脑卒中患者住院时间和出院去向相关影响因素的研究.pdfVIP

MODERNNURSING December 2007, Vol. 13，No. 34 脑卒 中患者住院时间和 出院去向相关影响因素的研究 谢振英 尤丹 李玉群 【摘要】 目的 运用研究影响脑卒中患者住院时间以及 出院后的去向的相关因素，为实施干预及 提高患者的生活质贵提供理论依据. 方法 调查204 例住院患者住院时间和 出院后去 向，以及其影响 因紊，通过统计学方法分析各因素对住院时间和 出院后去向的影响。结果 脑梗死患者比脑 出血患者 年龄大，12 1例患者 出院后 回家休养 ，36 例送到康复医院, 47 例又到其他 医院住 院; 中等和大面积 的校 塞、脑 出血、日常生活活动能力( ADL 评分低和 出院去向明显相关;在 出院回家的患者中，低 ADL 评分 与住 院时间明显相关; 丈夫患病住院时间相对较短，而妻子患病住院时间相对较长。结论 患者的家庭 构成和性别 以及 中风 的程度对住 院时间和 出院去 向有 明显影响。 【关键词】 脑卒 中; 住 院时间。 出院， 日常生活活动能力; 家庭 STSLl扮. re lated factors of hospital- stay thne and disdm W destination of pat ients wi山str oke XIE Zhen-y ing ， YOU Dan ，LI Yu-qun . Wuxi Second Hospital Affiliated to Nanj ing Medical Univer sity , Nanj ing 2 14002 , Ch ina [ Abstract] Obj ective To explore the related factors of hospital- stay time and discharge destina- tion of the patients with stroke. Methods Hospital- stay time and discharge destination of 204 patient s with stroke were investigated , and then the related factor s were analyzed with statistical methods. Results Patient s with cer ebr al infarct ion were older than those with int racer ebral hemorrhage. Among the pat ient s , 121 cases were sent t o their homes , 36 wer e sent to care facilit ies , 47 wer e sent to other hospitals. Medium or large infarction , intracerebral hemorrhage, and low activities of daily living (ADL were correlative with the patient s discharge destination. Low activities of daily living were correlative with the hospital- stay t ime in the patient s who were sent to their homes. Th e hospit al 一stay t ime of male pat ients living with a wife were short er , wh ile the r ever se relationship was observed for female pa- t ients living wi