本篇文章目录导航:

　　【题目】先天心脏病患儿就医延迟问题探究
　　【第一章】延迟就医心脏病患儿现状调研前言??
　　【第二章】就医延迟和先天心脏病文献综述
　　【第三章】就医时间对心脏病先天患儿的影响研宄方法
　　【第四章】心脏病新生儿就医延迟情况研究结果
　　【第五章】患儿就医延迟影响因素讨论
　　【第六章-参考文献】先天心脏病患儿就医影响研究结论与参考文献

中文摘要

　　研宄背景:??

　　随着现代社会形势的发展变化和人民生活水平的不断提高,儿童所患的疾病病种发生了显着的变化,先天异常疾病所占比例呈上升趋势,出生缺陷的患病率达到了 3-5%[|],其中先天性心脏病在先天性缺陷中所占比例较高?.根据我国监测结果显示,胎儿先天性心脏病的患病率为0.74%‘并且有上升趋势.目前,通过及时的治疗极大的提高了先天性心脏病患儿的成活率,然而由于各种客观或主观原因,许多患儿未能及时就医,就医延迟不仅增加了社会和家庭的负担,也给患儿身心带来不良影响[4],因此揭示先天性心脏病患儿就医延迟情况及其影响因素,对于改善先天性心脏病患儿的就医延迟时间和治疗具有重要的意义.??

　　目的:??

　　1、调查先天性心脏病患儿就医延迟现状.??

　　2、探讨预测先天性心脏病患儿就医延迟的因素.??

　　研究方法:??

　　本研宄采用方便抽样的方法,对2016年5月-2017年10月山东省临沂市某三级甲等医院收治的先天性心脏病患儿诊治资料进行调查分析.基于健康生态学模型,研究者自行设计患儿一般资料调查表、患儿就医情况调查表等,调查分析先天件心脏病患儿就医延迟现状及其影响因素.收集200例患儿资料,使用spSS19.0软件对数据统计整理和分析.对数据进行统计描述,对计量数据进行t检验,对计数数据进行卡方分析,对多因素数据采用二元Logistic回归分析,找出先天性心脏病患儿就医延迟的影响因素,统计学显着性标准为P<〇. 05.??

　　结果:??

　　1、研宂对象数据显示就医延迟的最短时间为1个月,最长时间为120个月,中位就诊时间为12个月.??

　　2、81%的研宄对象发生就医延迟,延迟时间在1-12个月的比例占43%、12-60个月的比例占30. 5%、延迟时间在60个月以上的比例占7. 5%.3、家庭人均月收入、医疗费用结算方式、监护人教育程度、监护人吸烟情况、监护人饮酒情况是先天性心脏病患儿就医延迟的影响因素.??

　　结论:??

　　1、先天性心脏病患儿大部分存在就医延迟现象,并且81%的患儿就医延迟时间超过1个月.??

　　2、基于健康生态学模型,影响先天性心脏病患儿就医延迟的上游因素为:监护人教育程度、医疗费用结算方式、家庭人均月收入;中游因素为:监护人吸烟情况、监护人饮酒情况;下游因素为:性别、心脏杂音分级.??

　　关键词:先天性心脏病;儿童;就医延迟??

Abstract??

　　Research Background:With the development of modem social situation and the continuous improvement of vpeople's living standards,significant changes have occurred in children's diseases,theproportion of congenital abnormal diseases is on the rise5the prevalence of birth defectshas reached 3-5%.Among them,congenital heart disease accounts for a higherproportion of congenital defects.According to the monitoring results in China, theincidence rate of the fetus is 0.74%, and there is an upward trend.Currently,the survivalrate of children with congenital heart disease is greatly improved by timelytreatment,however due to various objective or subjective reasons,many children fail toseek medical treatment in time,medical delay not only increase the burden on societyand the family,also has a negative impact on the child's body and mind,Therefore,revealing the medical delay for children with congenital heart disease and itsinfluencing factors5it is of great significance for improving the medical delay diagnosisand treatment of congenital heart disease.??

　　Objectives:??

　　1.Investigate the current situation of medical delay for children with congenital heartdisease.??

　　2.Exploring the factors predicting medical delay for children with congenital heartdisease.??

　　Research Method:??

　　This study uses a convenient sampling method,investigation and analysis of congenitalheart disease diagnosed and treated in a third-grade hospital in Linyi City, ShandongProvince from May 2016 to October 2017.Health-based ecological model,Theresearchers designed their own general questionnaires, questionnaires for children'smedical treatment, etc.Investigation and analysis of the status quo of medical delay forchildren with congenital heart disease and its influencing factors.Collecting 200children's data.Statistical analysis and analysis of data using spssl9.0soflware.Descriptive statistics are used for the data, t-test is performed on themeasurement data, chi-square analysis is performed on the count data, and binarylogistic regression analysis is performed on the multi-factor data5finding theinfluencing factors of medical delay for children with congenital heartdisease5statistical significance was accepted at the P<0.05 level.??

　　Result:??

　　1.The data showed that the shortest time of medical delay was 1 month, the longesttime was 120 months, and the median time for medical delay was 12 months.??

　　2.81% of the study subjects had delayed medical delay, the proportion of medical delaytime in 1-12 months accounted for 43%, the proportion of 12-60 months accounted for30.5%, and the medical delay time was 60 months, accounting for 7.5%.??

　　3.Household per capita income, medical expenses settlement method, guardianeducation level, guardian smoking status, and guardian drinking status were theinfluencing factors of medical delay for children with congenital heart disease.??

　　Conclusions:??

　　l.In children with congenital heart disease, there is a common phenomenon in medicaldelay, and the medical delay time of 81% of the children is more than 1 month.??

　　2.Based on the upstream factors medical delay health in children with congenital heartdisease affects the ecology model: Guardian education, settlement of medical expenses,family income; middle factors: smoking, drinking of guardian guardian, objectivesupport; downstream factors: gender, age family genetic history heart grading.??

　　Key words: Congenital heart disease; Children; Medical delay??
 

目录?

　　?
　　中文摘要??
　　英文摘要
　　第一章 前言?
　　??
　　第二章文献综述?
　　1、就医延迟
　　2、先天性心脏病患儿就医延迟及其影响因素?

　　第三章研宄方法
　　1、研究设计
　　2、研究的理论框架
　　3、研宄对象
　　4、研究变量及工具
　　5、资料收集
　　6、质量控制
　　7、统计方法

　　第四章研究结果
　　1、调查对象的一般结果
　　2、先天性心脏病患儿就医延迟情况
　　3、单因素分析结果
　　4、Logistic M归分析结果

　　第五章 讨论
　　1、先天性心脏病患儿就医延迟情况
　　2、患儿就医延迟影响因素分析
　　3、就医延迟影响因素的健康生态学模型解释

　　第六章 结论
　　1、结论?
　　2、研宂的创新之处
　　3、研究的局限之处
　　4、建议?
?
　　附录：??
　　参考文献：??

TAG标签： 先天心脏病     就医延迟