胸痛患者分诊记录单的应用效果

Application effect of new triage record list on acute chest pain

目的：将非创伤性胸痛的分诊标准和SOAPIE分诊方法引入急性胸痛的预检分诊工作,探讨其在急性胸痛预检分诊工作中的应用效果。方法依据SOAPIE分诊方法和非创伤性胸痛的分诊标准自行设计胸痛患者分诊记录单,比较采用常规分诊方法与该分诊方法的分诊时间、分诊准确率及患者满意度的差异。结果研究组分诊时间（1.94±0.30）min,低于对照组的（2.27±0.35）min,差异有统计学意义（t=6.99,P〈0.05）。研究组分诊正确率为96.0%,高于对照组的82.0%,差异有统计学意义（χ2=10.01,P〈0.05）。研究组患者满意度得分为（98.94±1.06）分,高于对照组的（89.30±5.95）分,差异有统计学意义（t=15.96,P〈0.01）。结论新的分诊记录单缩短了分诊时间,提高了急性胸痛患者分诊的正确率和患者满意度,值得临床推广。

Objective To introduce triage standard for non-traumatic chest pain and SOAPIE triage method into triage work for acute chest pain patients, and to investigate its effect. Methods Based on triage standard for non-traumatic chest pain and SOAPIE triage method, a new triage record was established. And triage time, triage accuracy and patient satisfaction were compared with conventional methods. Results The triage time of the research group was （1. 94 ± 0. 30） minutes, which was significantly lower than （2. 27 ± 0. 35） minutes of the control group （t =6. 99,P 〈0. 05）. The triage accuracy of the research group was 96. 0%, which was significantly higher than 82. 0% of the control group （χ2 =10. 01,P〈0. 05）. The score of patients′satisfaction was （98. 94 ± 1. 06）, which was significantly higher than （89. 30 ± 5. 95） of the control group （t=15. 96,P 〈0. 01）. Conclusions The new triage method can shorten the triage time, improve the triage accuracy and patients′satisfaction, which is worthy of promotion.