بررسی عوامل مؤثر بر طول مدت اقامت بیماران مبتلا به سندرم حاد عروق کرونر در بیمارستان امیرالمؤمنین دانشگاه علوم پزشکی زابل در سال 1393

نویسندگان

1 مربی، دانشکده بهداشت، دانشگاه علوم پزشکی زابل، زابل، ایران

2 کارشناس مدیریت خدمات بهداشتی و درمانی، دانشکده بهداشت، دانشگاه علوم پزشکی زابل، زابل، ایران.

3 دانشجوی دکترای تخصصی مدیریت خدمات بهداشتی و درمانی، گروه علوم مدیریت و اقتصاد بهداشت، دانشکده بهداشت، دانشگاه علوم پزشکی تهران، تهران، ایران

چکیده

مقدمه: افزایش مدت اقامت بیماران ضمن این‌که موجب افزایش هزینه‌های بیمار و بیمارستان می­شود، زمان بهبودی و توان‌بخشی بیمار را هم زیاد می‌کند. با توجه به کمبود مراکز درمانی، کارمند، امکانات، تجهیزات و هزینه­های روزافزون خدمات درمانی، بهینه کردن طول مدت اقامت و عوامل مؤثر بر آن اهمیت ویژه‌ای دارد. این مطالعه با هدف تعیین عوامل مؤثر بر طول مدت اقامت بیماران مبتلا به سندرم حاد عروق کرونر در بیمارستان امیرالمؤمنین دانشگاه علوم پزشکی زابل در سال 1393 صورت گرفت.

مواد و روش ­ها: این مطالعه از نوع توصیفی – مقطعی است. نمونه­های پژوهش به روش نمونه­گیری تصادفی منظم انتخاب شدند. داده­های مورد نیاز از پرونده بیماران بستری شده در سال 1393 استخراج شد. برای جمع‌آوری داده­ها، از یک پرسشنامه محقق ساخته 29 گویه استفاده گردید. تحلیل داد­ه­ها توسط آزمون­های آماری آنالیز واریانس یک طرفه و تی مستقل صورت گرفت

یافته­ ها: از 349  بیمار مورد بررسی 4/70 درصد مرد بودند. نحوه پذیرش 280 بیمار به صورت الکتیو بود؛ میزان طول اقامت این بیماران 30/6 روز کمتر از طول اقامت بیماران اورژانسی بود (001/0p≤). بین طول اقامت بیمار هنگام ترخیص شامل بهبودی، بهبودی نسبی  و فوت ارتباط معنی­ دار وجود داشت (001/0p≤). فاکتورهای سن، شغل، نوع بیمه، داشتن سابقه بستری و وضعیت بیمار هنگام ترخیص بر میانگین طول اقامت مؤثر بود.

نتیجه ­گیری: با توجه به نتایج به دست آمده، جهت کمک به  تخصیص بهتر منابع و تخت­های بیمارستانی و بهره‌وری بهینه از تخت­های موجود، باید اقداماتی جهت کاهش مدت اقامت بیماران به خصوص بیماران مسن از طریق توسعه مراکز مراقبت در خانه و خانه­ های پرستاری صورت گیرد. 

کلیدواژه‌ها

عنوان مقاله [English]

Survey of the affective factors on the length of hospital stay of acute coronary syndrome patients in Amir-al-momenin Hospital of Zabol in 2014

نویسندگان [English]

  • M Arefnezhad 1
  • S Purmand 2
  • M Rava 2
  • P Isfahani 3
1 Lecturer, School of Health, Zabol University of Medical Sciences, Zabol, Iran.
2 B.A in Health Care Management, School of Health, Zabol University of Medical Sciences, Zabol, Iran.
3 PhD Candidate, Health Care Management, Dept of Health Management and Economics, School of public health, Tehran University of Medical Sciences, Tehran, Iran
چکیده [English]

Introduction: Increased length of hospital stay can lead to increase costs for both hospitals and patients, and additionally could lead to delayed patient’s recovery and rehabilitation time. Based on the shortage of medical facilities, staff, lack of  equipments and increasing health care costs, length of stay optimizing and its affecting factors is especially essential. The aim of this study was to investigate factors affecting Length of stay in Amir-al-momenin Hospital of Zabol University of medical sciences.

Materials and Methods: This descriptive-analytical and cross-sectional study was conducted in 2014. Subjects were inpatients’ medical records (349 cases) which were selected by randomized sampling. The data were obtained through a researcher- made questioner with 19 questions. T-test, and One-way ANOVA were used for the analysis.

Results:  The results showed that of 349 patients, 70.4% of the patients were males, and 29.6% of the patients were females. The type of admission of 280 patients was elective. Average length of stay of these patients was 6/30 days less than ambulance patients. There was a significant relationship between average length of stay and discharge status (recovery, Partial recovery and death) (p<0/001). Factors affecting the average length of stray were age, job, type of insurance, and discharge status.  

Conclusions: According to the findings of this study, for achieving the aim of better allocation of resources and hospital beds and optimizing productivity of the existing beds, it is recommended to take measures to reduce the hospitalization of patients specially elderly patients through development of home care and nursing homes.

کلیدواژه‌ها [English]

  • Length of stay
  • Hospital
  • Acute coronary syndrome

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