重庆某三甲医院老年住院患者压疮治疗费用及其影响因素分析

发布时间：2018-03-05 20:45

本文选题：老年人　切入点：压疮　出处：《重庆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:了解老年住院患者压疮治疗费用情况及其影响因素,为控制压疮治疗费用,减轻患者经济负担,节约医疗资源提供参考依据。方法:采用回顾性调查分析法,搜集老年住院压疮患者的基本信息、护理记录、费用构成情况,对基本信息进行描述性分析,采用单因素分析和多元逐步回归分析对影响压疮治疗费用的因素进行分析。结果:122例老年住院患者压疮总医疗费用为183356.5元,每例患者压疮医疗费用为831.00(447.75,1461.25)元,其中换药费占压疮总费用70.43%,敷料费占16.60%,气垫床费占12.68%,其他占0.29%。活动能力、住院时间、压疮部位数是压疮治疗费用的主要影响因素(P0.05,P0.01),能解释压疮治疗费用总变异的41.8%。其他影响因素包括压疮分期、饮食方式、入院时Braden评分。结论:压疮治疗费用受较多因素影响。临床护士需正确评估伤口并选择敷料,有效进行压疮伤口换药,对压疮高危患者及压疮患者使用气垫床,缩短住院日,以控制压疮治疗费用。
[Abstract]:Objective: to understand the cost of pressure sore treatment and its influencing factors in elderly inpatients, and to provide a reference for controlling the cost of pressure sore treatment, reducing the economic burden of patients and saving medical resources. Methods: retrospective investigation and analysis were used. Collect the basic information, nursing record, cost composition of senile patients with pressure sore, and analyze the basic information. Single factor analysis and multivariate stepwise regression analysis were used to analyze the factors affecting the cost of treatment of pressure sore. Results the total medical cost of pressure sore was 183356.5 yuan in 122elderly inpatients, and 831.00 yuan per patient was 447.75.1461.25 yuan per patient. Among them, the cost of drug exchange accounts for 70.43% of the total cost of pressure sore, the cost of dressing accounts for 16.60,12.68% of the cost of air cushion bed, and the other 0.29.Ability of activity and length of stay, The number of pressure sore sites is the main factor influencing the cost of pressure sore treatment. It can explain 41.8% of the total variation of the total cost of pressure sore treatment. Other influencing factors include the stage of pressure sore, diet style, Braden score on admission. Conclusion: the cost of pressure sore treatment is affected by many factors. Clinical nurses should correctly evaluate the wound and choose dressing, change dressing effectively, use air cushion bed for pressure sore high risk patients and pressure sore patients, and shorten the hospital stay. To control the cost of pressure sore treatment.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R47

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