智慧化老年急诊诊间的建设与实践

doi:10.3761/j.issn.2096-7446.2025.06.006

摘要/Abstract

摘要：

目的建设智慧化老年急诊诊间，并探讨其实践成效。方法 2023年1月—12月，采用便利抽样法，选取浙江省某三级甲等医院急诊内科诊间作为试点单元，进行智慧化老年急诊诊间的建设与实践探索。应用后2023年12月1日—31日为试验组，应用前2023年11月1日—30日为对照组，分别纳入768、548例老年急诊诊间患者。比较两组患者候诊时间、首次采血耗时、从诊间转抢救室耗时和患者满意度。结果智慧化老年急诊诊间实施后患者候诊时间有所缩短，试验组候诊耗时为11.00（6.00，18.00） min，对照组为12.00（5.25，24.00） min，两组耗时比较差异具有统计学意义（Z=-2.194，P<0.05）。试验组首次采血耗时为8.00（5.00，15.00） min，对照组为8.00（5.00，16.00） min，两组耗时比较差异无统计学意义（Z=-0.945，P>0.05）。试验组患者转抢救室耗时为99.00（45.00，132.00） min，对照组为101.50（57.50，159.00） min，两组耗时比较差异无统计学意义（Z=-0.441，P>0.05）。患者满意度由92.69%提升至98.23%（Z=-2.830，P<0.05）。结论智慧化老年急诊诊间的建设及实践有助于提高工作效率，并提高了老年患者就医满意度。

关键词: 急诊室, 医院, 老年患者, 智慧化诊间, 门急诊护理

Abstract:

Objective To construct a geriatric emergency clinic based on smart technology and explore the practice effectiveness. Methods From January to December 2023，the Emergency Medicine Clinic of a tertiary class A hospital of Zhejiang Province was selected as a pilot unit using convenience sampling method to explore the construction and practice of geriatric emergency clinic based on intelligent technology. The period from 1 November 2023 to 30 November 2023 before application was the control group；the period from 1 December 2023 to 31 December 2023 after application was the experimental group，and 548 and 768 geriatric emergency clinic patients were included，respectively. The effect of the construction of the smart geriatric emergency room was analysed by comparing the waiting time，the initial blood sampling time，the average time of patient transfer to resuscitation room，and patient satisfaction between the two groups. Results After the implementation of the intelligent geriatric emergency clinic，the mean waiting time was shortened，it was 11.00（6.00，18.00） minutes in the experimental group and 12.00（5.25，24.00） minutes in the control group，and the difference between the two groups was statistically significant（Z=-0.194，P<0.05）. The time for the first blood collection was 8.00（5.00，15.00） minutes in the experimental group and 8.00（5.00，16.00） minutes in the control group，and there was no statistically significant difference（Z=-0.945，P>0.05）. The time taken to transfer patients from the clinic to the resuscitation room for treatment was reduced，and was 99.00（45.00，132.00） minutes in the experimental group and 101.50（57.50，159.00） minutes in the control group，the difference was not statistically significant between the two groups （Z=-0.441，P>0.05）. The level of patient satisfaction increased 92.69% to 98.23%（Z=-2.830，P<0.05）. Conclusion The construction of the smart geriatric clinic can improve the work efficiency and medical satisfaction of geriatric patients.

Key words: Emergency Department, Hospital, Geriatric Patient, Smart Clinic, Outpatient and Emergency Care

丁锦玲, 沈晓, 杨蕾, 王萍, 王飒, 王钰炜. 智慧化老年急诊诊间的建设与实践[J]. 中华急危重症护理杂志, 2025, 6(6): 676-680.

DING Jinling, SHEN Xiao, YANG Lei, WANG Ping, WANG Sa, WANG Yuwei. Construction and practice of smart geriatric emergency clinics[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(6): 676-680.

图/表 1

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