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Journal of Korean Academy of Fundamentals of Nursing 1997;4(2): 245
수술전.후 재원일수에 관한 조사연구
김미영1, 박경숙2, 김경희3
1중앙대학교 사회개발대학원 보건행정학과
2중앙대학교 의과대학 간호학과
3중앙대학교 의과대학 간호학과
A Study on the Length of Stay In Hospital Before and After Operation
Mi-Young Kim1, Kyung-Sook Park2, Kyung-Hee Kim3
1Major in Health Science Department of Public Health Administration The Gradate School of Social Development Chung-Ang University
2Dept. of Nursing, College of Medicine, Chung-Ang University
3Dept. of Nursing, College of Medicine, Chung-Ang University
Abstract
The purpose of this study was to promote the effectiveness in managing disease or injury, by examining the length of stay in hospital according to characteristics concerned before and after operation, and by serving as a basis for reducing that length. As a result of investigating the length of stay in hospital according to inpatient's personal characteristics, clinical features and other characteristics concerned, the following characteristics appeared significant. The characteristics that showed a significant difference about the length of stay in hospital before and after operation were the age and the fact whether one was married or not among inpatient's personal characteristics. The significant ones among clinical features were the route to be taken to hospital, the form of insurance, the experience of re-hospitalization, whether another disease coexisted, the experiment of changing department, whether a diagnosis was determined by consultation, whether an intensive care unit was used, whether re-operation was performed, the total number of case of the experience of re-hospitalization, inpatient who were again sent to hospital under the same diagnosis was not included in the investigation, which was pointed out as a limit in this study. The significant ones among other characteristics concerned were the date and season when the patients were taken to hospital and the doctor in attendance. The doctor in attendance appeared to give a significant impact on the length of stay in hospital before operation, but no significant difference was noted in the mean among the doctors in attendance. And those characteristics were not found regularly among the selected departments. As stated above, one way to reduce the length of stay In hospital was to diminish the length of stay in hospital before operation. The term of hospitalization before operation shall be reduced by grasping the factors that affected that length before operation and by conducting examination as many as possible in the out-patient department. Also, the efforts should be put on that length after operation. The management of hospital seemed to be successfully carried out if those factors affected that length were effectively controlled.
Key words: Hospital length of stay before and after operation
주요어: 수술전 재원일수 | 수술후 재원일수