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目的了解急腹症预检分诊的准确性,分析影响预检分诊准确性的因素,提出针对性措施,降低急腹症预检分诊失误率。方法回顾分析急诊室186例急腹症患者的资料,统计预检分诊的准确率。结果预检分诊的正确率,内科86.1%,外科63.1%,泌尿科和妇产科均为30%~40%,心内科为25%。结论造成分诊失误的因素有环境因素、患者和家属因素及分诊护士主观因素。熟练掌握急腹症分诊技巧、注意沟通技巧、加强业务学习,提高预检护士综合素质是降低急腹症分诊失误率的有效措施。
Objective To understand the accuracy of triage of acute abdomen pre-examination, analyze the factors influencing the accuracy of triage of pre-examination, and put forward targeted measures to reduce the failure rate of pre-triage of acute abdomen. Methods A retrospective analysis of emergency department 186 cases of acute abdomen in patients with statistics, statistical accuracy of pre-triage. Results The correct rate of pre-examination triage, internal medicine 86.1%, surgical 63.1%, urology and obstetrics and gynecology were 30% to 40%, cardiology 25%. Conclusions The factors that cause triage errors include environmental factors, factors of patients and their families, and subjective factors of triage nurses. Proficiency in the diagnosis and treatment of acute abdomen skills, pay attention to communication skills, enhance business learning and improve the overall quality of pre-screening nurses is to reduce the incidence of acute abdomen error rate effective measures.