非急症老年患者急诊就诊现况及影响因素分析

doi:10.3761/j.issn.2096-7446.2023.05.016

摘要/Abstract

摘要： 目的分析非急症老年患者急诊就诊现况并探索其影响因素。方法回顾性分析浙江省某三级甲等医院急诊科2020年34 133例就诊老年患者的临床资料,以是否为非急症患者分为两组,对比两组患者临床指标的差异,采用Logistic回归模型分析急诊老年非急症患者的影响因素。结果 29 206例（85.57%）老年患者为非急症患者,4 927例（14.43%）为急症患者。二分类Logistic回归分析显示,就诊科室为外科（OR=2.118）、骨科（OR=4.671）、五官科（OR=6.472）、其他科室（OR=11.914）,入院途径为救护车转入（OR=0.115）或其他途径入院（OR=0.291）,以及夏季就诊（OR=0.783）或秋季就诊（OR=0.568）为非急症老年患者急诊就诊的影响因素（P<0.05）。结论非急症老年患者急诊就诊率较高,预检分诊人员在急诊拥堵及大量患者候诊情况下应关注步行来院、非内科就诊及夏季、秋季就诊的老年患者,可以尝试将其引导至门诊或其他诊疗场所就诊,以减轻急诊拥挤度。

关键词: 老年人, 急症护理, 预检分诊, 流行病学, 危险因素

Abstract: Objective To analyze the current situation of emergency room visits of elderly non-urgent patients and explore its influencing factors. Methods The clinical data of 34 133 elderly patients in 2020 were retrospectively analyzed. The patients were divided into two groups based on whether they were non-urgent patients. The differences of clinical indicators between the two groups were compared,and the influencing factors of emergency non-urgent elderly patients were analyzed by Logistic regression model. Results 29 206（85.57%）were non-urgent patients and 4 927（14.43%）were urgent patients. Binary Logistic regression analysis showed that medical departments were surgery（OR=2.118）,orthopedics（OR=4.671）and ENT departments（OR=6.472）,and other departments（OR=11.914）,patients who transferred by ambulance（OR=0.115）or other channels（OR=0.291）,summer visits（OR=0.783）or autumn visits（OR=0.568）were influencing factors for emergency visits in elderly non-urgent patients（P<0.05）. Conclusion The emergency visit rate of elderly non-urgent patients in ER is higher,triage personnel should pay attention to elderly patients who come to the hospital on foot,for non-medical treatment,and visits in summer and autumn,and can try to guide them to outpatient clinics or other treatment places to reduce emergency overcrowding.

Key words: Aged, Emergency Nursing, Triage, Epidemiology, Risk factors

姚晓月, 杨旻斐, 陈芳, 张兰兰, 沈卫娣, 杨石磊. 非急症老年患者急诊就诊现况及影响因素分析[J]. 中华急危重症护理杂志, 2023, 4(5): 458-462.

YAO Xiaoyue, YANG Minfei, CHEN Fang, ZHANG Lanlan, SHEN Weidi, YANG Shilei. The current status and influencing factors analysis of elderly non-urgent patients in emergency department[J]. Chinese Journal of Emergency and Critical Care Nursing, 2023, 4(5): 458-462.

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