本文選題：老年護理院 + 出入院　； 參考：《上海交通大學(xué)學(xué)報(醫(yī)學(xué)版)》2016年04期

【摘要】：目的結(jié)合國內(nèi)外地區(qū)經(jīng)驗和國內(nèi)具體情況,擬定《上海市老年護理院出入院標準》并評估其真實性與可行性。方法通過文獻綜述、問卷調(diào)查及專家訪談擬定《上海市老年護理院出入院標準》,并將該標準轉(zhuǎn)換成系統(tǒng)軟件。對上海地區(qū)26家老年護理機構(gòu)中的住院患者進行醫(yī)師評估和軟件系統(tǒng)評估,分析標準評估與醫(yī)師評估結(jié)果的一致性,并計算標準評估的敏感度和特異度。分析上海地區(qū)老年護理機構(gòu)住院患者人群分布特點。結(jié)果 Kappa一致性檢驗顯示,標準評估結(jié)果與醫(yī)師評估結(jié)果 Kappa值為0.931(P=0.006)。以醫(yī)師評估為金標準,計算標準評估敏感度和特異度,分別為98.40%(95%CI 98.03%～98.76%)和96.20%(95%CI 95.15%～97.26%)。對上海地區(qū)老年護理機構(gòu)住院患者人群分布特點進行分析,結(jié)果顯示,應(yīng)當出院或轉(zhuǎn)院但仍住院的老年患者中郊區(qū)患者比例高于市區(qū)(P=0.000),通過社保支付的患者比例明顯高于其他支付方式(P=0.016),干部人群比例明顯高于其他職業(yè)人群(P=0.004);獨立社區(qū)衛(wèi)生中心收治符合標準的患者情況最佳,達到84.1%。分析住院患者罹患疾病,發(fā)現(xiàn)糖尿病患者不符合住院標準者比例最高,達32.4%。結(jié)論《上海市老年護理院出入院標準》能較真實、客觀、有效地評價上海地區(qū)老年患者是否符合老年護理院出入院標準。
[Abstract]:Objective to draw up the standard of entrance and exit of Shanghai geriatric nursing home and evaluate its authenticity and feasibility according to regional and domestic experience and domestic specific conditions. Methods through literature review, questionnaire survey and expert interview, the standard of entrance and exit of Shanghai geriatric nursing home was drawn up, and the standard was converted into system software. 26 elderly in Shanghai area were used. The hospitalized patients in the nursing institution were evaluated by doctors and software system, the consistency between the standard evaluation and the results of the physician evaluation was analyzed, and the sensitivity and specificity of the standard evaluation were calculated. The distribution characteristics of the inpatient population in the elderly nursing institutions in Shanghai were analyzed. Results the results of Kappa one test showed that the standard evaluation results and the physician evaluation were evaluated. The Kappa value of the estimated results was 0.931 (P=0.006). According to the physician evaluation as the gold standard, the standard evaluation sensitivity and specificity were calculated, 98.40% (95%CI 98.03% ~ 98.76%) and 96.20% (95%CI 95.15% to 97.26%). The distribution characteristics of the hospitalized patients in the elderly nursing institutions in Shanghai were analyzed. The results showed that the hospital should be discharged or transferred but still hospitalized. The proportion of elderly patients in the middle suburban area was higher than that of the urban area (P=0.000). The proportion of patients paid through social security was significantly higher than that of other payment methods (P=0.016). The proportion of cadres was significantly higher than that of other occupational groups (P=0.004). The best cases of patients who were admitted to the standard in the independent community health center were the best, and 84.1%. analysis of hospitalized patients suffered from disease. The proportion of diabetic patients who do not conform to the standard of hospitalization is the highest, and the standard of entry and exit of the elderly patients in the Shanghai area is evaluated objectively and effectively by the 32.4%. conclusion "the standard of the entrance and exit of the Shanghai elderly nursing home."
【作者單位】： 上海交通大學(xué)公共衛(wèi)生學(xué)院;上海市人口和計劃生育宣教中心;
【分類號】：R197.3
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本文編號：1930869