目的:通过调查某三级甲等医院急诊成人输液室患者流量和拥挤程度,明确患者流量变化规律,为改善急诊拥挤状况和护理质量提供依据。方法:选择2023年1月~12月某三甲医院急诊输液室就诊的14岁及以上患者,分析急诊成人输液室患者流量在每日...目的:通过调查某三级甲等医院急诊成人输液室患者流量和拥挤程度,明确患者流量变化规律,为改善急诊拥挤状况和护理质量提供依据。方法:选择2023年1月~12月某三甲医院急诊输液室就诊的14岁及以上患者,分析急诊成人输液室患者流量在每日、每月及重要节假日的变化节律。结果:急诊成人输液室24 h流量高峰在10:00~14:00,低谷在4:00~6:00;冬季是全年急诊流量最高季节,秋季次之,春季最少。8、10、12月为流量高峰期;节假日流量在中秋及国庆节略增加,其他节假日日均流量与非节假日持平。结论:不同时间段的急诊输液室资源需求不同,应根据就诊患者流量变化规律,掌握急诊输液室高峰就诊时间段,合理调整人力资源,以提高护理效率和质量。Objective: By investigating the patient flow and congestion levels in the adult infusion room of the emergency department in a tertiary hospital, this study aims to identify patterns in patient flow variations and provide a basis for improving emergency congestion and nursing quality. Methods: Patients aged 14 and above who visited the emergency infusion room of a tertiary hospital from January to December 2023 were selected. The study analyzed the daily, monthly, and significant holiday variations in patient flow in the adult infusion room. Results: The 24-hour peak flow in the adult infusion room occurred between 10:00~14:00, with the lowest flow between 4:00~6:00. Winter had the highest annual emergency flow, followed by autumn, with spring having the least. August, October, and December were peak months for patient flow. During holidays, there was a slight increase in flow during the Mid-Autumn Festival and National Day, while the daily average flow on other holidays was similar to non-holidays. Conclusion: The demand for resources in the emergency infusion room varies at different times. Understanding the peak visiting hours and adjusting human resources accordingly based on the patient flow patterns can enhance nursing efficiency and quality.展开更多
目的:评估脉搏灌注指数(pulse oximeter perfusion index,PI)在判断老年男性患者低位硬膜外麻醉阻滞效果中的应用。方法:66例美国麻醉医师协会(American Society of Anesthesiologists,ASA)Ⅰ~Ⅲ级、年龄≥60岁的男性患者经硬膜外导管给...目的:评估脉搏灌注指数(pulse oximeter perfusion index,PI)在判断老年男性患者低位硬膜外麻醉阻滞效果中的应用。方法:66例美国麻醉医师协会(American Society of Anesthesiologists,ASA)Ⅰ~Ⅲ级、年龄≥60岁的男性患者经硬膜外导管给予2%利多卡因后观察30 min,记录针刺皮肤测痛时双侧脚趾PI、针刺皮肤测痛时痛觉的变化以及提睾反射消失的时间。PI的变化率≥100%、痛觉及提睾反射消失考虑硬膜外麻醉阻滞有效。不同时刻PI的比较使用单因素重复测量方差分析,PI与提睾反射及针刺皮肤测痛预测硬膜外麻醉的成功率在各时刻点的比较使用配对四格表资料的卡方检验。结果:硬膜外腔给药后2 min PI逐渐增加,4 min痛觉开始减退,20 min提睾反射开始消失。在硬膜外腔给药后10、20及30 min各时刻点所有患者的PI均增加100%(P=0.000),针刺皮肤测痛的结果是0/66、45/66(χ2=24.973,P=0.000)、66/66,提睾反射消失的结果是0/66、51/66(χ2=16.923,P=0.000)、66/66。结论:PI是评估老年男性患者低位硬膜外麻醉阻滞效果的早期、客观指标。展开更多
文摘目的:通过调查某三级甲等医院急诊成人输液室患者流量和拥挤程度,明确患者流量变化规律,为改善急诊拥挤状况和护理质量提供依据。方法:选择2023年1月~12月某三甲医院急诊输液室就诊的14岁及以上患者,分析急诊成人输液室患者流量在每日、每月及重要节假日的变化节律。结果:急诊成人输液室24 h流量高峰在10:00~14:00,低谷在4:00~6:00;冬季是全年急诊流量最高季节,秋季次之,春季最少。8、10、12月为流量高峰期;节假日流量在中秋及国庆节略增加,其他节假日日均流量与非节假日持平。结论:不同时间段的急诊输液室资源需求不同,应根据就诊患者流量变化规律,掌握急诊输液室高峰就诊时间段,合理调整人力资源,以提高护理效率和质量。Objective: By investigating the patient flow and congestion levels in the adult infusion room of the emergency department in a tertiary hospital, this study aims to identify patterns in patient flow variations and provide a basis for improving emergency congestion and nursing quality. Methods: Patients aged 14 and above who visited the emergency infusion room of a tertiary hospital from January to December 2023 were selected. The study analyzed the daily, monthly, and significant holiday variations in patient flow in the adult infusion room. Results: The 24-hour peak flow in the adult infusion room occurred between 10:00~14:00, with the lowest flow between 4:00~6:00. Winter had the highest annual emergency flow, followed by autumn, with spring having the least. August, October, and December were peak months for patient flow. During holidays, there was a slight increase in flow during the Mid-Autumn Festival and National Day, while the daily average flow on other holidays was similar to non-holidays. Conclusion: The demand for resources in the emergency infusion room varies at different times. Understanding the peak visiting hours and adjusting human resources accordingly based on the patient flow patterns can enhance nursing efficiency and quality.
文摘目的:评估脉搏灌注指数(pulse oximeter perfusion index,PI)在判断老年男性患者低位硬膜外麻醉阻滞效果中的应用。方法:66例美国麻醉医师协会(American Society of Anesthesiologists,ASA)Ⅰ~Ⅲ级、年龄≥60岁的男性患者经硬膜外导管给予2%利多卡因后观察30 min,记录针刺皮肤测痛时双侧脚趾PI、针刺皮肤测痛时痛觉的变化以及提睾反射消失的时间。PI的变化率≥100%、痛觉及提睾反射消失考虑硬膜外麻醉阻滞有效。不同时刻PI的比较使用单因素重复测量方差分析,PI与提睾反射及针刺皮肤测痛预测硬膜外麻醉的成功率在各时刻点的比较使用配对四格表资料的卡方检验。结果:硬膜外腔给药后2 min PI逐渐增加,4 min痛觉开始减退,20 min提睾反射开始消失。在硬膜外腔给药后10、20及30 min各时刻点所有患者的PI均增加100%(P=0.000),针刺皮肤测痛的结果是0/66、45/66(χ2=24.973,P=0.000)、66/66,提睾反射消失的结果是0/66、51/66(χ2=16.923,P=0.000)、66/66。结论:PI是评估老年男性患者低位硬膜外麻醉阻滞效果的早期、客观指标。
