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影响泰国心肌梗死患者再入院的因素。

Factors influencing readmission among Thais with myocardial infarction.

作者信息

Polsook Rapin, Aungsuroch Yupin

机构信息

Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.

出版信息

Belitung Nurs J. 2021 Feb 22;7(1):15-23. doi: 10.33546/bnj.1234. eCollection 2021.

Abstract

BACKGROUND

Readmission among patients with myocardial infarction is costly, and it has become a marker of quality of care. Therefore, factors related to readmission warrant examination.

OBJECTIVE

This study aimed at examining factors influencing readmission in Thai with myocardial infarction.

METHODS

This was a cross-sectional study with 200 participants randomly selected from five regional hospitals in Thailand. All research tools used indicated acceptable validity and reliability. Linear Structural Relationship version 8.72 was used for the data analysis.

RESULTS

The findings showed that the hypothesized model with social support, depression, symptom severity, comorbidity, and quality of life could explain 4% ( = 0.04) of the variance in readmission ( = 1.39, = 2, p < 0.50, = 0.69, = 1.00, = 0.00, = 0.01, and = 0.98). Symptom severity was the most influential factor that had a positive and direct effect on the readmission rate (0.06, < 0.05).

CONCLUSION

These findings serve as an input to decrease readmission in patients with myocardial infarction by reducing the symptom severity and comorbidity and promoting a better quality of life.

摘要

背景

心肌梗死患者再次入院成本高昂,且已成为医疗质量的一个指标。因此,与再次入院相关的因素值得研究。

目的

本研究旨在探讨影响泰国心肌梗死患者再次入院的因素。

方法

这是一项横断面研究,从泰国五家地区医院随机选取200名参与者。所有使用的研究工具均显示出可接受的效度和信度。使用线性结构关系版本8.72进行数据分析。

结果

研究结果表明,包含社会支持、抑郁、症状严重程度、合并症和生活质量的假设模型可以解释再次入院差异的4%(=0.04)(=1.39,=2,p<0.50,=0.69,=1.00,=0.00,=0.01,=0.98)。症状严重程度是对再次入院率有正向直接影响的最具影响力因素(0.06,<0.05)。

结论

这些研究结果为通过降低症状严重程度和合并症以及改善生活质量来降低心肌梗死患者再次入院率提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7294/10353658/21c502046b75/BNJ-7-1-015-g001.jpg

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