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目的建立烧伤病人平均住院日影响因素模型,为缩短其平均住院日提供依据。方法采用路径分析模型分析各因素作用路径及作用大小。结果烧伤病人平均住院日为20.0天,对其有直接影响的变量按影响大小依次为烧伤面积、烧伤深度、并发症、烧伤部位、性别及呼吸道烧伤;有间接影响的变量依次为烧伤部位、烧伤面积及性别;总体影响按影响大小依次为烧伤面积(0.62)、烧伤深度(0.42)、烧伤部位(0.30)、并发症(0.26)、性别(-0.11)及呼吸道烧伤(0.05)。结论重点缩短小面积烧伤病人平均住院日,积极治疗大面积烧伤病人以预防并发症,指导烧伤病人早期现场正确处理是关键。
Objective To establish a model of influencing factors of average length of stay in burn patients and provide the basis for shortening the average length of stay. Methods The path analysis model was used to analyze the pathways and effects of each factor. Results The average length of hospital stay of patients with burn was 20.0 days, and the variables directly influencing them were burn area, depth of burn, complications, burns, sex and respiratory burn in the order of magnitude of impact; variables with indirect effects were burns, burns Area and sex. The total impact was affected by burn area (0.62), burn depth (0.42), burn site (0.30), complication (0.26), gender (-0.11) and respiratory tract burn (0.05). Conclusions The key point is to shorten the average length of stay of patients with small area burn, to actively treat patients with extensive burn in order to prevent complications and to guide the early treatment of burn patients.