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目的探讨提高发疹性传染病的分诊准确率,逐步完善发疹性传染病分诊模式,提高发疹性传染病分诊质量和患者及家属的满意度。方法借鉴美国SOAPIE分诊法和依据传染病学诊断标准自行设计《发疹性传染病分诊记录单》,比较采用常规分诊法和该分诊方法的分诊准确率及患者满意度的差异。选择2014年10月9日-2015年1月11日,在急诊就诊的发疹性传染病共300例为对照组,采用传统分诊法;2015年1月12日-3月22日在天津市第二人民医院急诊就诊的发疹性传染性病300例为观察组,借鉴SOAPIE分诊法。结果观察组分诊准确率为96.0%高于对照组的92.0%,差异有统计学意义(P<0.05)。SOAPIE分诊法后观察组患者总满意度为96.7%明显高于对照组的82.7%,差异有统计学意义(P<0.01)。结论完善了发疹性传染病的分诊模式,提高了急诊分诊准确率和患者及家属对急诊护理服务的满意度。
Objective To explore the improvement of triage accuracy of rash infectious diseases and to gradually improve the triage pattern of rash traumatic infectious diseases so as to improve the quality of triage of rash infectious diseases and the satisfaction of patients and their families. Methods Reference to the US SOAPIE triage method and according to the diagnostic criteria of infectious diseases self-designed “rash infectious disease triage records,” the use of conventional triage and triage diagnostic accuracy and patient satisfaction differences . Select October 9, 2014 - January 11, 2015, the emergency treatment of infectious diseases in the rash of 300 cases of control group, using the traditional triage; January 12, 2015 - March 22, Tianjin City Second People’s Hospital emergency treatment of infectious rash 300 cases of observation group, drawing SOAPIE triage. Results The diagnostic accuracy of the observation group was 96.0% higher than that of the control group (92.0%), the difference was statistically significant (P <0.05). After SOAPIE triage, the total satisfaction of patients in observation group was significantly higher than that of control group (96.7% vs 82.7%, P <0.01). Conclusions Perfecting the triage pattern of infectious diseases of rashes, improving the accuracy of emergency triage and the satisfaction of patients and their families for emergency nursing services.