| 姜智敏 陆晓晔 刘黎 毛家亮 杨钱华.综合医院急诊科患者躯体化症状对其住院时间和住院费用的影响[J].,2016,16(33):6456-6459 |
| 综合医院急诊科患者躯体化症状对其住院时间和住院费用的影响 |
| The Impact of Somatic Symptoms to the Hospital Duration and HospitalCosts in the Emergency Department of General Hospital |
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| DOI： |
| 中文关键词: 躯体化症状 住院时间 住院费用 |
| 英文关键词: Somatization Hospital duration Hospital costs |
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| 中文摘要: |
| 目的：探讨躯体化症状对综合医院急诊科住院患者住院时间和住院费用的影响及躯体化症状自评量表在急诊科住院患者
中的应用价值。方法：采用躯体化症状自评量表对100 例急诊科住院患者进行心理状态评估，评分≤ 40 分为低分组，＞40 分为高
分组，比较两组的一般情况及住院时间和费用，并对住院费用和时间的影响因素进行多因素分析。结果：100 例患者中，SSS得
分≤ 40 分共73 例，＞40 分共27 例，两组间年龄、性别分布比较有统计学差异，受教育程度、职业和病程等方面差异均无统计学
意义。高分组患者年龄偏大(71.15± 14.42 vs 61.62± 14.66)岁，女性比例较高(59.2％ vs 32.8％ )，住院天数较长(16.30± 3.81 vs
13.56± 5.64 天)，住院费用较高(17922.55± 1966.64 vs 14252.13± 8655.71元)。多元回归分析结果显示住院时间与费用与患者的年
龄、性别及躯体化症状有相关性。结论：躯体化症状是综合性医院急诊科住院病人常见症状，与年龄及性别相关，可能延长患者的
住院时间和住院费用。躯体化症状自评量表具有较好的信度和效度，可应用于综合医院住院患者心理症状的筛查。 |
| 英文摘要: |
| Objective:To investigate the impact of somatic symptoms to the hospital duration and hospital costs in the emergency
department of general hospital and the value of Somatic Self-rating Scale for hospitalized patients in the emergency department.Methods:100 inpatients admitted in the emergency department of our hospital were enrolled and divided into two groups respectively according to
the score of SSS, low score group (≤ 40) and high score group (> 40). The clinical characteristics, hospital duration and hospital costs
were compared between two groups.Results:In 100 patients, 73 patients were divided into the low score group, while 27 patients were
divided into the high score group. There were significant differences in the age, gender between two groups, but no significant difference
was found in the education level, occupation and disease course between two groups. Compared with the lower score group, the high
score group had more older patient (71.15± 14.42 vs 61.62± 14.66), more women (59.2% vs 32.8%), longer time of hospitalization
(16.30± 3.81 vs 13.56± 5.64 d), and higher hospitalization costs (17922.55± 1966.64 vs 14252.13± 8655.71). Multiple regression analysis
showed the hospitalization and costs were associated with the age and gender of patients.Conclusion:Somatization was common in
the patients of emergency department in the general hospital, which was associated with the age，gender and somatization. It might increase
the time and costs of hospitalization. Somatic Self-rating Scale has good reliability and validity, it could be applied to screening
mental symptoms for inpatient in the general hospital. |
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