预检分诊管理制度对急腹症患者分诊准确性及临床价值探讨  

DIAGNOSTIC ACCURACY AND CLINICAL VALUE OF PRE-TRIAGE MANAGEMENT SYSTEM ON ACUTE ABDOMEN PATIENTS

作　　者：余茂琼[1] 

机构地区：[1]四川省绵阳市中心医院急诊科,621000

出　　处：《中国煤炭工业医学杂志》2015年第3期509-511,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的探讨预检分诊管理制度对急腹症患者分诊准确性及临床价值。方法将180例患者按照是否依从预检制度分为预检分诊组97例和自主选择组83例,预检分诊组护士对患者进行预检分诊,自主选择组患者自主选择科室。比较二组患者就诊准确率、救治成功率、候诊时间、待诊时间以及焦虑程度改善率和患者满意度。结果预检分诊组就诊准确率、救治成功率均显著高于自主选择组,候诊时间、确诊时间均少于自主选择组,二组比较差异具有统计学意义(P<0.05)。预检分诊组患者焦虑程度改善率显著优于自主选择组,患者满意度也明显高于自主选择组,组间相比差异亦有统计学意义(P<0.05)。结论预检分诊制度根据患者体征合理安排就诊顺序,能够提高诊疗效果和患者就诊满意度,值得临床推广。Objective To explore the diagnostic accuracy and clinical value of pretriage management sys- tem in patients with acute abdomen. Methods All of 180 acute abdomen patients in accordance with the compliance inspection system were divided into the triage group of 97 cases and self- selection group of 83 cases, triage group underwent pre- triage management system, self- selection group choose departments by self. Some indicators were compared between the two groups included accuracy rate, treatment success rate, waiting time, waiting for the examination time, the degree of anxiety and patient satisfaction. Results Triage group was significantly higher on accuracy rate, treatment success rate than that self- Selection group, but whose waiting time, waiting for the examination time were less than self- selection group（P〈 0.05）. Anxiety improvement rate, satisfaction degree were obviously higher in the triage group than those in the self- selection group（P〈（0.05）. Conclusion Pretriage management system can improve clinical outcomes and patient satisfaction according to the patients clinical signs arrangements reasonable treatment order, it is worthy of clinical application.

关 键 词：预检分诊 急腹症 医院管理 分诊准确性 护理 

分 类 号：R197.323[医药卫生—卫生事业管理]