分级分区分诊模式在急性胰腺炎急诊救治患者中的应用效果

Application effects of grading and zoning triage mode in emergency treatment of acute pancreatitis patients

目的:观察分级分区分诊模式在急性胰腺炎急诊救治患者中的应用效果。方法:选取78例急性胰腺炎急诊救治患者为研究对象,按随机数字表法分为研究组(n=39)和对照组(n=39)。对照组采用常规急诊分诊模式,研究组在对照组基础上采用分级分区分诊模式,比较两组急诊救治效率、救治效果、护理纠纷发生率和护理满意度。结果:研究组分诊时间、候诊时间和治疗等候时间均短于对照组,差异有统计学意义(P<0.05);研究组分诊准确率为94.87%(37/39),高于对照组的74.36%(29/39),救治成功率为92.31%(36/39)高于对照组的71.79%(28/39),差异均有统计学意义(P<0.05);研究组护理纠纷发生率为2.56%(1/39),低于对照组的20.51%(8/39),差异有统计学意义(P<0.05);研究组护理满意度为94.87%(37/39),高于对照组的71.79%(28/39),差异有统计学意义(P<0.05)。结论:在常规急诊模式基础上采用分级分区分诊模式可缩短急性胰腺炎急诊救治患者的分诊时间、候诊时间和治疗等候时间,提高分诊准确率、救治成功率和护理满意度,以及降低护理纠纷发生率,其效果优于单纯常规急诊模式。

Objective:To observe application effects of grading and zoning triage mode in emergency treatment of acute pancreatitis patients.Methods:78 emergency patients with acute pancreatitis were selected as the research objects and were divided into study group(n=39)and control group(n=39)according to the random number table method.The control group adopted the routine emergency triage mode,while the study group was given the grading and zoning triage mode on the basis of that of the control group.The emergency treatment efficiency,the treatment effects,the incidence of nursing disputes and the nursing satisfaction were compared between the two groups.Results:The diagnosis time,the waiting time and the treatment waiting time of the study group were shorter than those of the control group,and the differences were statistically significant(P<0.05).The diagnosis accuracy rate of the study group was 94.87%(37/39),which was higher than the control group of 74.36%(29/39);the success rate of treatment was 92.31%(36/39),which was also higher than the control group of 71.79%(28/39);and the differences were statistically significant(P<0.05).The incidence of nursing disputes in the study group was 2.56%(1/39),which was lower than 20.51%(8/39)in the control group,and the difference was statistically significant(P<0.05).Further,the nursing satisfaction of the research group was 94.87%(37/39),which was higher than the control group of 71.79%(28/39),and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine emergency mode,the grading and zoning triage mode can shorten the triage time,the waiting time and the treatment waiting time of the acute pancreatitis patients,improve the accuracy of triage,the success rate of treatment and the nursing satisfaction,and reduce the incidence of nursing disputes.Moreover,it is superior to single routine emergency mode.