、治疗结果、新生儿转科和产妇会诊。结论应结合影响住院日相关因素,采取病种特点与单病种临床路径相结合的方式确定适宜的平均住院日。

Objective To explore the hospitalization days of elderly parturients who had C-section and its influencing factors, and provide measures to reduce the length of the stay. Methods Clinical data of parturients aged over 35 years who under went C-section （2009.01- 2011.12） were collected from a hospital. A self-made questionnaire was applied to survey related factors. SPSS 18. 0 was used to analyze the factors that influenced their average length of hospital stay. Results The average days of stay were 8.55 days. The influencing factors of average length of elderly parturients who had a C-section were： age, type of payment, patient＇s condition on admission, body mass of newborn, elderly primipara, complications, prenatal examinations, treat ment outcome, transfer treatment for newborn, and lying-in woman consultation. Conclusion Appropriate length of average hospital stay should be determined based on the related factors by combining the features of the entity with single disease clinical pathways.