烟台市综合性医院家庭病床科患者现状调查

Investigation and Analysis of Home Sick-bed Patients in General Hosptials of Yantai

目的调查烟台市综合性医院家庭病床科患者的流行病学特点,为其发展和满足患者需求提供客观依据。方法 2013年抽取烟台市3家综合性医院的家庭病床科患者进行调查,按照患者办理家庭病床的时间分为两组,1994年5月—2003年5月为对照组,2003年6月—2013年6月为观察组。分别统计并对比分析两组患者的性别、年龄、居住地、职业、疾病分布情况。结果共调查2 356例家庭病床患者,其中对照组967例,观察组1 389例。两组男性患者的比例均多于女性患者(对照组589/378,观察组819/570,χ2值分别为30.857和20.791,P<0.05)。对照组中年患者所占比例〔456(47.2%)〕最多,观察组老年患者所占比例〔691(49.7%)〕最多(P<0.05)。两组城市居民的比例均多于农村居民(对照组705/262,观察组1 132/257,P<0.05)。对照组农民的比例多于观察组,自谋职业者的比例少于观察组(P<0.05)。两组患者的疾病分布间差异无统计学意义(χ2=12.607,P=0.126)。结论家庭病床科患者流行病学特征近10年较10年前有一定变化。为适应其变化应为家庭病床科配备优秀的全科医师和护理人员及专职或兼职相关专业技术人员,完善相应的医疗设备和应急抢救用品。

Objective To investigate the epidemiological features of patients in sick-bed departments in Yantai gen-eral hospital,to provide an objective basis for home sick-bed development and meet patientsˊneeds. Methods 2013,the pa-tients in home sick-bed departments of 3 general hospitals were divided,according to time of starting home sick-bed,into groups control（from May 1994 to May 2003）,study（from June 2003 to June 2013）. Gender,age,residence,occupation, disease types were analyzed comparatively. ResUlts 2 356 home sick-bed patients were investigated,967 in control group,1 389 in study group. Male patients were more than female（589/378 in control group,819/570 in study group;χ2 =30. 857, 20. 791;P〈0. 05）. Middle-age patients were the most in control group（456,47. 2%）,elderly patients were the most in study group（691,49. 7%）（P〈0. 05）. Urban residents were more than rural（705/262 in control group,1 132/257 in study group;P〈0. 05）. Farmers were more,self-employed persons fewer in control group than in study group（P〈0. 05）. There was no significant difference in disease constitutes between 2 groups（χ2 =12. 607,P=0. 126）. ConclUsion The epi-demiological features of home sick-bed patients have changed in the recent 10 years as compared with those 10 years ago. Excel-lent general practitioners and nurses,full- or part-time professional and technical personnel should be provided for home sick-bed departments to meet its changes.