某區域醫院內科病患出院15天內非計畫性再住院之因素分析

Factors Related to Unplanned Readmission Under l5days of Internal Medicine Patients in a Community Teaching Hospital

鄭幸蓉(Hsing-Jung Cheng) ； 蔡瑩枝(Ying-Chih Tsai) ； 陳慧珍(Hut-Chen Chen)

《醫保研究雜誌》 1卷1期 (2005/03) Pp. 31-40

https://doi.org/10.29827/YBYJZZ.200503.0004

摘要

本研究目的在瞭解內科病患出院十五天內非計畫性再住院之相關因素。採回溯性病例對照研究法，研究樣本爲民國92年11月1日至93年3月1日間某區域醫院之內科病患，收取出院後十五天內非計畫性再住院者80人爲病例組，另十五天內未再住院者80人爲對照組，依研究架構擬定資料收集表，由病歷登錄研究資料。經由多變項邏輯式回歸分析顯示：出院時仍需長期臥床者比非長期臥床者十五天內非計畫性再住院率高。建議將「出院時是否長期臥床」納入出院準備服務篩選收案的必要項目，指導照顧者返家後之照顧技巧並加強回覆示教，另需提供其社福資源，以有效改善內科病患非計畫性再住院問題。

關鍵字

內科病患 ； 非計劃性再住院

並列摘要

The purpose of this study was to identify factors for unplanned readmission within 15 days after discharge. We performed a retrospective case- control study on internal medical patients who were readmitted from a community teaching hospital from November 1, 2003 to March 1, 2004. There were 80 unplanned readmission patients enrolled. Another 80 patients who were not readmitted within 15 days after discharge were enrolled as control group. Research data were collected from the medical records and analyzed with multiple logistic regression. The result showed that patients with longer bed- ridden at discharge had higher risk of unplanned readmission within 15 days compared with those who were able to ambulate before discharge. The result indicates that it is necessary to monitor patients' bed-ridden days and increasing their mobility when providing discharge planning care training programs for caregivers to take care of patients after discharge are essential for avoid readmission.

並列關鍵字

internal medicine patients ； unplanned readmission