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[基层医疗急诊室针对急性轻症进行非预约会诊的护士解决方案]

[Nurse resolution for unscheduled consultations with acute minor illnesses in an emergency room in primary care].

作者信息

Padilla Just María Neus, Ots Ruiz Ana Cruz, González Larriba Meritxell, Burgos Díaz Cristina, Baeza Zanella Estefania, Fabrellas Pabrés Núria

出版信息

Rev Enferm. 2016 Jul-Aug;39(7-8):26-30.

Abstract

INTRODUCTION

The emergency centers for primary care (CUAP, for its acronym in Spanish) are created in order to address low and medium emergency pathologies. Nurses resolve low emergency acute minor illness, through performance algorithms which increase their resolutions.

OBJECTIVES

The main objective is to describe acute minor illness in adults solved by nurses at the Manso CUAP trough performance algorithms.

JUSTIFICATION

The involvement of nurses in the care for acute minor illness at the CUAPs strengthens their service portfolio and places them at the gateway of the health system. Performance algorithms provide nurses with the ability to manage up to the end the resolution of the user's demand.

MATERIAL AND METHOD

Data collection was carried out for 6 months, during increased pressure flows, analyzing the use of 20 performance algorithms. Data was extracted from computerized medical records.

RESUTLS

Health problems were solved in 1575 patients with an average age of 40 years. The consultations most frequently resolved by the nurses were: injuries (27%), application of techniques (20 %) and health education (13 %).

CONCLUSIONS

The use of performance algorithms for decision-making is effective for acute minor illness nurse care. Health education can solve a high performance of queries.

摘要

引言

设立初级保健急救中心(西班牙语首字母缩写为CUAP)是为了处理中低紧急病症。护士通过执行提高其解决效率的算法来解决低紧急程度的急性轻症。

目的

主要目的是描述曼索初级保健急救中心的护士通过执行算法解决的成人急性轻症。

理由

护士参与初级保健急救中心的急性轻症护理,增强了他们的服务组合,并使他们处于卫生系统的入口位置。执行算法使护士有能力直至最终处理完用户需求的解决。

材料与方法

在流量压力增加期间进行了6个月的数据收集,分析了20种执行算法的使用情况。数据从计算机化医疗记录中提取。

结果

1575名平均年龄40岁的患者的健康问题得到解决。护士最常解决的咨询问题是:受伤(27%)、技术应用(20%)和健康教育(13%)。

结论

使用执行算法进行决策对急性轻症的护士护理是有效的。健康教育可以解决大量咨询问题。

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