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目的全面评估住院患者的健康状况,探讨整体医疗管理模式中住院患者评估的意义。方法采用专业评估系统和自定的疾病认知评估系统,对我院多个科室的300例住院患者从身体疾病、心理、社会支持、营养状况、疾病认知等多方面进行全面综合评估。结果在躯体疾病构成方面,所选科室的患者病种复杂,合并症多。心理状况评估得分与社会支持评估得分呈显著负相关,各科患者营养状况评估结果差异较大,约有25%的患者对自身所患疾病认知严重不足。结论住院患者在躯体疾病、心理、社会支持、营养状况和疾病认知等方面存在多种并发症,住院患者量化评估能够促进医生加强对患者健康状况的全面了解,并针对患者状况采取积极有效的干预措施,对提高医院医疗服务质量具有重要意义。
Objective To comprehensively assess the health status of hospitalized patients and to explore the significance of inpatient assessment in the overall medical management model. Methods A total of 300 inpatients with multiple departments in our hospital were evaluated comprehensively in terms of physical disease, psychology, social support, nutritional status and disease cognition with a professional assessment system and a customized cognitive assessment system. Results In the constitution of somatic diseases, patients in the selected departments had complicated disease types and many complications. There was a significant negative correlation between scores of psychological status evaluation and scores of social support evaluation. Results of nutritional status of patients in different subjects differed greatly. About 25% of patients had a serious cognitive deficit of their illness. Conclusion There are many complications in inpatients with somatic diseases, psychology, social support, nutritional status and disease cognition. Quantitative assessment of inpatients can promote doctors ’comprehensive understanding of patients’ health condition and take a positive and effective Interventions, to improve the quality of hospital medical services is of great significance.