应用病案首页数据挖掘影响妊娠糖尿病患者住院时长的相关因素

摘要

Objective To explore the factors related to the length of hospital stay in patients with diabetes mellitus though medical record home page.Methods A total of 218 cases of gestational diabetes mellitus that were treated in our hospital from October 2014 to July 2016 were selected as the research objects,the information of the first page of the medical record was accessed,and the factors related to the length were subdivided into patient factors and hospital factors in two areas.First,the specific data on the number of days of hospitalization were conducted normal distribution,followed by statistical analysis of all factors,and then the impact factors of hospitalization time were selected to Logistic multivariate regression analysis.Finally,related influencing factors of hospitalization time were reached.Results The study found that,the age of the patients and payment and severity,whether the patients was associated with other disease,treatment methods,whether the patients had accompanied persons,treatment effect and nosocomial infection were the factors influencing the hospitalization of the patients with gestational diabetes mellitus (P ＜ 0.05).Logistic regression analysis showed that 7 factors,influence degree from large to small was as follows:the hospital infection,accompanied diseases,treatment methods,treatment effect,mode of payment,severity and age.Conclusion Length of hospital stay in patients with gestational diabetes is influenced by many factors,the hospital infection,accompanied disease,treatment methods,treatment effect,mode of payment,severity and age are the related factors affecting the hospitalization time.%目的 探讨应用病案首页数据挖掘影响妊娠糖尿病患者住院时长的相关因素.方法 选取2014年10月至2016年7月在该院接受治疗的218例妊娠糖尿病患者为研究对象,调取其病案首页信息,将可能对其住院时长产生影响的相关因素细分为患者因素以及医院因素两方面.首先正态化处理患者的住院天数,其次对所有的影响因素进行统计学分析,然后将所筛选出的能够影响住院时长的因素进行多因素Logistic回归分析,最终得出影响患者住院时长的相关因素.结果 患者的年龄、费用支付方式、病情轻重、是否有伴随病、治疗方式、有无陪护人员、疗效以及医院感染等因素都对妊娠糖尿病患者的住院时长产生影响,差异均有统计学意义(P＜0.05).多因素Logistic回归分析共得出7项影响因素,按影响程度从大到小依次为医院感染、伴随病、治疗方式、疗效、费用支付方式、病情轻重、年龄.结论 医院感染、伴随病、治疗方式、治疗疗效、费用支付方式、病情轻重以及年龄等因素都不同程度地影响妊娠糖尿病患者的住院时长.