PQRST分诊模式对非创伤性疼痛患者的作用效果

Effect of PQRST Triage Model in Patients with Non-traumatic Pain

目的研究PQRST分诊模式对非创伤性疼痛患者分诊满意度和分诊质量的影响。方法回顾性分析医院2022年6—12月收治的100例非创伤性疼痛的患者资料,按照分诊模式分为两组,接受传统分诊模式的为对照组(n=49);接受PQRST分诊模式的为研究组(n=51)。比较两组分诊准确率、分诊时间、患者20项疼痛焦虑症状量表(PASS20)、意外事件、分诊满意度和分诊质量。结果研究组分诊准确率较对照组高,分诊时间较对照组短(P<0.05);与对照组相比,研究组生理焦虑、回避、恐惧3个维度评分降低(P<0.05),认知维度评分差异无统计学意义(P>0.05);研究组分诊服务、分诊秩序、分诊准确度、危急情况应对处理评分较对照组均升高(P<0.05);与对照组相比,研究组意外事件发生率(0)低于对照组(12.24%)(P<0.05);研究组分诊效率、分诊评估、救治效果评分较对照组均升高(P<0.05)。结论PQRST分诊模式能提高非创伤性疼痛整体分诊质量,缩短分诊时间,缓解患者疼痛焦虑情绪,提高分诊满意度。

Objective To study the effect of PQRST triage model on the satisfaction and quality of triage in patients with non-traumatic pain.Methods Retrospective analysis of 100 patients with non-traumatic pain admitted to the hospital from June to December 2022,and these patients were divided into two groups according to triage modes,and the traditional triage mode was implemented as the control group(n=49).The PQRST triage model was implemented in the study group(n=51).Triage accuracy,triage time,pain anxiety symptom scale-20(PASS-20),unexpected events,triage satisfaction and triage quality were compared between the two groups.Results Compared with the control group,the accuracy of triage in the study group was improved,and the triage time was shorter(P<0.05).Compared with the control group,the scores of physiological anxiety,avoidance and fear were decreased(P<0.05),but the scores of cognitive dimension were not statistical different(P>0.05).Triage service,triage order,triage accuracy and emergency response score of the study group were higher than those of the control group(P<0.05).Compared with the control group,the accident incidence in the study group(0)was lower than that(12.24%)in the control group(P<0.05).The triage efficiency,triage evaluation and treatment effect scores of the study group were higher than those of the control group(P<0.05).Conclusion PQRST triage model can improve the overall triage quality of non-traumatic pain,shorten the triage time,relieve the pain anxiety of patients,and improve the satisfaction of triage.