Ⅰ2型糖尿病患者住院费用影响因素分析.docVIP

Ⅰ2型糖尿病患者住院费用影响因素分析 　　DOI：10.16658/j.cnki.1672-4062.2017.12.015 　　[摘要] 目的 对影响Ⅰ、2型糖尿病患者住院费用的几个关键因素进行定量的建模分析。方法 根据福建某医院2014年6月―2017年3月确诊为Ⅰ、2型糖尿病的入院患者共计4 225例数据，利用多元回归模型，分析住院费用与患者年龄、住院天数和有无并发症的定量关系。结果 建立多元线性回归模型为y=-11 987.222+1 362.736x1+120.681x2+2 894.137x3，其中各系数通过统计模型的检验（P0.05）。 结论 有无并发症对住院费用的影响最大，对于患者，应定期体检，尽早发现并且治疗减少Ⅰ、2型糖尿病并发症的产生，有效降低住院费用，减轻患者及其家庭的经济负担。 　　[关键词] 糖尿病；住院?M用；回归模型 　　[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062（2017）06（b）-0015-02 　　Analysis of Influence Factors of Hospitalization Cost of Patients with Type Ⅰ Diabetes and Type 2 Diabetes 　　FANG Jing 　　First Affiliated Hospital of Fujian Medical University， Fuzhou， Fujian Province， 350008 China 　　[Abstract] Objective To conduct the quantitative modeling analysis of several key factors of hospitalization cost of patients with type Ⅰ diabetes and type 2 diabetes. Methods 4 225 cases of patients with type Ⅰdiabetes and type 2 diabetes confirmed in some hospital in Fujian from June 2014 to March 2017 were selected and the quantitative correlation between the hospitalization cost， age of patients， length of stay and complications was analyzed by the multi-regression model. Results The multi-regression model of y=-11 987.222+1 362.736x1+120.681x2+2894.137x3 was established and various coefficients were tested by the statistical model（P0.05）. Conclusion The complications have a biggest effect on the hospitalization cost， for patients， they should receive the regular physical examination and discover and reduce the occurrence of complications of type Ⅰdiabetes and type 2 diabetes as soon as possible thus effectively reducing the hospitalization cost and relieving the economic burdens of patients and their family. 　　[Key words] Diabetes； Hospitalization cost； Regression model 　　目前，随着我国经济的发展，居民人均可支配收入的增长，生活模式的改变，一些不健康的饮食、生活习惯造成糖尿病的发生率呈逐年上升趋势，成为一种常见的慢性非传染性疾病。糖尿病并发症直接影响着患者身体的各个系统，其发生率的上升，导致糖尿病患者的生活质量降低，家庭经济负担加重，增加了个人与社会的负担[1]。糖尿病的早期预防和治疗，在糖尿病病情的逆转和糖尿病并发症的起病及发展方面起决定性作用。该文检索了福建某医院住院部2014年6月―2017年3月期间收治的，以糖尿病为诊断入