Current status and influencing factors of "social hospitalization" among elderly coronary disease patients
10.3760/cma.j.cn115682-20191228-04816
- VernacularTitle:老年冠心病患者"社会化住院"现状及影响因素分析
- Author:
Xumei ZHENG
1
;
Lin WANG
Author Information
1. 南京医科大学第一附属医院心血管内科，南京 210000
- Keywords:
Aged;
Coronary disease;
Social hospitalization;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2020;26(15):2023-2028
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the current status of "social hospitalization" among elderly coronary disease patients and analyze its influencing factors.Methods:From January 2018 to June 2019, this study selected 906 elderly coronary disease patients of Department of Cardiovascular Medicine in the First Affiliated Hospital with Nanjing Medical University as subjects by convenience sampling. All of patients were investigated with the self-designed Social Hospitalization Scale. Logistic regression analysis was used to analyze the influencing factors of "social hospitalization" among elderly coronary disease patients. A total of 866 complete data was collected.Results:Among 866 elderly coronary disease patients, there were 252 of them with "social hospitalization" accounting for 29.09% and 614 with non "social hospitalization" accounting for 70.91%. Logistic regression analysis showed that the influencing factors of "social hospitalization" among elderly coronary disease patients included the department change during hospitalization, activities of daily living (ADL) up to the standard at discharge, heart function classification, ages, family per capita income, hospital-acquired infection, admission route, being combined with other chronic disease, depression, anxiety, cognitive impairment, disease course, medical insurance of public expense, new rural cooperative medical care and at patients own expense with statistical differences ( P<0.05) . Conclusions:Elderly coronary disease patients still select the "social hospitalization" when up to the standard at discharge which influenced by the individual, family and social medical institution.
