CAJ | 학술논문

目的制定急诊儿科分诊标准并检验该标准在判断急诊儿科患者就诊时病情严重程度分类上的有效性及可靠性.方法按照美国心脏协会、美国儿科学会《儿科高级生命支持》的评估方法,结合我院实际情况制定儿科急诊分诊标准;收集应用该标准前后各1年时间内的分诊数据,统计分析所得资料.结果在应用该分诊标准前后,急诊患儿家属对就诊次序的平均满意度分别为(81.28±3.97)％及(94.13±4.62)％,差异有统计学意义(P＜0.01);候诊期间病情加重的病例数分别占1.83％(628/34 275)及0.04％(16/36 187),差异有统计学意义(P＜0.01);急诊入院患儿平均候诊时间分别为(12.71±2.32) min及(3.34±1.95) min,差异有统计学意义(P＜0.01);急诊患儿病情严重程度误判率分别为3.78％(1 296/34 275)及0.57％(205/36 187),差异有统计学意义(P＜0.05).结论 5级分诊标准适合儿科急诊分诊工作,客观简便,能迅速分检急诊儿科的危重病例,有利于急诊分诊效果的持续改进,合理使用急诊医疗资源,缓解诊室拥挤.
목적 제정급진인과분진표준병검험해표준재판단급진인과환자취진시병정엄중정도분류상적유효성급가고성.방법 안조미국심장협회、미국인과학회《인과고급생명지지》적평고방법,결합아원실제정황제정인과급진분진표준;수집응용해표준전후각1년시간내적분진수거,통계분석소득자료.결과 재응용해분진표준전후,급진환인가속대취진차서적평균만의도분별위(81.28±3.97)％급(94.13±4.62)％,차이유통계학의의(P＜0.01);후진기간병정가중적병례수분별점1.83％(628/34 275)급0.04％(16/36 187),차이유통계학의의(P＜0.01);급진입원환인평균후진시간분별위(12.71±2.32) min급(3.34±1.95) min,차이유통계학의의(P＜0.01);급진환인병정엄중정도오판솔분별위3.78％(1 296/34 275)급0.57％(205/36 187),차이유통계학의의(P＜0.05).결론 5급분진표준괄합인과급진분진공작,객관간편,능신속분검급진인과적위중병례,유리우급진분진효과적지속개진,합리사용급진의료자원,완해진실옹제.
Objective To formulate a five-level pediatric emergency triage standard and evaluate the efficacy and reliability of it in determining severity of emergency pediatric patients.Methods According to the assessment methods in Pediatric Advanced Life Support recommended by American Heart Association and American Academy of Pediatrics,we formulated a five-level pediatric emergency triage standard based on the situation of our hospital and analyzed the data one year before and after the application of it.Results Before and after the application of the triage standard,the average satisfaction rate of emergency patients were (81.28 ± 3.97) ％ and (94.13 ± 4.62) ％,and there was significant difference (P ＜ 0.01) ; the proportion of whom became worse during waiting time were 1.83％ (628/34275) and 0.04％ (16/36 187),and there was significant difference (P ＜0.01) ;the average waiting time of emergency admission patients were (12.71 ± 2.32) min and (3.34 ± 1.95) min,and there was significant difference (P ＜0.01) ;the misjudgment rate of severity were 3.78％ (1 296/34 275) and 0.57％ (205/36 187),and there was significant difference (P ＜ 0.05).Conclusion The five-level triage standard is objective,easy to master,and suitable for pediatric triage.It can quickly sort out critical cases from emergency pediatric patients,which can improve the effectiveness of emergency service,make use of medical resources rationally and somewhat solve the problem of overcrowding.