大肠癌手术患者住院日异常的影响因素分析

Analysis of Influencing Factors of Abnormal Hospitalization Day in Patients with Colorectal Cancer Surgery

目的分析某肿瘤专科医院大肠癌手术患者住院日过长情况,探讨其影响因素。方法以该院2015年出院的1358例大肠癌手术病例作为研究对象,采用单因素和多因素Logistic回归分析方法,对住院日过长的影响因素进行分析。结果单因素分析显示,性别、合并心肺疾病、出院病区、术前住院日、手术级别、手术中是否输血以及是否发生术后并发症是大肠癌手术患者住院日过长的影响因素(p<0.05);多因素分析显示,性别、合并心肺疾病、出院病区、术前住院日、手术中是否输血以及是否发生术后并发症是影响大肠癌手术患者住院日过长的独立因素(p<0.05)。结论可通过完善住院天数监控反馈机制,不断优化患者诊疗流程,提高医技科室工作效率,推进临床路径工作,以及加强围手术期管理等措施,在保证医疗质量和安全的前提下,进一步缩短大肠癌手术患者住院日。

Objective To investigate the status quo and influencing factors of abnormal hospitalization day in inpatients with colorectal cancer surgery in a tumor hospital. Methods A total of 1358 patients with colorectal cancer surgery who were discharged from hospital during 2015 were enrolled in this study. We used single factor and multifactor logistic regression model to analyze influencing factors of abnormal hospitalization day. Results We found sex, cardiovascular complications, the hospital ward, the duration of hospitalization before surgery, operation level, blood transfusion, and postoperative complications are associated with abnormal hospitalization day in single factor analysis（p0.05）. While in multifactor analysis, we found sex, cardiovascular complications, the hospital ward, the duration of hospitalization before surgery, blood transfusion, and postoperative complications are independent influencing factors of abnormal hospitalization day（p0.05）. Conclusion We can further reduce the duration of hospitalization in patients with colorectal cancer by improving the feedback mechanism of hospitalization duration monitoring, continuously optimizing the process of patient diagnosis and treatment, improving the efficiency of medical departments, promoting the clinical pathway, and strengthening perioperative management, so as to ensure the medical quality and safety.