关键词: 住院病人, 生活质量, 欧洲五维度健康量表, 医院管理

Abstract: Objective　To understand the impact of ward management-related factors on the life quality of patients in the Department of Internal Medicine in an effort to provide advice and recommendations for relevant policies.Methods　From July 2014 to April 2015，a stratified cluster sampling method was used to recruit 4 130 inpatients from 77 general hospitals in 7 provinces （municipalities） in China for the investigation and research.The questionnaires were self-designed and included basic questions （demographic characteristics，health-related behavior and family factors，and ward management-related factors） and the European Five-dimensional Health Scale （EQ-5D，including mobility，self-care，daily activities，pain/discomfort，anxiety/depression）.The EQ-5D was used to evaluate the life quality of patients.The impact of ward management-related factors on the life quality of hospitalized patients was analyzed.Results　In the five dimensions of the EQ-5D，the proportions of “little difficulty/very difficult” from high-to-low were anxiety/depression （61.63%），pain/discomfort （56.69%），daily activities （43.68%），mobility （32.45%），and self-care （28.94%）.The results of multivariate Logistic regression analysis showed that the support/help of spouses was an influencing factor on mobility，daily activities，and anxiety/depression dimensions of hospitalized patients on the EQ-5D （P<0.05）.The support/help of parents was an influencing factor on the pain/discomfort dimension of hospitalized patients （P<0.05）.The support/help of children was an influencing factor on daily activities dimension of hospitalized patients （P<0.05）.The support/help of siblings was an influencing factor on self-care and daily activities dimensions of hospitalized patients （P<0.05）.The degree of ward management was an influencing factor on mobility，self-care，daily activities，and pain/discomfort dimensions of hospitalized patients （P<0.05）.The number of family members/relatives visiting the ward was an influencing factor on mobility，self-care，daily activities，and anxiety/depression dimensions of hospitalized patients （P<0.05）.The number of colleagues/friends visiting the ward was an influencing factor on mobility，self-care，and daily activities dimensions of hospitalized patients （P<0.05）.Conclusion　The most serious problem in the life quality of hospitalized patients is anxiety/depression.From the perspective of hospital management，to improve the life quality of hospitalized patients，more attention should be paid to the cleanliness of the ward and the number of family members/relatives and friends/colleagues that visit the patient should be reduced.

Key words: Inpatients, Quality of life, European Five-dimensional Health Scale, Hospital management