武汉市某三甲医院老年患者选择子女就医陪护的差异分析

Investigation on Difference of Elderly Patients Choosing Their Children for Medical Care in a Grade Three Class A Hospial in Wuhan City

目的:了解子女在老年人就医陪护上的角色差异及其规律,为提高临时护理效果提供参考。方法:通过病案管理系统及住院患者首页资料获得老年人住院联系人信息,比较不同特征老年人的子女在就医陪护上的差异。结果:由儿子陪护老年父母就医的比例高于女儿,这在干部医保患者和住院总费用高的患者中较为明显(儿子占比分别达59.3%和59.1%)。不同性别、年龄、医疗付费方式、住院天数和住院总费用组老年患者儿女就医陪护的差异有统计学意义。结论:老年人更多地是由儿子陪护就医住院,女性患者、高龄、住院时间长、干部医保类型患者和住院总费用高的老年住院患者相较其他老年患者更为明显,这对临床护理过程中如何加强与患者家属多进行沟通具有参考意义。

Objective： To find out the difference of children＇s accompanying role and the rules in elderly parents attending a doetor so as to provide reference for improving the effect of clinical nursing. Methods： The contacts information for hospitalized patients was exported from the medical record management system, and the factors that resulted in the different companies selected in the proeess of medieal treatment were explored. Results： Sons were more likely to accompany their parents to the hospital, and it was more common in those with cadres＇ health care （59.3%） and high hospitalization expenses （59.1%）. There were significant statistie differences between old patients with different gender, age, medical payments, hospitalization days, and hospitalization ex. penses. Conclusion： It was more common that old people were accompanied by their son to the hospital. Compared with other elderly patients, it was obvious in patients of female, elderly, long stay in hospital, cadres, with medical insurance type and hospitalized with high total eost of hospitalization. It was of great reference significanee to strengthen communication between patients and their families in the clinical nursing process.