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黔北地区先天性心脏病患儿就医延迟现状调查及影响因素分析

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目的:调查黔北地区先天性心脏病患儿就医延迟现状并分析其影响因素,为促进黔北地区儿童先天性心脏病早发现、早诊断、早治疗,改善先天性心脏病患儿术后生存质量提供依据.方法:采用便利抽样法,选择黔北地区2所三级甲等综合医院的259例先天性心脏病患儿及其主要照护者为研究对象,调查其就医延迟现状,并分析其影响因素.结果:259例患儿中有219例(84.56%)发生就医延迟,就医延迟时间最长为168个月,最短为1个月.Logistic回归分析显示,家庭居住地、家庭月收入、家庭子女数量是先天性心脏病患儿就医延迟的影响因素(P<0.05).结论:黔北地区先天性心脏病患儿就医延迟发生率高,普遍存在就医延迟现象;家庭居住地为农村、经济收入较低、子女数量多的患儿更易发生就医延迟.
Investigation of the current situation of patient delay and analysis of influencing factors in children with congenital heart disease in the Northern Guizhou region
Objective:To investigate the current situation of patient delay and analyze the influencing factors in children with congenital heart disease in the Northern Guizhou region,in order to provide a basis for promoting early detection,diagnosis,and treatment of congenital heart disease in children in this region and improving their postoperative survival quality.Methods:A convenience sampling method was used to select 259 children with congenital heart disease and their main caregivers from two Class A tertiary comprehensive hospitals in the Northern Guizhou region as study subjects to investigate the current situation of patient delay and analyze the influencing factors.Results:Among the 259 children,219 cases(84.56%)experienced patient delay,with the longest delay being 168 months and the shortest 1 month.Logistic regression analysis revealed that the family's place of residence,monthly household income,and the number of children were influencing factors for patient delay in children with congenital heart disease(P<0.05).Conclusion:The incidence of patient delay is high among children with congenital heart disease in the Northern Guizhou region,with a widespread phenomenon of patient delay.Children from rural areas,with lower economic income,and from larger families are more likely to experience patient delay.

Congenital heart diseaseChildrenPatient delayInfluencing factors

张婷、陈燕、周家梅、莫兴余、李秀毛、张莉

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遵义医科大学附属医院,贵州 遵义 563000

先天性心脏病 儿童 就医延迟 影响因素

遵义市科技计划项目

遵市科合HZ字[2021]155号

2024

天津护理
天津市中心妇产科医院 天津护理学会 天津医科大学护理学院

天津护理

影响因子:0.718
ISSN:1006-9143
年,卷(期):2024.32(5)