急诊科感染患者分诊误区分析及对策研究

发布时间：2018-06-19 22:06

本文选题：急诊科 + 感染　；参考：《世界最新医学信息文摘》2018年37期

【摘要】：目的分析急诊科感染患者分诊误区并研究对策。方法选取120例2016年1月至2017年6月我院急诊科收治的感染患者,回顾性分析患者临床资料,包括细菌学检验结果、年龄、性别、感染时间等,并分析侵入性操作、护士年资、患者依从性等因素对分诊误区产生的影响。结果选取的120例急诊科急诊感染患者中,病原菌分布以金黄色葡萄球菌、肺炎克雷伯菌、肠球菌属三种病原菌最为常见,占比分别为36.67%、17.50%、15.00%;急诊感染分诊误区的影响因素有:分诊护士人数少于5人、疾病本身、隐瞒病史、沟通障碍、急诊人数多于300人、岗位设置欠缺、护士年资小于5年。结论急诊科感染患者分诊误区的影响因素较多,医院要针对影响因素加强急诊科急诊感染患者分诊工作,降低分诊误区发生率。
[Abstract]:Objective to analyze the misunderstandings of the patients in the emergency department and to study the countermeasures. Methods 120 cases of infection in the emergency department of our hospital from January 2016 to June 2017 were selected, and the clinical data of the patients were analyzed retrospectively, including the results of bacteriology test, age, sex, time of infection and so on, and the factors such as invasive operation, nurses' seniority and patient compliance were analyzed. Among the 120 cases of emergency department, the most common pathogenic bacteria were Staphylococcus aureus, Klebsiella pneumoniae, and three species of Enterococcus, which were 36.67%, 17.50% and 15%, respectively. The factors affecting the misunderstanding of emergency diagnosis were less than 5 and the disease itself. There are more than 300 people in emergency department and less than 5 years of nurses' seniority. Conclusion there are many factors affecting the misunderstanding of the patients in the emergency department. The hospital should strengthen the diagnosis of emergency department and reduce the incidence of misdiagnosis in emergency department.
【作者单位】：北京市中西医结合医院急诊科
【分类号】：R51

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