CAJ | 학술논문

目的：研究住院急性呼吸道感染患儿并发医院感染的直接经济损失，以及对患儿家属满意度的影响。方法选取某院2012年4月1日-2013年3月31日普通儿科病房1039例急性呼吸道感染住院患儿的临床资料，其中发生医院感染患儿50例（病例组），按1∶1的比例选取50例未发生医院感染患儿作为对照组，比较两组患儿各项费用及患儿家属满意度调查情况。结果病例组住院总费用（P 25～P 75：3095．54～4779．48元）明显高于对照组（P 25～P 75：1744．14～2382．07元）（Z ＝5．89，P ＜0．01）。病例组药费、检验费、诊断治疗费、护理费均高于对照组，差异均具有统计学意义（均 P ＜0．01）；住院天数（P 25～P 75：9～15 d ）显著长于对照组（P 25～P 75：6～8 d）（Z ＝5．79，P ＜0．01）。病例组患儿家属满意度明显低于对照组（Z ＝8．22，P ＜0．01）。结论急性呼吸道感染患儿发生医院感染后，增加了住院费用，延长了住院时间；同时，造成患儿家属满意度下降。
목적：연구주원급성호흡도감염환인병발의원감염적직접경제손실，이급대환인가속만의도적영향。방법선취모원2012년4월1일-2013년3월31일보통인과병방1039례급성호흡도감염주원환인적림상자료，기중발생의원감염환인50례（병례조），안1∶1적비례선취50례미발생의원감염환인작위대조조，비교량조환인각항비용급환인가속만의도조사정황。결과병례조주원총비용（P 25～P 75：3095．54～4779．48원）명현고우대조조（P 25～P 75：1744．14～2382．07원）（Z ＝5．89，P ＜0．01）。병례조약비、검험비、진단치료비、호리비균고우대조조，차이균구유통계학의의（균 P ＜0．01）；주원천수（P 25～P 75：9～15 d ）현저장우대조조（P 25～P 75：6～8 d）（Z ＝5．79，P ＜0．01）。병례조환인가속만의도명현저우대조조（Z ＝8．22，P ＜0．01）。결론급성호흡도감염환인발생의원감염후，증가료주원비용，연장료주원시간；동시，조성환인가속만의도하강。
Objective To study direct economic loss of healthcare-associated infection (HAI)in hospitalized children with acute respiratory infection (ARI),and the influence in satisfaction degree of children’relatives.Methods Clinical data of 1 039 children with ARI in a pediatrics ward between April 1,2012 to March 31,2013 were analyzed retrospective-ly.50 patients with HAI were in case group and 50 patients without HAI were in control group.The difference in medical cost and the degree of satisfaction of children’s relatives were compared between two groups.Results Medical cost of pa-tients in case group was significantly higher than control group([P 25 - P 75 :￥3 095.54 - ￥4 779.48]vs [P 25 -P 75 :￥1 744.14-￥2 382.07],Z =5.89,P <0.01).The expenses in medicine,laboratory examination,diagnosis and treatment,and nursing in case group were all higher than control group,there were significant differences between two groups(all P <0.01 );Hospitalization day of case group was significantly longer than control group ([P 25 -P 75 :9 d-15 d]vs[P 25 -P 75 :6 d-8 d],Z =5.79,P <0.01 ).Satisfaction degree of patients’relatives in case group was significantly lower than control group (Z =8.22,P <0.01).Conclusion HAI occurred in ARI children can increase medical cost,prolong length of hospital stay and decrease satisfaction degree of patients’relatives.