Study On The Attitude To Seeing Doctors Of Elderly Hospitalized Patients And Its Influencing Factors In A General Hospital In Changsha

Objective:To study the attitude to seeing doctors of elderly hospitalized patients and its influencing factors through cross-sectional study, in order to provide scientific and reliable basis for improving the health of elderly patients.Methods:Select the elderly hospitalized patients from May2012to December2012in a general hospital of Changsha as our research object, Investigate the social demographic characteristics, body health, nearly a year of health and the attitude of seeing doctors of the elderly hospitalized patients by the self-made questionnaire. Using chi-square, fisher exact probability method and the multi-factor logistic regression analysis method for statistical analysis.Results:1. In this survey, men accounted for57.1%, while women accounted for42.9%; The60-70years old elderly hospitalized patients accounted for48.2%, the71-80years old elderly hospitalized patients accounted for42.8%, the71years old and above elderly hospitalized patients accounted for9.0%; And99.1%of the nation was the han nationality; Jobs was given majority to workers(31.3%), farmers(24.1%) and civil servants(31.3%); Cultural degree was given priority to with elementary school(26.8%) and high school(27.7%); Economic conditions was given priority to under2000yuan per month(53.6%) and2001to4000yuan per month(35.7%); The residence of elderly hospitalized patients of large and medium-sized cities accounted for51.8%, the residence of elderly hospitalized patients of suburbs accounted for3.6%, the residence of elderly hospitalized patients of county (city) accounted for27.6%, the residence of elderly hospitalized patients of country accounted for17.0%; Family type was given priority to with couples, accounted for75.9%; Health care type were given priority to with social medical insurance(40.2%) and new farming(25.0%).2. The survey shows that in the attitude to seeing doctors, having a positive attitude to seeing doctors accounted for47.3%, having negative attitude to seeing doctors accounted for52.7%. In active attitude reasons, there were five main reasons:"worrying about diseases becoming more and more serious"(32.4%),"should see doctors as soon as possible when feeling no good"(26.8%),"couldn’t endure the pain of diseases"(15.1%),"seeing doctors are convenient"(14.0%),"positive treatment can obtain the formal treatment"(11.7%). In negative attitude reasons, there were four main reasons:economic difficulties (26.1%), thinking "seeing a doctor is very trouble, spending much time"(20.4%),"with no accompany"(28.4%), and thinking "seeing a doctor is useless"(15.9%), think " it would also be good if not to see a doctor or take medicine"(9.1%).3. In this survey, the elderly hospitalized patients thought he was in good health, good, general, poor, very poor each accounted for0.4%,25.5%,60.3%,13.4%,0.4%; Patients with a disability or disorder accounted for0.4%. The top five chronic diseases were high blood pressure, diabetes, chronic obstructive pulmonary disease, coronary heart disease and other cardiovascular diseases.4. The frequency of seeing doctors in the recent1year was give priority to "occasionally or nothing at all"(66.5%);74.1%of the hospitalized elderly patients had been in hospital in the recent1year;72.8%of the hospitalized elderly patients didn’t do a health check in recent1year.5. Single factor analysis of the attitude to seeing doctors: The different attitude to seeing doctors of different gender of elderly hospitalized patients was no statistically significant (χ2=0.075, P=0.785). The different attitude to seeing doctors of different nation of elderly hospitalized patients was no statistically significant (P=0.473). The different attitude to seeing doctors of different career of elderly hospitalized patients was no statistically significant (χ2=l.393,P=0.845). The different attitude to seeing doctors of different families of elderly hospitalized patients was no statistically significant (χ2=1.470, P=0.167). The different attitude to seeing doctors of different cultural degree of elderly hospitalized patients was no statistically significant (x2=1.807, P=0.%96). The different attitude to seeing doctors of different economic conditions of elderly hospitalized patients was no statistically significant (χ2=3.288,P=0.193). The different attitude to seeing doctors of different disability or disorder situation of elderly hospitalized patients was no statistically significant (P=1.000)The different attitude to seeing doctors of different age of elderly hospitalized patients was statistically significant (χ2=8.073, P=0.018); The different attitude to seeing doctors of different marriage situation of elderly hospitalized patients was statistically significant (χ2=7.462, P=0.006); The different attitude to seeing doctors of different residence situation of elderly hospitalized patients was statistically significant (χ2=15.876,P=0.001); The different attitude to seeing doctors of different type of medical treatment insurance of elderly hospitalized patients was statistically significant (χ2=13.611, P=0.009); The different attitude to seeing doctors of different physical examination situation of elderly hospitalized patients was statistically significant (χ2=10.895, P=0.001) 6. Multiple factor analysis of the attitude to seeing doctors:Residence, payment of medical expenses and physical examination situation were the influence factors of attitude to seeing doctors of elderly hospitalized patients.Conclusions:1. The survey shows that in the attitude to seeing doctors, having a positive attitude to seeing doctors accounted for47.3%, having negative attitude to seeing doctors accounted for52.7%. In active attitude reasons, there were five main reasons:"worrying about diseases becoming more and more serious","should see doctors as soon as possible when feeling no good","couldn’t endure the pain of diseases","seeing doctors are convenient","positive treatment can obtain the formal treatment". In negative attitude reasons, there were four main reasons:economic difficulties, thinking "seeing a doctor is very trouble, spending much time","with no accompany"(28.4%), and thinking "seeing a doctor is useless", think " it would also be good if not to see a doctor or take medicine".2. Residence, payment of medical expenses and physical examination situation were the influence factors of attitude to seeing doctors of elderly hospitalized patients.