儿童和青少年长期住院的决定因素:一项回顾性观察性研究
Manuele Cesare1, Fabio D'Agostino2, Mario Cesare Nurchis3
1Center of Excellence for Nursing Scholarship (CECRI), Rome, Italy.
概括
儿童和青少年长期住院与更多的医疗诊断和护理行动有关. 优化护理和整合数据可以改善结果并降低成本.
科学领域:
- 儿科医疗保健研究的研究.
- 医院的行政管理和管理.
- 护理信息学 在护理信息学.
背景情况:
- 长期停留 (LOS) 在医院中提出了临床和组织方面的挑战.
- 儿童和青少年,特别是那些有发育障碍的儿童和青少年,容易被长时间住院治疗.
- 了解影响儿科患者LOS的因素对于优化护理至关重要.
研究的目的:
- 描述儿科患者的住院时间 (LOS).
- 确定导致儿童和青少年长期LOS的社会人口,组织,临床和护理因素.
- 探索护理行动在医学诊断和LOS之间的关系中扮演的调解角色.
主要方法:
- 在2022年入院的1538名儿科患者 (3-18岁) 的回顾性,观察性,单心研究.
- 从临床记录中收集的数据使用新生儿儿科专业评估仪器 (PAIped) 和医院出院登记册.
- 统计分析包括逐步回归和调解分析,以确定LOS预测因素及其关系.
主要成果:
- 增加的医疗诊断,护理诊断 (ND) 和护理行动 (NA) 与 LOS 有正相关.
- 独立预测的LOS (β=0.516,p<0.001) 的NA数量.
- 医学诊断通过NAs的调解作用 (观察到部分调解) 影响了LOS.
结论:
- 影响儿科患者LOS的因素之间存在显著的相互作用.
- 需要有针对性的干预,资源规划和综合护理信息系统.
- 将护理数据纳入DRG系统可以提高准确性,有利于护理,并提高患者的治疗结果和医院的财务状况.
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