病情分级及分区处置在烧伤急诊科的应用效果

Application effect of disease classification and zoning in burn emergency department

目的探讨病情分级及分区处置在烧伤急诊科的应用效果。方法将2015年收治的730例烧伤急诊患者作为对照组,2016年收治的754例烧伤急诊患者作为观察组。对照组采用传统护理工作模式,观察组实施病情分级及分区处置,即应用烧伤急诊患者病情评估表进行分诊,将患者病情分为Ⅰ~Ⅳ级,并划分到相应区域进行救治。结果观察组护理不良事件及护患纠纷发生率显著低于对照组(P<0.05,P<0.01);观察组早期发现病情变化例数显著多于对照组,且烧伤急诊科医生对护士工作的满意度显著提高(均P<0.01)。结论实施病情分级及分区处置有利于及时发现病情变化,保证烧伤急诊患者护理安全,提升医生对护理工作的满意度,提高烧伤急诊科护理质量。

Objective To discuss the application effect of disease classification and zoning in burn emergency department. Methods Totally 730 burn emergency patients admitted in 2015 were treated as a control group, another 754 burn emergency patients admitted in 2016 were treated as an observation group. The control group was cared using traditional nursing model, while the observation group was cared using disease classification and zoning, which included triage using disease assessment form for burn emergen cy patients, then the patients were divided into grade I to IV according to disease condition and allocated to corresponding zone for treatment. Results The incidence of nursing adverse events and nursing disputes of the observation group were significantly lower than those of the control group （P〈0.05, P〈0.01） ; the rate of early observation of disease change was significantly higher than that of the control group, and physician satisfaction toward nursing work was significantly higher （P〈0.01 for both）. Conclusion Implementation of disease classification and zoning is conducive to observe disease change at an early time, ensure nursing safety for burn emergency patients, improve physician satisfaction toward nursing work, and enhance nursing quality of burn emergency de- partment.