急诊胸痛患者分诊的现状及研究进展
|
摘要
急性胸痛是急诊科最为常见的疾病之一。急性胸痛病因复杂,病情严重程度相差悬殊,急诊护士能否在最短的时间内对胸痛的危险程度做出正确的评估,对需要紧急处理的危重患者采取正确、有效的急诊处理,与急性胸痛患者的预后密切相关。随着急诊学科的快速发展,对急诊预检分诊的要求也逐步提高,拥有一套高效的预检分诊工具成为大家的最迫切的需求。通过分析国内外急性胸痛预检分诊的现状,国内现存预检分诊的优缺点,结合国外预检分诊工具取其精华去其糟粕,以探寻适合我国国情的急诊胸痛预检分诊措施,提高胸痛预检分诊的有效率。本文将急性胸痛预检分诊的现状及研究进展进行综述。
Acute chest pain is one of the most common diseases in the emergency department. The etiology of acute chest pain is complex,and the severity of the disease varies greatly. Whether an emergency nurse can make a correct assessment of the risk of chest pain in the shortest time and adopt a correct and effective emergency treatment for critical patient who need urgent treatment is closely related to the prognosis of patients with acute chest pain. With the rapid development of the emergency department,the requirements for the emergency room triage have been gradually improved,and a set of efficient precheck triage workers have become the most urgent needs of everyone. By analyzing the current situation of acute chest pain pre-examination and triage at home and abroad,the advantages and disadvantages of the existing pre-examination and triage at home,and combining with the foreign pre-examination and triage tools to remove the dross,in order to explore the emergency chest pain pre-examination and triage measures suitable for China's national conditions,and improve the efficiency of the pre-examination and triage of chest pain. In this paper,the current status and research progress of the pre-examination and triage of acute chest pain were summarized.
Acute chest pain is one of the most common diseases in the emergency department. The etiology of acute chest pain is complex,and the severity of the disease varies greatly. Whether an emergency nurse can make a correct assessment of the risk of chest pain in the shortest time and adopt a correct and effective emergency treatment for critical patient who need urgent treatment is closely related to the prognosis of patients with acute chest pain. With the rapid development of the emergency department,the requirements for the emergency room triage have been gradually improved,and a set of efficient precheck triage workers have become the most urgent needs of everyone. By analyzing the current situation of acute chest pain pre-examination and triage at home and abroad,the advantages and disadvantages of the existing pre-examination and triage at home,and combining with the foreign pre-examination and triage tools to remove the dross,in order to explore the emergency chest pain pre-examination and triage measures suitable for China's national conditions,and improve the efficiency of the pre-examination and triage of chest pain. In this paper,the current status and research progress of the pre-examination and triage of acute chest pain were summarized.
引文
[1]谢玲玲.疼痛管理理念下的护理对肿瘤内科病人疼痛与心理状态的影响[J].全科护理,2017,15(13):1617-1618.
[2]侯文可,朱秀彪,郭江林,等.规范胸痛急救流程对高危患者候诊时间、辅助检查应用的影响[J].中西医结合心脑血管病杂志,2013,11(8):1014-1016.
[3]Saleh A.Crosssectional study of emergency department Presentation triage categories at Goondiwindi Hospital and their efect on the treatment of acute emergencies[J].Aust J Rural Health,2017,25(4):235-240.
[4]Mirhaghi A,Ebrahimi M.The australasian triage scale level 5 criteria may need to be revised[J].Emerg(Tehran),2017,5(1):e50.
[5]Buschhom HM,Strout TD,Sholl JM,eta1.Emergency medical Services triage using the emergency severity index:is it reliable and valid?[J].J Emerg Nurs,2013,39(5):e55-e63.
[6]陈兰.急诊预检分诊的研究现状[J].护理研究,2011,25(9):2259-2261.
[7]Australasian College for Emergency Medicine.Policy on the Australasian triage scale[EB/OL].Emerg Med,2002,14(3):335-336.
[8]Australasian College for Emergency Medicine.Guidelines of the implementation of the Australasian triage scale in emergency departments[EB/OL].2013,21(5):100-101.
[9]曾美蓉.品管圈在提高急诊预检分诊正确率中的应用[J].世界最新医学信息文摘,2017,17(50):150,152.
[10]黎春常,蓝惠兰,张晓毛.国内外急诊等预检系统研究现状[J].现代临床护理,2016,15(1):74.
[11]Souza CC,Araujo FA,Chianca TC.Scientific literature on the reliability and validity of the manchester triage system(MTS)protocol:a integrative literature review[J].Rev Esc Enferm USP,2015,49(1):144-151.
[12]Guedes HM,Martins JC,Chianca TC.Predictive value of the manchester triage system:evaluation of patients'clinical outcomes[J].Rev Bras Enferm,2015,68(1):40-51.
[13]Azeredo TR,Guedes HM,Rebelo de Almeida RA,et al.Efficacy of the Manchester triage system:a systematic review[J].Int Emerg Nurs,2015,23(2):47-52.
[14]方媛,李蕊,席淑华.急诊预检分诊标准及信息化系统的研究进展[J].解放军护理杂志,2017,33(1):54-56.
[15]王芳,刘训华,陈维进,等.急诊临床信息管理系统预检分诊优化就医流程的效果观察[J].护理学报,2017,24(9):22-25.
[16]万薇,邓秋迎.我国急诊分诊工具的研究现状与对策[J].全科护理,2016,14(5):1674.
[2]侯文可,朱秀彪,郭江林,等.规范胸痛急救流程对高危患者候诊时间、辅助检查应用的影响[J].中西医结合心脑血管病杂志,2013,11(8):1014-1016.
[3]Saleh A.Crosssectional study of emergency department Presentation triage categories at Goondiwindi Hospital and their efect on the treatment of acute emergencies[J].Aust J Rural Health,2017,25(4):235-240.
[4]Mirhaghi A,Ebrahimi M.The australasian triage scale level 5 criteria may need to be revised[J].Emerg(Tehran),2017,5(1):e50.
[5]Buschhom HM,Strout TD,Sholl JM,eta1.Emergency medical Services triage using the emergency severity index:is it reliable and valid?[J].J Emerg Nurs,2013,39(5):e55-e63.
[6]陈兰.急诊预检分诊的研究现状[J].护理研究,2011,25(9):2259-2261.
[7]Australasian College for Emergency Medicine.Policy on the Australasian triage scale[EB/OL].Emerg Med,2002,14(3):335-336.
[8]Australasian College for Emergency Medicine.Guidelines of the implementation of the Australasian triage scale in emergency departments[EB/OL].2013,21(5):100-101.
[9]曾美蓉.品管圈在提高急诊预检分诊正确率中的应用[J].世界最新医学信息文摘,2017,17(50):150,152.
[10]黎春常,蓝惠兰,张晓毛.国内外急诊等预检系统研究现状[J].现代临床护理,2016,15(1):74.
[11]Souza CC,Araujo FA,Chianca TC.Scientific literature on the reliability and validity of the manchester triage system(MTS)protocol:a integrative literature review[J].Rev Esc Enferm USP,2015,49(1):144-151.
[12]Guedes HM,Martins JC,Chianca TC.Predictive value of the manchester triage system:evaluation of patients'clinical outcomes[J].Rev Bras Enferm,2015,68(1):40-51.
[13]Azeredo TR,Guedes HM,Rebelo de Almeida RA,et al.Efficacy of the Manchester triage system:a systematic review[J].Int Emerg Nurs,2015,23(2):47-52.
[14]方媛,李蕊,席淑华.急诊预检分诊标准及信息化系统的研究进展[J].解放军护理杂志,2017,33(1):54-56.
[15]王芳,刘训华,陈维进,等.急诊临床信息管理系统预检分诊优化就医流程的效果观察[J].护理学报,2017,24(9):22-25.
[16]万薇,邓秋迎.我国急诊分诊工具的研究现状与对策[J].全科护理,2016,14(5):1674.