降阶梯思维在儿科危急重症患儿分诊中的应用效果

Effects of de-escalation thinking in the triage of critically ill children in the Department of Pediatrics

目的:探讨降阶梯思维应用于儿科危急重症患儿分诊的效果。方法:选取2018年1月—2020年1月河南省驻马店市中心医院收治的儿科危急重症患儿486例。按照随机数字表法分为对照组与观察组,各243例。对照组采取传统常规分诊,观察组采取降阶梯思维进行预检分诊。观察两组患儿在分诊准确率、患儿及家长满意度以及分诊质量的差异。结果:观察组患儿病情分级和分诊去向准确率,总满意度,在服务态度、治疗及时性、健康指导、安全性等方面得分均高于对照组,差异有统计学意义(P<0.05)。结论:降阶梯思维运用于儿科危急重症患儿分诊中具有较高准确率,能提高治疗效果,减少抢救不良结果,提高患儿及家属满意度。

Objective To explore the effect of de-escalation thinking in the triage of critically ill children in the Department of Pediatrics.Methods From January 2018 to January 2020,we selected a total of 486 critically ill pediatric patients admitted to Zhumadian Central Hospital in Henan Province.According to the random number table,the children were simply randomly divided into control group and observation group,each with 243 cases.Control group carried out traditional routine triage,and observation group conducted de-escalation thinking for pre-examination and triage.We observed the differences in the triage accuracy,satisfaction of the children and their parents and the quality of the triage between the two groups of children.Results The scores of the disease classification and triage accuracy,total satisfaction,service attitude,treatment timeliness,health guidance as well as safety of children in observation group were higher than those in control group,and the differences were all statistically significant(P<0.05).Conclusions De-escalation thinking has a high accuracy rate in the triage of critically ill children in the Department of Pediatrics,which can improve the treatment effect,reduce the adverse results of the rescue,and improve the satisfaction of the children and their family members.