精神科急诊分诊标准化问诊流程的应用效果观察

The practice of emergency triage standardized consultation process in the psychiatry department

目的探讨精神科急诊分诊标准化问诊流程在临床实践中的应用效果。方法选择2018年3-5月就诊的精神科急诊患者96例作为对照组,采用常规问诊流程;选择2019年3-5月就诊的精神科急诊患者104例作为观察组,采用精神科急诊分诊标准化问诊流程。比较两组患者急诊停留时间、住院时间、镇静药物使用次数、急诊期间严重不良事件发生率及家属满意度。结果观察组急诊停留时间、住院时间短于对照组,镇静药物使用次数少于对照组,差异具有统计学意义(P<0.05);观察组患者家属满意度高于对照组,差异具有统计学意义(P<0.05);观察组患者急诊期间自伤、伤害医护人员等不良事件发生率低于对照组,差异具有统计学意义(P<0.05)。结论精神科急诊分诊标准化问诊流程能够有效缩短急诊停留时间、住院时间,降低镇静药物使用次数,降低不良事件发生率,提升家属满意度。

Objective To discuss the practice of emergency triage standardized consultation process in the psychiatry department.Methods To select 96 psychiatric emergency department patients from March to May 2018 as the control group and applied the routine interrogation process.And 104 psychiatric emergency department patients from March to May 2019 as the observation group and undertook the emergency triage standardized consultation process.The emergency stay time,triage accuracy,incidence of serious adverse events and the patients families satisfaction were compared.Results The emergency stay time,hospital stay of the observation group were shorter than the control group,the sedative drugs used are less than the control group,the difference was statistically significant(P<0.05).The patients families satisfaction of the observation group was higher than the control group,the difference was statistically significant significance(P<0.05).The incidence of adverse events such as self-injury and injury against medical staff of the observation group was less than the control group,and the differences were statistically significant(P<0.05).Conclusions The practice of emergency triage standardized consultation process in the psychiatry department can effectively shorten the time of emergency stays and hospital stays,reduce the number of sedative drugs used,reduce the incidence of adverse events and increase patients families satisfaction.