在急诊室使用EQ-5D的非紧急病人的健康状况
Min Dai1,2,3, Jingyuan Jiang1,2,3, Lingjun Jiang1,2,3
1Department of Emergency Medicine, West China Hospital, West China School of Nursing, Sichuan University, Chengdu, China.
访问急诊室的非急诊患者通常报告健康状况良好,但疼痛和不适会显著影响他们的幸福感. 了解这些因素是解决急诊室过度拥挤和改善患者护理的关键.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 紧急诊所 (ED) 过度拥挤是一个重大的医疗保健挑战,受医院容量,人员和患者流动等因素的影响.
- 越来越多的每年ED访问和非紧急患者使用资源加剧了过度拥挤的担忧.
- 有限的研究存在于ED设置中的非新兴患者的自我评估健康.
研究的目的:
- 调查非突发病患者的健康状况,向第三级医院的ED.
- 确定影响该患者群体自我评估健康的因素.
主要方法:
- 在中国一家三级医院的ED中进行了一项横截面研究.
- 欧洲生活质量五维问卷 (EQ-5D) 给了545名没有出现的患者.
- 数据分析的重点是自我评估的健康状况和报告的健康问题.
主要成果:
- 大多数没有出现的患者自行评价他们的健康状况为优秀 (45.14%) 或非常好 (34.13%).
- 疼痛/不适是最常见的健康问题 (58.17%),其次是日常活动的限制 (39.27%) 和焦虑/抑郁 (38.90%).
- 疾病发病的持续时间和自我评估的健康状况等因素影响了整体健康.
结论:
- 没有出现的ED患者通常认为他们的健康状况是积极的,尽管他们经历了显著的疼痛和不适.
- 解决疼痛和日常活动限制对于改善非出现性ED患者的健康结果至关重要.
- 对患者报告结果的进一步研究可以为更有效地管理ED资源和患者护理的策略提供信息.
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