改良版加拿大急诊分诊量表在产科急诊分诊中的应用效果  

Application effect of modified Canadian triage and acuity scale in emergency obstetric triage

作　　者：段燕丽[1] 姜梅[1] 伍绍文[1] DUAN Yanli;JIANG Mei;WU Shaowen(Department of Emergency,Beijing Obstetrics and Gynecology Hospital,Capital Medical University,Beijing100026,China)

机构地区：[1]首都医科大学附属北京妇产医院急诊科,北京100026

出　　处：《中国医药导报》2024年第18期77-80,共4页China Medical Herald

基　　金：北京市市属医院科研培育计划项目(PX2024051);首都医科大学附属北京妇产医院北京妇幼保健院管理专项项目(FCYYGL201904)。

摘　　要：目的探讨改良版加拿大急诊分诊量表(CTAS)在产科急诊中的应用效果。方法选取2020年7月至12月首都医科大学附属北京妇产医院急诊科就诊的3600名孕妇为研究对象,按照就诊月份将其分为对照组(7、9、11月就诊的孕妇)和观察组(8、10、12月就诊的孕妇),每组1800名。对照组采用常规预检分诊标准,观察组采用改良版CTAS分诊标准进行预检分诊。比较两组分诊级别、等候时间、分诊准确率及满意度。结果两组分诊级别比较,差异有统计学意义(P<0.05)。观察组Ⅱ、Ⅲ、Ⅳ级分诊等待时间短于对照组,差异有统计学意义(P<0.05)。观察组分诊准确率及满意度高于对照组,差异有统计学意义(P<0.05)。结论采用改良版CTAS分诊标准能明显缩短孕妇等候时间、提高分诊准确率和满意度,可作为产科急诊分诊工具之一。Objective To explore the application effect of modified Canadian triage and acuity scale(CTAS)in emergency obstetric triage.Methods A total of 3600 pregnant women in the Department of Emergency,Beijing Obstetrics and Gynecology Hospital,Capital Medical University from July to December 2020 were selected as the study subjects.They were divided into control group(pregnant women in July,September,and November)and observation group(pregnant women in August,October,and December),with 1800 pregnant women in each group.The control group was treated with conventional pretest triage standard,and observation group was treated with modified CTAS triage standard.The triage level,waiting time,triage accuracy,and satisfaction were compared between two groups.Results There was significant difference in triage level between two groups(P<0.05).The waiting time of gradeⅡ,Ⅲ,andⅣin observation group were shorter than those in control group,the differences were statistically significant(P<0.05).The triage accuracy and satisfaction of observation group were higher than those of control group,the differences were statistically significant(P<0.05).Conclusion The modified CTAS triage standard can significantly shorten the waiting time of pregnant women,improve the triage accuracy and satisfaction,and can be used as one of the emergency obstetrics triage tools.

关 键 词：改良版加拿大急诊分诊量表 产科急诊 分诊 

分 类 号：R473[医药卫生—护理学]