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目的探讨基层医院社区老人住院的特征,为家庭医生式服务提供参考。方法回顾性分析广州某基层综合性医院在2013-2014年期间收治的826例次65岁以上社区老人住院相关资料。结果 1前五位系统疾病为循环、呼吸、消化、内分泌及营养和代谢疾病、肌肉骨骼系统和结缔组织病,占总样本病例数的78.20%。2死因前三位的系统疾病为肿瘤、呼吸、循环。3反复住院超3次的患者48例,占12.97%。4患3种以上疾病的例数为567例,占68.64%。平均住院时间18 d。结论社区老人治疗疾病的需求高,应该更好发挥家庭医生式服务模式来维持社区老人健康。
Objective To explore the characteristics of hospitalization for the elderly in grass-roots hospitals and to provide references for family doctor services. Methods A retrospective analysis was conducted on the hospitalization data of 826 elderly people over the age of 65 who were admitted to a primary general hospital in Guangzhou during 2013-2014. Results The top five diseases were circulatory, respiratory, digestive, endocrine and nutritional and metabolic diseases, musculoskeletal system and connective tissue diseases, accounting for 78.20% of the total number of cases. The first three causes of death from cancer, breathing, and circulation. 3 recurrent hospital over three times in 48 patients, accounting for 12.97%. 4 cases suffering from more than 3 diseases 567 cases, accounting for 68.64%. The average length of stay was 18 days. Conclusion The needs of community elders in treating diseases are high, and the family doctor service model should be better utilized to maintain the health of community elders.