男性科门诊“快速分诊护理流程”应用初探(1)
摘要：目的 运用“快速分诊护理流程”以减少男性科门诊患者的就诊时间，提高患者就诊满意度。方法 随机抽取2017年2月～9月来我院就诊的700例患者作为研究对象，其中2017年2月～5月抽取350例患者作为对照组，采用常规分诊护理;2017年6月～9月的抽取350例患者作为研究组，采用快速分诊护理流程，比较两组患者护理满意率、护理质量及门诊量。结果 研究组患者满意率明显上升，分诊护士工作效率也明显提高，相应的护理和医疗质量也随之提高。男性科门诊量也逐步上升，同比增长了41.72%。结论 男性科门诊快速分诊护理流程适应当代门诊护理发展的需要，为患者节约了宝贵的候诊时间，加快了门诊医师就诊速度，满足患者及家属的需求，构建了和谐的护患关系。
关键词：分诊护理;男性科门诊;快速流程;满意率
中图分类号：R473 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.059
, http://www.100md.com
文章编号：1006-1959(2019)05-0178-04
Abstract：Objective To use the "rapid triage care process" to reduce the time of visits for male outpatients and improve patient satisfaction.Methods A total of 700 patients who came to our hospital from February to September 2017 were randomly selected. Among them， 350 patients were selected as control group from February to May 2017， using routine triage care;From June to September 2017， 350 patients were selected as the study group. The rapid triage nursing process was used to compare the nursing satisfaction rate， quality of care and outpatient volume of the two groups.Results The satisfaction rate of patients in the study group increased significantly， and the work efficiency of the triage nurses also improved significantly， and the corresponding quality of care and medical care also increased. The number of male outpatient clinics also increased gradually， with a year-on-year increase of 41.72%.Conclusion The rapid follow-up nursing process of male outpatients adapts to the needs of contemporary outpatient care development， saves valuable waiting time for patients， speeds up the outpatient visits， meets the needs of patients and their families， and builds a harmonious relationship between nurses and patients.
, 百拇医药
Key words：Triage nursing;Male clinic;Rapid flow;Satisfaction rate
門诊服务质量与护理效果直接影响医院的社会形象和经济效益。其中，分诊是门诊护理的重要组成部分，指导着患者在医院就诊的全部过程[1]。分诊护士在工作中直接面对患者和家属，向其提供正确引导和帮助。由于我院男科就诊患者较多，就诊环境相对拥挤;门诊医师不固定，分诊护士需了解每位医师的专长;当日回诊患者较多，针对同一批患者，护士需要反复多次进行分诊;就诊存在高峰时段，且初次来院就诊患者对门诊环境不熟悉等因素，无形中加大分诊护士的工作量及工作难度，常常处于医患纠纷的第一线，直面患者及家属的指责和抱怨。如何减少患者不必要的等待时间，充分利用有限资源，缓解拥挤现象，是迫切需要考虑的问题。针对我院男性科门诊的特殊情况，分诊护理小组与门诊医师协商制定了快速分诊流程，自2017年6月起尝试运用，取得了一定效果。
1资料与方法
1.1一般资料 随机抽取2017年2月～2017年9月来上海交通大学医学院附属仁济医院男科就诊的700例患者作为研究对象。在经本院伦理委员会批准，患者本人同意，签署知情同意书。将2017年2月～5月的患者随机抽取350例患者设为对照组，平均年龄27.37岁，2017年6月～9月的患者随机抽取350例患者作为研究组，平均年龄27.37岁，采用快速分诊护理，两组患者的年龄比较，差异无统计学意义(P>0.05)、有可比性。, http://www.100md.com(张丽 陆瑛)
关键词：分诊护理;男性科门诊;快速流程;满意率
中图分类号：R473 文献标识码：A DOI：10.3969/j.issn.1006-1959.2019.05.059
, http://www.100md.com
文章编号：1006-1959(2019)05-0178-04
Abstract：Objective To use the "rapid triage care process" to reduce the time of visits for male outpatients and improve patient satisfaction.Methods A total of 700 patients who came to our hospital from February to September 2017 were randomly selected. Among them， 350 patients were selected as control group from February to May 2017， using routine triage care;From June to September 2017， 350 patients were selected as the study group. The rapid triage nursing process was used to compare the nursing satisfaction rate， quality of care and outpatient volume of the two groups.Results The satisfaction rate of patients in the study group increased significantly， and the work efficiency of the triage nurses also improved significantly， and the corresponding quality of care and medical care also increased. The number of male outpatient clinics also increased gradually， with a year-on-year increase of 41.72%.Conclusion The rapid follow-up nursing process of male outpatients adapts to the needs of contemporary outpatient care development， saves valuable waiting time for patients， speeds up the outpatient visits， meets the needs of patients and their families， and builds a harmonious relationship between nurses and patients.
, 百拇医药
Key words：Triage nursing;Male clinic;Rapid flow;Satisfaction rate
門诊服务质量与护理效果直接影响医院的社会形象和经济效益。其中，分诊是门诊护理的重要组成部分，指导着患者在医院就诊的全部过程[1]。分诊护士在工作中直接面对患者和家属，向其提供正确引导和帮助。由于我院男科就诊患者较多，就诊环境相对拥挤;门诊医师不固定，分诊护士需了解每位医师的专长;当日回诊患者较多，针对同一批患者，护士需要反复多次进行分诊;就诊存在高峰时段，且初次来院就诊患者对门诊环境不熟悉等因素，无形中加大分诊护士的工作量及工作难度，常常处于医患纠纷的第一线，直面患者及家属的指责和抱怨。如何减少患者不必要的等待时间，充分利用有限资源，缓解拥挤现象，是迫切需要考虑的问题。针对我院男性科门诊的特殊情况，分诊护理小组与门诊医师协商制定了快速分诊流程，自2017年6月起尝试运用，取得了一定效果。
1资料与方法
1.1一般资料 随机抽取2017年2月～2017年9月来上海交通大学医学院附属仁济医院男科就诊的700例患者作为研究对象。在经本院伦理委员会批准，患者本人同意，签署知情同意书。将2017年2月～5月的患者随机抽取350例患者设为对照组，平均年龄27.37岁，2017年6月～9月的患者随机抽取350例患者作为研究组，平均年龄27.37岁，采用快速分诊护理，两组患者的年龄比较，差异无统计学意义(P>0.05)、有可比性。, http://www.100md.com(张丽 陆瑛)