标准化TAT皮试判断器降低TAT皮试假阳性反应的效果

Standardized TAT Skin Test Judger Reduces the Effect of False Positive Reaction of TAT Skin Test

目的设计制作标准化TAT皮试判断工具并应用于临床护理工作中,观察其降低TAT皮试假阳性反应的效果,以提高急诊创伤患者接受TAT的预防免疫率。方法随机选择本市5所二级及其以上医院,将2017年1~6月收治的1986例急诊创伤患者设为对照组,2017年7~12月收治的2267例急诊创伤患者设为实验组,两组采用同种皮试注射方法,对照组通过肉眼观察判断皮试结果,实验组采用标准化TAT皮试判断工具判断皮试结果。比较两组TAT皮试阳性率、TAT注射安全性。结果对照组TAT皮试阳性率为37.66%,高于实验组的11.67%,差异有统计学意义(P<0.05);实验组发生过敏反应患者少于对照组,但差异无统计意义(P>0.05)。结论标准化TAT皮试判断器可降低人为因素引起的TAT皮试假阳性反应,其用于TAT预防注射护理工作有助于提高急诊创伤患者接受TAT预防的免疫率。

Objective To design a standardized TAT skin test judgment tool and apply it in clinical nursing work to observe its effect on reducing false positive reactions of TAT skin test,so as to improve the preventive immunity rate of TAT in emergency trauma patients.Methods Five hospitals at the second level and above in this city were randomly selected.The 1986 emergency trauma patients admitted from January to June 2017 were set as the control group,and the 2267 emergency trauma patients admitted from July to December 2017 were set as the experimental group.The two groups used the same type of skin test injection method,the control group judged the skin test results by visual observation,and the experimental group used the standardized TAT skin test judgment tool to judge the skin test results.The positive rate of TAT skin test and the safety of TAT injection were compared between the two groups.Results The positive rate of TAT skin test in the control group was 37.66%,which was higher than 11.67%in the experimental group,the difference was statistically significant(P<0.05);the experimental group had fewer patients with allergic reactions than the control group,but the difference was not statistically significant(P>0.05).