Degree in Nursing, Epidemiologist, PhD. Professor, Faculty of Health Sciences, Universidad Nacional Autónoma de Chota, Chota, Cajamarca, Peru. E-mail:
Bachelor of Nursing, Faculty of Health Sciences, Universidad Nacional Autónoma de Chota, Chota, Cajamarca, Peru. E-mail:
Invest Educ Enferm. 2023 Feb;41(1). doi: 10.17533/udea.iee.v41n1e10.
This work sought to establish the relationship between the degree of dependency with hospitalization time of patients intervened surgically in a regional hospital of Peru.
The study was analytical, cross- sectional with retrospective data collection, studying 380 patients treated in the surgical service at Regional hospital Docente in the municipality of Cajamarca (Peru). The patients' demographic and clinical information was obtained from the daily care records in the hospital's surgery service. The univariate description was conducted through absolute and relative frequencies and confidence intervals for proportions at 95%; for the association between the degree of dependency and hospitalization time Log Rank (Mantel-Cox) - Chi-square was applied, as well as the Kaplan-Meier survival analysis, with statistical significance of p<0.05.
The study had 53.4% male patients, with mean age of 35.3 years, referrals from operating room (64.7%), surgery specialty (66.6%) and the most- frequent surgical intervention was appendectomy (49.7%). Mean hospitalization time was 10 days; 88.1% of the patients had grade-II dependency. The degree of patient dependency had a significant impact on the days of post- surgery hospitalization with direct relationship between both variables (p=0.038).
Hospitalization time is determined by the degree of dependency of patients subjected to a surgical intervention; thereby, it is fundamental to anticipate all the necessary resources for proper care management.
本研究旨在确定秘鲁某地区医院接受手术治疗的患者的依赖程度与住院时间之间的关系。
本研究为分析性、横断面、回顾性研究，共纳入 380 例在卡哈马卡市（秘鲁）教学地区医院外科接受治疗的患者。从医院外科护理记录中获取患者的人口统计学和临床信息。通过绝对和相对频率以及 95%置信区间进行单变量描述；应用对数秩（Mantel-Cox）-卡方检验评估依赖程度与住院时间之间的关联，同时进行 Kaplan-Meier 生存分析，以 p<0.05 为统计学显著性标准。
本研究中男性患者占 53.4%，平均年龄为 35.3 岁，主要来自手术室（64.7%）、外科专业（66.6%），最常见的手术干预是阑尾切除术（49.7%）。平均住院时间为 10 天；88.1%的患者依赖程度为 II 级。患者的依赖程度对手术后住院天数有显著影响，两者之间存在直接关系（p=0.038）。
患者的依赖程度决定了接受手术干预后的住院时间；因此，充分预测所有必要的资源对于妥善的护理管理至关重要。
