摘要
目的分析某儿童医院抽动障碍患者初诊的分诊情况。方法收集确诊的抽动障碍患者345例,回顾分析其初诊时于分诊处的分诊情况及确诊周期。结果 52.17%于神经科或精神心理科就诊,47.83%多于眼科、骨科、耳鼻喉科和呼吸科等就诊,于其他科室初诊的患者反复就诊3次以上者占21.82%。初诊诊于神经科或精神心理科患者的确诊周期明显少于其他科室,差异有统计学意义(P<0.05)。结论医院门诊对抽动障碍患者的分诊还存在很多不足,需加强分诊护士对抽动障碍相关知识的学习,提高对抽动障碍患者的正确分诊率。
Objective To analysis the triage situation of patients with tic disorders in a Children' s hospital. Methods 345 patients newly diagnosed with tic disorders were collected, and their triage and confirmed cycle were analyzed retrospectively. Results 52.1% of patients newly diagnosed with tic disorders were referred to The Neurology or mental psychological department ,47.83% were referred to other departments,such as ophthahnology, orthopedics, ENT, respiratory. 21.82% of the patients referred to other departments had went to see doctors more than three times. The confirmed cycle of those who were referred to the Neurology or mental psychological department firstly was less than those who were referred to other departments ( P 〈 0.05 ). Conclusion The triage situation of patients with tic disorders was needed to improve. It' s essential to strength the learning of the knowledge about tic disorders for triage nurses, thus to improve the correct rate of triage for patients with tic disorders.