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

摘要： 目的　了解内科住院患者生活质量的现况及病房管理相关因素对其的影响，为相关政策的制定提供依据和建议。方法　2014年7月—2015年4月，采用分层整群抽样方法抽取全国7个省/直辖市的77家综合医院的4 130例内科住院患者进行调查研究。调查问卷为自行设计，主要包括基础问卷（人口学特征、健康相关行为和家庭因素、病房管理相关因素）和欧洲五维度健康量表（EQ-5D，包括移动性、自我照顾、日常活动、疼痛/不适、焦虑/抑郁5个维度），以EQ-5D评价患者的生活质量。分析内科住院患者的生活质量及病房管理相关因素对其的影响。结果　在内科住院患者EQ-5D的5个维度中，“有点困难/很困难”所占比例由高到低分别是焦虑/抑郁（61.6%）、疼痛/不适（56.7%）、日常活动（43.7%）、移动性（32.5%）和自我照顾（28.0%）。多因素Logistic回归分析结果显示，配偶的支持/帮助是内科住院患者移动性、日常活动、焦虑/抑郁的影响因素（P<0.05）；父母的支持/帮助是内科住院患者疼痛/不适的影响因素（P<0.05）；子女的支持/帮助是内科住院患者日常活动的影响因素（P<0.05）；兄弟姐妹的支持/帮助是内科住院患者自我照顾、日常活动的影响因素（P<0.05）；病房整洁程度是内科住院患者移动性、自我照顾、日常活动、疼痛/不适的影响因素（P<0.05）；来病房看望的家人/亲戚人数是内科住院患者移动性、自我照顾、日常活动、焦虑/抑郁的影响因素（P<0.05）；来病房看望的同事/朋友人数是内科住院患者自我照顾、日常活动的影响因素（P<0.05）。结论　内科住院患者生活质量中最严重的问题是焦虑/抑郁。从医院管理角度来看，改善内科住院患者生活质量应重视病房的整洁，并适当减少来病房看望的家人/亲戚、朋友/同事人数。

关键词: 住院病人, 生活质量, 欧洲五维度健康量表, 医院管理