影响老年患者无计划再入院的因素:二次数据分析
1Ewha Womans University, Seoul, Republic of Korea.
Clinical nursing research
|March 17, 2026
概括
男性性别,年龄较大,非手术状态,急诊室入院和更长的住院时间增加了老年患者的非计划性再入院. 这些因素对于制定有针对性的干预措施来降低再接收率至关重要.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 流行病学 流行病学
背景情况:
- 老年患者中非计划性再接收对医疗保健系统构成重大挑战.
- 确定影响这些再入院的因素对于有效的患者管理和资源配置至关重要.
研究的目的:
- 分析老年患者与无计划再入院之间的差异.
- 在老年人群中确定与计划外再接收相关的关键因素.
主要方法:
- 对65岁及以上患者的全国医疗保险数据 (2020) 的二次数据分析.
- 统计分析包括千二测试,t测试和后勤回归使用SAS Enterprise 4.3.3.
- 包括42,108个患者记录,检查人口统计,诊断和医疗保健利用模式.
主要成果:
- 与非计划性再入院相关的重要因素包括男性性别,年龄较大,非手术状态,急诊室入院和更长的住院时间.
- 根据性别,年龄,医疗保险,初级诊断和手术状态,再入院的情况有很大差异.
- 医院住院路线,医院类型,医院病床数量和住院时间长度等医疗保健利用因素也很重要.
结论:
- 男性性别,老年,非手术状态,紧急住院和长时间住院被确定为老年患者无计划再入院的风险因素.
- 该研究使用了代表性的全国数据,提高了对韩国老年人口的研究结果的概括性.
- 这些结果为开发有针对性的护理干预措施提供了基础,以防止高风险老年人的意外再接收.
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