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目的:探讨住院患者住院日超过12天的主要原因及其影响因素。方法:对笔者所在医院化疗四区收治的690例住院患者进行调查,回顾性分析他们的住院信息,将住院日超过12天的住院患者191例作为本研究对象,整理与总结他们住院日超过12d的原因及其影响因素。结果:从191例住院日超过12天的化疗四区住院患者分析可以看出,年龄集中在50-80岁,病种则主要有呼吸道肿瘤、消化道肿瘤及头颈部肿瘤;住院日延长的主要原因是化疗,其次包括中成药抗肿瘤、放疗时间较长、病情复杂、等待重要的检查结果、免疫治疗等;住院日超过12天的独立危险因素主要为骨髓抑制、肝功能损伤及消化道反应。结论:住院患者住院日超过12d主要原因为化疗反应,并且要重视呼吸道肿瘤与消化道肿瘤,放疗时间较长、副反应较多等也会影响住院日,为此要加强并发症预防管理,提升医疗服务质量,尽量缩短住院时间。
Objective: To investigate the main reasons and influencing factors of inpatients’ hospitalization days over 12 days. Methods: A total of 690 inpatients undergoing chemotherapy in four districts of our hospital were surveyed. Their hospitalization information was retrospectively analyzed. 191 hospitalized patients whose hospitalization days were more than 12 days were selected as the study subjects, and their hospitalization days were summarized and summarized for more than 12 days The reason and its influencing factors. Results: From 191 hospitalized patients over 12 days of chemotherapy in four districts of hospitalized patients can be seen, the age at 50-80 years old, the disease mainly respiratory, gastrointestinal tumors and head and neck cancer; hospitalization days Mainly due to chemotherapy, followed by Chinese medicine including anti-tumor, longer duration of radiotherapy, complex conditions, waiting for important test results, immunotherapy, etc .; hospitalized more than 12 days independent risk factors mainly for bone marrow suppression, liver damage and gastrointestinal reaction. Conclusion: Inpatients hospitalized more than 12 days for the main reason for chemotherapy response, and should pay attention to respiratory and gastrointestinal tumors, longer duration of radiation, side effects and more will also affect the hospitalization days, to strengthen the prevention and management of complications, to enhance Medical service quality, minimize hospital stay.