标准化分级转运方案对急诊妇产科危急重症患者院内转运的影响  

Effect of standardized graded transport scheme on in-hospital transport of emergency obstetrics and gynecology critical patients

作　　者：姜国莹 安博[1] 彭晶 黄桂慧 JIANG Guoying;AN Bo;PENG Jing;HUANG Guihui(Foshan Maternal and Child Health Hospital,Foshan 528000,China)

机构地区：[1]佛山市妇幼保健院,广东佛山528000

出　　处：《现代医院》2021年第12期1901-1903,共3页Modern Hospitals

摘　　要：目的探讨急诊妇产科危急重症患者实施标准化分级转运方案对患者院内转运的影响。方法选择2019年8月—2021年2月佛山市妇幼保健院108例急诊妇产科危急重症患者开展平行对照研究,回顾性分析患者临床资料,以时间为界限,将2020年6月—2021年2月实施标准化分级转运方案的54例急诊妇产科危急重症患者纳入观察组,将2019年8月—2020年5月标准化开展前54例急诊妇产科危急重症患者纳入对照组。对比指标:两组院内转运不良事件发生率、转运时间、患者满意度、血氧饱和度(SpO_(2))下降情况。结果观察组患者院内转运不良事件发生率显著低于对照组,同时观察组介入室、重症监护室、普通病房、手术室转运时间均更短,且观察组患者SpO_(2)下降率更低,患者满意度明显高,均有统计学差异(P<0.05)。结论实施标准化分级转运方案可明显缩短急诊妇产科危急重症患者院内转运时间,同时预防及降低转运期间不良事件发生风险,保证转运效率及安全性,进一步提高患者满意度。Objective To explore the effect of standardized graded transport scheme on in-hospital transport of emergency obstetrics and Gynecology critical patients. Methods From August 2019 to February 2021, 108 critically ill patients in the emergency department of obstetrics and gynecology of Foshan Maternity and Child Health Hospital were selected to carry out a parallel controlled study to retrospectively analyze the clinical data of the patients. 54 emergency obstetrics and gynecology critically ill patients who implemented a standardized grading transfer program were included in the observation group, and 54 emergency obstetrics and gynecology critically ill patients before the standardized implementation from August 2019 to May 2020 were included in the control group. Comparative indicators: the incidence of adverse events in hospital transport, transport time, patient satisfaction, and blood oxygen saturation(SpO_(2)) decline in the two groups. Results Compared with the results of the control group, the incidence of adverse events in the observation group was significantly lower, and the transport time in the intervention room, intensive care unit, general ward and operating room of the observation group was shorter, and the SpO_(2)decline rate of the observation group was lower, and the patient satisfaction was significantly higher, with statistical differences(P<0.05). Conclusion The implementation of standardized grading transportation scheme can significantly shorten the hospital transportation time of emergency obstetrics and Gynecology critical patients, prevent and reduce the risk of adverse events during transportation, ensure the efficiency and safety of transportation, and further improve patient satisfaction.

关 键 词：标准化分级转运方案 急诊妇产科 危急重症 院内转运 

分 类 号：R197.323.2[医药卫生—卫生事业管理]