紧急病房中未经查的老年患者的特征:回顾性研究
1Department of Nursing, Bucheon University, 56, Sosa-ro, Bucheon-si, Gyeonggi-do, Republic of Korea.
International emergency nursing
|June 28, 2024
概括
由于非特异性症状,老年患者在急诊室往往没有得到足够的查. 关键的低选指标包括神经,心肺和头部创伤症状,需要仔细评估.
科学领域:
- 紧急医疗 紧急医疗
- 老年医疗护理 医疗护理
- 临床分类是临床分类.
背景情况:
- 老年患者在急诊室面临着独特的挑战,原因是并发症和非特异性症状.
- 这往往导致查不足,可能会推迟关键护理.
- 识别未经查的老年人特征对于改善紧急护理至关重要.
研究的目的:
- 为了确定特定的特征和症状,与 undertriaged老年患者在急诊室设置.
- 为了告知选方案,并提高老年患者的敏度评估的准确性.
主要方法:
- 一项回顾性描述性研究,分析老年患者的电子病历.
- 在2019年1月至12月期间,从首尔一家普通医院收集的数据.
- 专注于根据韩国分辨率和敏度度量 (KTAS) 级别分类的患者.
主要成果:
- 大约8%的老年患者未得到查 (KTAS 4或5级).
- 在未经测试的患者中常见的症状包括神经 (头,头痛),心肺 (胸部不适,心),腹痛和头部创伤.
- 显著的比例 (73%) 的 undertriaged 患者需要住院治疗.
结论:
- 在评估老年患者时,分组护士必须非常小心,认识到首席投诉可能是模糊的.
- 老年人的特定症状,如头,胸部不适,心跳和头部创伤,需要高度注意,因为它们可能表明需要重症监护.
- 提高认识和评估策略至关重要,以防止低选,并确保及时,适当的老年患者的护理.
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