Objective To retrospectively investigate the disease constitution of no less than 60-year-old inpatients in the West China Hospital of Sichuan University in 2011, and to compare with the outpatients in the corresponding period, so as to provide baseline data for further study. Methods The inpatients’ information in 2011 was collected from hospital information system (HIS). The diseases were classified according to ICD-10 based on the first discharge diagnosis. Data rearrangement and analysis were carried out by Microsoft Excel software. Results a) The person time of no less than 60-year-old inpatients were 47 233 in 2011, accounted for 30.35% of all inpatients in the corresponding period. b) The top ten systematic diseases were neoplasm, circulatory, digestive, respiratory, eyes, factors influencing health status and contacting with health services, genitourinary, musculoskeletal system and connective tissue, nervous, and injury, poisoning and other consequences of external causes diseases, respectively. c) The male inpatients were more than the female who suffering from the top ten systematic diseases, except for eyes, musculoskeletal system and connective tissue disease. d) Except for respiratory disease, the number of inpatients who suffered from the other top ten systematic diseases got decreased with age increasing. e) Neoplasm was the most common disease, and the person time of malignant neoplasm inpatients was 10 467 (91.93%). f) The cumulative constituent ratio of the top three malignant neoplasms was 75.43%, including malignant neoplasms of digestive organs, respiratory and intrathoracic organs as well as lymphoid, haematopoietic and related tissues. g) The top five malignant neoplasms of digestive organs accounted for 87.81%, including malignant neoplasms of rectum, stomach, oesophagus, liver and intrahepatic bile ducts as well as colon. h) The bronchus and lung malignant neoplasms accounted for 90.4% of all malignant neoplasms of respiratory and intrathoracic organs inpatients. i) The cumulative constituent ratio of the top four malignant neoplasms of lymphoid, haematopoietic and related tissues was 84.45%, including multiple myeloma and malignant plasma cell neoplasms, other and unspecified types of non-Hodgkin lymphoma, myeloid leukaemia, and diffuse non-Hodgkin lymphoma. Conclusion The male inpatients are more than female in the West China Hospital of Sichuan University in 2011. Most inpatients are at age from 60 to 79 years old. The most common systematic disease is neoplasm, especially the malignant neoplasms with higher constituent ratio, of which the malignant neoplasms of digestive organs, respiratory and intrathoracic organs, and lymphoid, haematopoietic and related tissues were more common than others.
Objective To investigate the orthopaedic inpatients’ disease and cost constitution of the Third People’s Hospital of Chengdu during 2008-2010, so as to provide detailed baseline data for further research on the factorial analysis of disease burden and effective intervention. Methods The medical records of inpatients in orthopaedic department of the hospital during 2008-2010 were collected, and the diseases based on the first diagnosis on discharge records were classified according to the International Classification of Diseases (ICD-10). Results During 2008 to 2010, the total number of inpatients increased year by year. Most of the male inpatients were the young and middle-aged, while the female were the old. The rank order of top 5 systematic diseases didn’t change, while there were 6 single diseases kept ranking as top 10 in those 3 years. The average cost per capita averagely grew by 8.97%. The top 3 constitution of hospitalization cost remained the same, which were material cost, drug cost, and treatment cost; while the top 3 payment modes of hospitalization cost were patient’s own expense, social security, and public expense. Among those payment modes, social security rose obviously, and patient’s own expense reduced generally. Conclusion a) The total number of inpatients increases yearly during 2008-2010, and the gender and age distribution of inpatients are tending towards stability. b) The spectrum of disease and single diseases classified according to the one-level code of ICD-10 are relatively stable in those 3 years; of which the top ranked disease is lumbar disc herniation, and the disease with most obviously rising trend is intertrochanteric fracturethe. c) The hospitalization cost per capita rises year by year, of which the constituent ratio of both material and examination costs grow obviously, but the operation, treatment and bed costs are still lower. It requires a multi-pronged approach to control the increase of hospitalization cost as well as the rationalization of cost constitution. d) Among all payment modes of hospitalization cost, the constituent ratio of patient’s own expense reduces year by year, while social security rises, indicating the medical security in national social security has been further expanded.
Objective To investigate disease constitution of elderly inpatient in the Xuanwu Hospital, Capital Medical University in Beijing in 2011, so as to provide baseline data for further study. Methods Elderly (patients no less than 60 years old) inpatients’ records in the Xuanwu Hospital, Capital Medical University in 2011 were collected. Based on all the diagnosis on hospital discharge records, the diseases were standardized and classified according to the International Classification of Disease, 10th Edition (ICD-10). Data (including general information of the inpatients, all discharge diagnosis, and the distribution of disease type, age and sex) were analyzed through descriptive analysis using Microsoft Excel 2007 software. SPSS 17.0 software was performed for hypothesis test. Results a) The total numbers of elderly inpatients were 13 807 in 2011, accounting for 39.79% of all the inpatients. Males were more than females (male: female=1.26 to 1). The average kind of disease each patient was diagnosed with was 4.41, ranging from 1 to 11. b) The disease spectrum of patients with one disease was nervous system diseases, neoplasms, and digestive system diseases. The primary and secondary diseases of patients with two diseases were mostly circulatory system diseases. c) All the diagnosis included 18 categories, the top 7 were circulatory system diseases, endocrine, nutritional and metabolic diseases, digestive system diseases, respiratory system diseases, and nervous system diseases, accounting for 83.4% of all the diagnosis. The primary diagnosis included 18 categories, the top 5 were circulatory system diseases, neoplasms, digestive system diseases, respiratory system diseases, and nervous system diseases, accounting for 68.6% of all the elderly inpatients. d) In the circulatory system diseases, the top 5 diseases were cerebral infarction, occlusion and stenosis of precerebral arteries, not resulting in cerebral infarction, angina pectoris, acute myocardial infarction, atherosclerosis, chronic ischaemic heart disease, accounting for 69.8% of all the circulatory system diseases patients. Diseases in different age and gender group were cerebral infarction, angina, acute myocardial infarction, and chronic ischemic heart disease (Plt;0.05). Conclusion The disease constitution of the Xuanwu Hospital, Capital Medical University is complex, and the primary diagnosis is mainly circulatory system diseases. It can be concluded that in the following studies attention should be paid to drug utilization of circulatory system diseases, so as to provide evidence for making the China specific potentially inappropriate medicine list and disease prevention for the elderly.
目的 了解住院患者疼痛控制结局的现状及对疼痛控制的满意度，为疼痛管理提供依据。 方法 2012年5月运用便利抽样法选取206例住院患者为研究对象，采用调查问卷的方式了解患者疼痛管理现状和满意度。调查工具为自行设计的患者基本信息调查表、美国疼痛协会结局问卷修订量表。 结果 调查对象当前、过去24 h内最剧烈的疼痛程度及疼痛平均水平以轻度为主，分别占43.2%、42.2%、40.3%；疼痛对一般活动、情绪和其他康复活动的影响程度以中度为主，分别占52.4%、58.3%、53.4%；对疼痛处理结果的满意度以一般为主，占40.8%；78.6%的患者在入院时未被告知疼痛治疗的重要性；66.5%～84.5%的患者对疼痛和止痛药的认知均较差。 结论 二级医院住院患者的疼痛程度较轻，其对生活影响程度尚不严重，但患者对疼痛控制的满意度欠佳，对疼痛相关知识的认知也较差，急需医护人员采取相应的措施提高疼痛控制的效果和质量，从而提高患者在住院期间的满意度。
目的 了解住院患者病死率以及死亡病例的年龄、性别及主要死因的分布状况，为疾病预防治疗提供科学依据。 方法 对重庆医科大学附属第二医院2007年1月－2011年12月3 030例住院死亡患者进行统计分析，根据国际疾病分类第10版（ICD-10）进行疾病分类，所有资料经SPSS 13.0软件进行统计分析。 结果 该院近5年共有出院患者173 411例，死亡3 030例，病死率1.75%。各年龄段男性患者病死率均高于女性。各年度、不同性别前3位死因均依次为：肿瘤、循环系统疾病、呼吸系统疾病。 结论 慢性非传染性疾病是住院患者的主要死亡原因。提高医疗技术水平、普及群众的预防保健知识、大力开展健康体检是降低病死率的主要措施。
目的 了解妇幼保健院住院患者抗菌药物应用情况。 方法 采用横断面调查法，对2012年2月份患者的抗菌药物使用情况进行调查。 结果 抗菌药物横断面使用率为71.14%，其中单用率为79.27%，二联使用率为20.73%；住院患者使用频率排行前10位的抗菌药物中应用最多的是头孢硫脒；儿科抗菌药物使用率最高为93.27%；产科抗菌药物使用频率强度最高为77.37，妇科为67.19；所有患者临床微生物检验样本送检率仅为39.3%。 结论 抗菌药物使用率及抗菌药物使用强度不符合相关规定，需要加强其抗菌药物临床应用的管理。
【摘要】 目的 探讨优质护理活动中应用风险管理措施提高住院老年患者安全的作用和意义。 方法 对2010年2月-2011年3月开展优质护理活动实施风险管理后，其老年住院患者安全事件预防控制情况进行回顾分析。 结果 应用风险管理措施后老年住院患者的护理不良事件发生减少，患者对护理工作的满意度提高。 结论 加强风险管理有助于保障患者安全，提高患者满意度，构建和谐护患关系。【Abstract】 Objective To investigate the role and the effect of risk management in good care service on the safety of elder in-patients. Methods From February 2010 to March 2011, the risk management was carried out during applying good care service. The prevention and control of the poor nursing events for the elder in-patients were retrospectively analyzed. Results The poor nursing events for the elder in-patients decreased obviously after the application of risk management, and the patients were pleased with the service of nurses. Conclusion Risk management is conducive to prove the safety of the in-patients, improve the degree of satisfaction of the patients, and make the harmonious relations between the nurses and the patients.
【摘要】 目的 探讨住院患者肝功异常病因及影像学诊断意义。方法 对2008年1月—12月住院的223例18～83岁肝功异常患者进行相关实验室检查,以及B超、CT和MRI检查。结果 肝脏本身疾病引起135例,占6054%,肝外疾病引起83例,占37.22%,原因不明5例,占2.24%。B超作为无创性检查,价格低亷,准确率高,可作为常规检查。结论 住院患者肝功损害病因复杂,以药物性肝炎、胆道系统疾病及脂肪肝较多见。