急诊分级分区分诊模式在急性胰腺炎患者分诊中的应用效果

Application effect of emergency grading and sub-distribution mode in triage of patients with acute pancreatitis

目的探讨急诊分级分区分诊模式在急性胰腺炎(AP)患者分诊中的应用效果。方法选取2016年1月~2018年1月我院急诊收治的84例AP患者,按就诊顺序分为研究组(43例)与参照组(41例)。研究组实施急诊分级分区分诊模式,参照组实施常规模式。比较两组候诊时间、治疗等候时间、分诊准确率、救治成功率、护理满意度及护理纠纷发生情况。结果研究组候诊时间和治疗等候时间均短于参照组,分诊准确率和救治成功率均明显高于参照组(P<0.05)。研究组护理总满意度为95.35%,明显高于参照组的73.17%(P<0.05)。研究组护理纠纷发生率为2.33%,明显低于参照组的14.63%,差异均有统计学意义(P<0.05)。结论 AP患者实施急诊分级分区分诊可有效缩短患者候诊与治疗等候时间,提高分诊准确率、救治成功率和护理总满意度,还能减少医疗纠纷的发生,值得在急诊推广应用。

Objective To explore the application effect of emergency grading and sub-diagnosis mode in the triage of patients with acute pancreatitis（AP）. Methods A total of 84 patients with AP admitted to our hospital from January2016 to January 2018 were selected and they divided into study group（43 cases） and reference group（41 cases） according to the order of treatment. The study group was implemented the emergency grading and zoning triage mode, and the reference group was implemented the regular mode. The waiting time, treatment waiting time, triage accuracy, treatment success rate, nursing satisfaction and nursing disputes were compared between the two groups. Results The waiting time and treatment waiting time of the study group were shorter than that in the reference group, and the accuracy of diagnosis and success rate of treatment were significantly higher than that of the reference group（P〈0.05）. The nursing satisfaction of the study group was 95.35%, which was significantly higher than that of the reference group（73.17%,P〈0.05）. The incidence of nursing disputes in the study group was 2.33%, which was significantly lower than that of the 14.63% in the reference group, the differences were statistically significant（P〈0.05）. Conclusion The implementation of emergency grading and zoning triage mode in patients with AP can effectively shorten the waiting time and treatment waiting time, improve the accuracy of triage diagnosis, success rate of treatment and satisfaction of nursing,and reduce the occurrence of medical disputes, worthy of clinical application.