眼科急诊预检分诊标准体系构建及初步验证  

Construction and preliminary verification of the ophthalmic emergency pre-examination and triage standard system

作　　者：方晓敏 肖惠明[1] 郑玲玲[1] 黄南祺 吴劲良 黄文敏[1] 刘荣娇[1] 姚抒予 FANG Xiaomin;XIAO Huiming;ZHENG Lingling;HUANG Nanqi;WU Jinliang;HUANG Wenmin;LIU Rongjiao;YAO Shuyu(State Key Laboratory of Ophthalmology,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangdong Provincial Key Laboratory of Ophthalmology and Visual Science,Guangzhou 510060,China;The Third Affiliated Hospital of Guangzhou Medical University,Guangdong Provincial Clinical Research Center for Ocular Diseases,Guangzhou 510140,China)

机构地区：[1]中山大学中山眼科中心,眼病防治全国重点实验室,广东省眼科视觉科学重点实验室,广东省眼部疾病临床医学研究中心,广州510060 [2]广州医科大学附属第三医院,广州510140

出　　处：《眼科学报》2024年第2期91-98,共8页Eye Science

基　　金：广东省医学科学技术研究基金项目(A2022476);广东省医学科学技术研究基金项目(A2022301);2023年度广东省岭南南丁格尔护理研究院、广东省护理学会护理创新发展研究课题、青苗培育项目(YJYQ202313)。

摘　　要：目的:基于我国国情构建科学、简便且高效的眼科急诊预检分诊标准,为眼科医护人员提供高效的眼科急诊预检分诊工具。方法:基于文献查询法、半结构访谈法、德尔菲法及层次分析法确定眼科急诊预检分诊标准内容。通过提取2023年8月1日—2023年8月10日急诊分诊系统及HIMSS电子病历系统数据,分析初次分诊的级别与接诊医生最终诊断的所属级别符合率,对眼科急诊预检分诊标准体系的应用效果进行初步验证。结果:对18名专家进行2轮专家咨询,有效问卷回收率均为100%,专家权威系数均为0.95,肯德尔和谐系数分别为0.564、0.117(均P<0.05)。最终构建的眼科急诊预检分诊标准体系包括3个一级指标、11个二级指标。初步验证显示,该预检分诊标准体系具有92.7%的分诊准确率。结论:本研究构建的眼科急诊预检分诊标准体系结构合理、内容全面,具有科学性及实用性,可为眼科临床急诊预检分诊工作提供准确、有效的分诊工具,有助于提高临床工作效率及预检分诊质量。Objective:To establish a scientific,simple,and efficient ophthalmic emergency pre-examination triage standard,and provide efficient ophthalmic emergency pre-examination triage tools for ophthalmic staffs,based on national conditions.Methods:With literature search,semi-structured interview,Delphi Method,and Analytic Hierarchy Process,the content of ophthalmic emergency pre-examination and triage standard are confirmed.By extracting data from the emergency triage system and HIMSS electronic medical record system from August 1st,2023 to August 10th,2023,the consistency rate between the initial triage level and the final diagnosis level of the attending doctor was analyzed,and the application effect of the ophthalmic emergency pre-examination and triage standard system was preliminarily verified.Results:Two rounds of expert consultation were conducted among 18 experts,all with a 100%effective questionnaire response rate.The expert authority coefficients were 0.95,and the Kendall harmony coefficients were 0.564 and 0.117,respectively(all P<0.05).The final constructed ophthalmic emergency pre-examination triage standard system includes 3 primary indicators and 11 secondary indicators.Through verification,the pre screening triage standard system has a good triage accuracy rate of up to 92.7%.Conclusions:The structure of the ophthalmic emergency pre-examination triage standard system constructed in this study is reasonable,comprehensive,scientific,and practical.It can provide accurate and effective triage tools for ophthalmic clinical emergency pre-examination triage work efficiency,and preexamination triage quality.

关 键 词：眼科 急诊 预检分诊 德尔菲法 层次分析法 

分 类 号：R77[医药卫生—眼科]