CAJ | 학술논문

目的：调查烟台市综合性医院家庭病床科患者的流行病学特点，为其发展和满足患者需求提供客观依据。方法2013年抽取烟台市3家综合性医院的家庭病床科患者进行调查，按照患者办理家庭病床的时间分为两组，1994年5月-2003年5月为对照组，2003年6月-2013年6月为观察组。分别统计并对比分析两组患者的性别、年龄、居住地、职业、疾病分布情况。结果共调查2356例家庭病床患者，其中对照组967例，观察组1389例。两组男性患者的比例均多于女性患者（对照组589/378，观察组819/570，χ2值分别为30.857和20.791，P<0.05）。对照组中年患者所占比例〔456（47.2%）〕最多，观察组老年患者所占比例〔691（49.7%）〕最多（P<0.05）。两组城市居民的比例均多于农村居民（对照组705/262，观察组1132/257，P<0.05）。对照组农民的比例多于观察组，自谋职业者的比例少于观察组（P<0.05）。两组患者的疾病分布间差异无统计学意义（χ2=12.607，P=0.126）。结论家庭病床科患者流行病学特征近10年较10年前有一定变化。为适应其变化应为家庭病床科配备优秀的全科医师和护理人员及专职或兼职相关专业技术人员，完善相应的医疗设备和应急抢救用品。
목적：조사연태시종합성의원가정병상과환자적류행병학특점，위기발전화만족환자수구제공객관의거。방법2013년추취연태시3가종합성의원적가정병상과환자진행조사，안조환자판리가정병상적시간분위량조，1994년5월-2003년5월위대조조，2003년6월-2013년6월위관찰조。분별통계병대비분석량조환자적성별、년령、거주지、직업、질병분포정황。결과공조사2356례가정병상환자，기중대조조967례，관찰조1389례。량조남성환자적비례균다우녀성환자（대조조589/378，관찰조819/570，χ2치분별위30.857화20.791，P<0.05）。대조조중년환자소점비례〔456（47.2%）〕최다，관찰조노년환자소점비례〔691（49.7%）〕최다（P<0.05）。량조성시거민적비례균다우농촌거민（대조조705/262，관찰조1132/257，P<0.05）。대조조농민적비례다우관찰조，자모직업자적비례소우관찰조（P<0.05）。량조환자적질병분포간차이무통계학의의（χ2=12.607，P=0.126）。결론가정병상과환자류행병학특정근10년교10년전유일정변화。위괄응기변화응위가정병상과배비우수적전과의사화호리인원급전직혹겸직상관전업기술인원，완선상응적의료설비화응급창구용품。
Objective To investigate the epidemiological features of patients in sick-bed departments in Yantai gen-eral hospital,to provide an objective basis for home sick-bed development and meet patientsˊneeds. Methods 2013,the pa-tients in home sick-bed departments of 3 general hospitals were divided,according to time of starting home sick-bed,into groups control(from May 1994 to May 2003),study(from June 2003 to June 2013). Gender,age,residence,occupation, disease types were analyzed comparatively. ResUlts 2 356 home sick-bed patients were investigated,967 in control group,1 389 in study group. Male patients were more than female(589/378 in control group,819/570 in study group;χ2 =30. 857, 20. 791;P<0. 05). Middle-age patients were the most in control group(456,47. 2%),elderly patients were the most in study group(691,49. 7%)(P<0. 05). Urban residents were more than rural(705/262 in control group,1 132/257 in study group;P<0. 05). Farmers were more,self-employed persons fewer in control group than in study group(P<0. 05). There was no significant difference in disease constitutes between 2 groups(χ2 =12. 607,P=0. 126). ConclUsion The epi-demiological features of home sick-bed patients have changed in the recent 10 years as compared with those 10 years ago. Excel-lent general practitioners and nurses,full- or part-time professional and technical personnel should be provided for home sick-bed departments to meet its changes.