摘要
目的探讨急诊科感染患者分诊误区的影响因素,并总结护理对策,以期降低急诊感染患者的分诊误区率,提高患者预后。方法选取2012年2月-2015年2月急诊科急诊感染患者142例为研究对象,病情确诊后,共有18例患者在就诊时发生分诊误区,分析分诊误区危险因素。结果 142例患者中病原菌分布以金黄色葡萄球菌最常见,占34.51%;但影响因素显示疾病本身、隐瞒病史、沟通障碍、急诊人数多、慢性病误导、护士年资低、岗位设置欠缺、分诊护士少是影响分诊误区的相关因素(P<0.05);多因素分析显示疾病本身原因、隐瞒病史、沟通障碍、急诊人数>300人/d、慢性病误导、护士年资≤5年、岗位设置欠缺、分诊护士≤5人是导致急诊感染分诊误区的独立危险因素(P<0.05)。结论影响急诊科急诊感染患者分诊误区的因素较多,应加强患者相关急诊感染知识的宣教,设置数量足够、经验丰富的分诊人员分诊,以降低急诊科急诊感染分诊误区发生率。
OBJECTIVE To explore the influencing factors of the erroneous diagnosis of infections in emergency de- partment, and to summarize the nursing countermeasures, so as to reduce the rate of erroneous diagnosis and im- prove the prognosis. METHODS A total of 142 cases of infected patients of emergency department from Feb. 2012 to Feb. 2015 were selected as research objects. After the diagnosis of the disease, a total of 18 cases of patients occurred errors in the diagnosis. The risk factors of erroneous diagnosis were analyzed. RESULTS The main path- ogenic bacteria were Staphylococcus aureus in 142 patients, accounting for 34.51%. Univariate analysis showed that the disease itself, hiding disease history, communication barriers, emergency number, chronic diseases, low seniority nurses, lack of position setting, and lack of nurses were related factors affecting the erroneous diagnosis （P〈0.05）. Multivariate analysis showed that the disease itself, hiding disease history, communication barriers, emergency number 〉300/d, chronic diseases, seniority of nurse≤ 5 years, lack of position setting, and nurses less than 5 were the independent risk factors leading to erroneous diagnosis of infections in emergency department （P〈0.05）. CONCLUSION There are many factors affecting the erroneous diagnosis of infections in emergency de- partment. We should strengthen the propaganda and education of related emergency infections knowledge, and provide sufficient and experienced triage staff, so as to reduce the incidence of erroneous diagnosis of infections in emergency department.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2017年第8期1887-1889,1900,共4页
Chinese Journal of Nosocomiology
基金
浙江医学科学技术基金资助项目(A2015368)
关键词
急诊科
急诊感染
分诊误区
护理对策
Emergency department
Emergency infection
Erroneous diagnosis
Nursing countermeasure
