院前病情评估表对急诊患者分诊的指导意义  

Guiding Significance of Pre-hospital Condition Assessment for Emergency Triage

作　　者：胡登科[1] 刘利生[1] 刘晓海[1] 朱勇[1] 

机构地区：[1]江苏省连云港市第四人民医院急诊科,222023

出　　处：《中国全科医学》2014年第35期4225-4227,共3页Chinese General Practice

基　　金：江苏省连云港市卫生局科研项目(1330)

摘　　要：目的探讨院前病情评估表对急诊患者分诊的价值与指导意义。方法选取2012年8月—2014年1月于连云港市第四人民医院急诊科就诊的患者共1 810例,由有经验的分诊护师按照院前病情评估表对患者进行年龄、体温、心率、呼吸、血压、血糖、血氧饱和度、意识状态的评估并评分,按评分标准将患者病情分为轻、中、重、危(护师组);同时追踪急诊医师对患者的评估结果 (医师组)。结果医师组和护师组对急诊患者病情的评估比较,差异无统计学意义(P>0.05)。其中被护师组评估为重的21例中18例被医师组评估为重,3例为中;被护师组评估为危的10例中9例被医师组评估为危,1例为重。结论院前病情评估表可将急诊患者病情分值化,能使分诊人员对急诊患者分诊的依据更充分,具有一定识别潜在危重患者的作用,可使危重患者及时得到优先就诊,是值得推广的急诊分诊方法。Objective To discuss the values and guiding significance of pre-hospital condition assessment for emergency triage. Methods A total of 1 810 patients who visited Department of Emergency,the Fourth People＇ s Hospital of Lianyungang from August 2012 to January 2014 were enrolled in this study. The experienced nurses observed and scored the patients＇ age, temperature, heart rate respiration frequency, blood pressure, blood oxygen saturation, state of consciousness,and divided the patients,according to score standards,into mild,moderate,severe,critical conditions,and followed physicians＇ disposals for the patients. Results The emergency physicians（ doctor group） and triage nurses（ nurse group） evaluated the 1 810 patients＇ condition. There was no significant difference in condition evaluation between 2 groups（ P〉0. 05）. In21 patients who were assessed as severe condition by nurse group,18 were assessed as severe,3 as moderate by doctor group; in10 patients who were assessed as critical condition by nurse group,9 assessed as critical,1 as severe by doctor group. Conclusion Pre-hospital condition assessment which can score emergency patients＇ condition and help triage,is of a certain role in identifying potential critical patients and has them treated first. It is an emergency triage method worthy of generalization.

关 键 词：病情评估表 急诊分诊 院前 急救医疗服务 

分 类 号：R47[医药卫生—护理学]