大型综合医院康复医学科分设急慢病房的探索

目的探讨在大型综合医院康复科分别设置急性病房和慢性病房的价值。方法以2012 年8 月~2013 年4 月急性病房出院患者为实验A组(n=289)，慢性病房为实验B组(n=108)，分设前1 年出院的患者为对照组(n=402)，观察各组患者日常生活活动能力(ADL)、患者满意度、急性病房平均住院日。结果对照组和实验A组出院患者ADL比较无显著性差异(P>0.05)，实验B组ADL较对照组为优(P<0.05)。出院时满意度调查显示，实验组在康复治疗效果、硬件设施、环境卫生方面满意度提高(P<0.05)。实验A组平均住院日下降。结论在康复科进行“急慢分治”“双向转诊”的改革，有利于医疗资源的合理利用，满足更多患者的康复需求，同时保障医疗安全，提升医疗质量，并提高患者满意度。

Setting Acute and Chronic Wards in Rehabilitation Medicine Department of General Hospital

Objective To investigate the significance to separate acute and chronic wards in a rehabilitation medicine department of generalhospital. Methods The patients discharged from acute wards from August 2012 to April 2013, when acute and chronic wards has beenseparated, were as group A (n=289), those from chronic wards were as group B (n=108). The patients discharged a year before the separation were as the control (group C, n=402). Their activities of daily living (ADL) when discharged, satisfaction and the time in the acute wards were observed. Results There was no significant difference in ADL between group A and group C (P>0.05), but it was between group B and group C (P<0.05). The patients more satisfied after separation (P<0.05), while the time in the acute wards decreased. Conclusion Separating the acute and chronic wards may improve the use of the medical resources and serve more patients. However, it improve the quality of care and satisfaction of the patients.