摘要
目的探讨辛辛那提院前卒中量表(Cincinnati prehospital stroke scale,CPSS)在急诊预检工作中的应用及效果。方法在传统分诊方法基础上加用辛辛那提院前卒中量表,对2015年10月至2016年3月246例急诊可疑脑卒中患者进行预检分诊,并与2014年4月至2015年9月(实施前)186例传统预检患者进行比较。结果应用CPSS后,急诊脑卒中患者接诊时间为(62.0±19.01)s,短于实施前的(120.2±38.04)s;护士对脑卒中分诊的准确率为85.37%,高于实施前的70.43%;患者和家属对护理工作满意率为91.46%,高于实施前的80.65%;医生对护士预检满意率为95.93%,高于实施前的87.63%,差异均有统计学意义(均P<0.05)。结论应用辛辛那提院前卒中量表进行急诊可疑脑卒中患者预检,能提高护士对可疑脑卒中患者的分诊准确率,缩短接诊时间;急诊预检护士对此类患者的关注度提高,提高了患者和家属对护理工作满意度以及医生对护士预检满意度,并保证急危重患者可得到优先救治。
Objective To explore the application and effect of Cincinnati prehospital stroke scale(CPSS)in emergency triage of acute stroke.Methods A total of 246 suspected acute stroke patients was emergency triage by using CPSS from October 2015 to March 2016.As comparison,186 patients were emergency triage used the traditional method for from April 2014 to September 2015.Results After the application of CPSS,the admissions time (62.0±19.01)s was shorter than before (120±38.04)s.The triage accuracy(85.37%)was significantly higher than before(70.43%).Patient(91.46%)and doctor's(95.93%)satisfaction both higher than traditional method of(80.65%) and (87.64%)(all P<0.05).ConclusionCPSS can improve the accuracy of emergency triage,shorten the admissions time.Nurses would pay more attention to such patients,improve the patient satisfaction and the doctor's satisfaction with the nurses,it enables critically patients get priority treatment.
出处
《解放军护理杂志》
CSCD
2017年第24期55-58,共4页
Nursing Journal of Chinese People's Liberation Army
基金
南通大学附属医院科研基金项目(Tfh 1514)
