门诊风险预警分层护理模式的构建及护理时效评价 [中文引用][英文引用]

目的  构建门诊风险预警分层护理模式，并初步评价其在门诊突发意外事件的患者护理时效及护理满意度。方法  构建门诊风险预警分层护理模式，包括护理团队的专业化培训、量化分层护理指标（望闻问切）、分层护理策略和迅速启动与高效执行应急反应系统。将 2021 年 1 月至 2022 年 12 月门诊突发意外事件的患者 49 例作为对照组，采用原有常规护理模式；2023 年 1 月至 2024 年 1 月门诊突发意外事件的患者 49 例作为观察组，应用门诊风险预警分层护理。比较两组患者的护理时效及救治护理满意度。结果  两组患者一般资料比较，差异无统计学意义，具有可比性（均 P>0.05）。观察组患者的救治启动时间、辅助检查时间、住院时间均短于对照组，出院时，观察组患者的护理满意度评分高于对照组，差异具有统计学意义（均P<0.05）。结论  门诊风险预警分层护理可提升门诊突发意外事件患者的救治效率，提高患者护理满意度，值得临床推广应用。

Objective To develop a risk early warning and stratified nursing model for outpatient clinic and to preliminarily evaluate its impact on nursing efficiency and patient satisfaction in emergencies. Methods A risk early warning and stratified nursing model for outpatient clinic was developed in this study. It comprised four components：specialised training for nurses, quantifiable stratification indices（observation, listening, inquiry and palpation）, tiered nursing interventions, and a rapid-response emergency protocol that could be activated immediately and executed efficiently. A total of 98 consecutive patients who visited outpatient clinic with unexpected emergency events from January 2021 to January 2024 were enrolled in the study. Forty-nine patients who visited outpatient clinic with unexpected emergency events between January 2021 and December 2022 were assigned to the control group and received conventional emergency nursing care. While the 49 patients who visited outpatient clinic with unexpected emergency events between January 2023 and January 2024 were assigned to the observation group and received risk early warning and stratified nursing care. The two groups were compared in terms of nursing efficiency and nursing-satisfaction scores. Results There was no statistically significant difference in the general data between the two groups of patients, and they were comparable（all P>0.05）. Patients in the observation group showed significantly shorter emergency-activation time, auxiliary-examination time, and length of stay in comparison with those in the control group（all P<0.05）. Scores of nursing satisfaction at discharge were also significantly higher in the observation group（P<0.05）. Conclusion The risk early warning and stratified nursing model for outpatient clinic improves treatment efficiency for the patients suffering unexpected emergency events and enhances patient satisfaction.