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目的通过对医院非医嘱离院患者相关因素进行分析,为医院管理提供依据。方法首先用描述性统计方法列出2016年3月-9月1963例非医嘱离院患者的一般情况、科室构成、疾病构成;再用Logistic逐步回归分析其相关因素,了解非医嘱离院的具体原因。结果非医嘱离院患者男性多于女性(X~2=76.98,P<0.001,差异有统计学意义),年龄中位数49岁;外科患者占比最高,病种以损伤、中毒最多;经Logistic逐步回归分析显示变量年龄、离异、农民、全自费、有无手术、有无抢救、住院天数与患者非医嘱离院相关。结论医院应重视非医嘱离院群体,不断提高医疗服务质量,加强有效医患沟通,从而减少患者非医嘱离院的发生以及随之带来的负面影响。
Objective To analyze the related factors of hospitalized non-doctor’s orders patients and provide basis for hospital management. Methods Descriptive statistical methods were used to list the general conditions, department structure and disease composition of 1963 non-medical orders discharged from March 2016 to September 2016. Logistic regression analysis was used to analyze the related factors and to understand the specifics of non-medical orders the reason. Results There were more males than females in non-doctor’s orders (X ~ 2 = 76.98, P <0.001, the difference was statistically significant). The median age was 49 years old. The highest proportion of patients were surgical patients with injury and poisoning. Logistic stepwise regression analysis showed that age, divorce, peasants, full-time patients with or without surgery, and whether or not the patients were rescued. The days of hospitalization were related to the hospitalization of non-medical patients. Conclusion The hospital should pay attention to the group of non-doctor ordered to leave the hospital, improve the quality of medical services and strengthen the communication between doctors and patients, so as to reduce the occurrence of the non-doctor’s orders and the consequent negative impact.