Chinese Journal of Nursing ›› 2022, Vol. 57 ›› Issue (16): 2036-2041.DOI: 10.3761/j.issn.0254-1769.2022.16.018
• Review • Previous Articles Next Articles
ZHOU Xuan, ZHENG Ruofei, JIAN Gangren, WANG Shengfang, YE Chengdong, LIN Lijuan
Online:2022-08-20
Published:2022-08-08
周璇, 郑若菲, 简钢仁, 王圣芳, 叶诚栋, 林丽娟
ZHOU Xuan, ZHENG Ruofei, JIAN Gangren, WANG Shengfang, YE Chengdong, LIN Lijuan. Research progress of emergency triage in patients with acute chest pain[J]. Chinese Journal of Nursing, 2022, 57(16): 2036-2041.
周璇, 郑若菲, 简钢仁, 王圣芳, 叶诚栋, 林丽娟. 胸痛患者急诊预检分诊的研究进展[J]. 中华护理杂志, 2022, 57(16): 2036-2041.
Add to citation manager EndNote|Ris|BibTeX
URL: https://zh.zhhlzzs.com/EN/10.3761/j.issn.0254-1769.2022.16.018
| [1] | Gulati M, Levy PD, Mukherjee D, et al. 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR guideline for the evaluation and diagnosis of chest pain:a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines[J]. Circulation, 2021, 144(22):e368-e454. |
| [2] | 李小宇, 孟岩, 魏岚, 等. 急诊胸痛患者就诊流程的分析[J]. 中国病案, 2017, 18(12):25-27. |
| Li XY, Meng Y, Wei L, et al. Analysis of medical treatment process for patients with chest pain in emergency departments[J]. Chin Med Rec, 2017, 18(12):25-27. | |
| [3] | 中华医学会急诊医学分会, 中国医疗保健国际交流促进会胸痛分会. 急性胸痛急诊诊疗专家共识[J]. 中华急诊医学杂志, 2019, 28(4):413-420. |
| Emergency Medicine Branch of Chinese Medical Association,Chest Pain Branch of China International Exchange and Promotive Association for Medical and Health Care. Expert consensus on emergency diagnosis and treatment of acute chest pain[J]. Chin J Emerg Med, 2019, 28(4):413-420. | |
| [4] | 郑若菲, 林羽, 简钢仁. 急诊预检分诊信息系统对危重患者病情分级的效果研究[J]. 护理学杂志, 2015, 30(24):5-7. |
| Zheng RF, Lin Y, Jian GR. Effectiveness of emergency triage information system on disease severity grading for critically ill patients[J]. J Nurs Sci, 2015, 30(24):5-7. | |
| [5] | Frisch SO, Faramand Z, Leverknight B, et al. The association between patient outcomes and the initial emergency severity index triage score in patients with suspected acute coronary syndrome[J]. J Cardiovasc Nurs, 2020, 35(6):550-557. |
| [6] | 管穗丽, 谢凤如, 张兴连. 校正改良早期预警评分系统在急性胸痛预检分诊中的应用[J]. 中华护理教育, 2016, 13(11):852-855. |
| Guan SL, Xie FR, Zhang XL. Application of the modified early warning scoring in the triage for patients with acute chest pain[J]. Chin J Nurs Educ, 2016, 13(11):852-855. | |
| [7] | Reaney PDW, Elliott HI, Noman A, et al. Risk stratifying chest pain patients in the emergency department using HEART,GRACE and TIMI scores,with a single contemporary troponin result,to predict major adverse cardiac events[J]. Emerg Med J, 2018, 35(7):420-427. |
| [8] | Leung YK, Cheng NM, Chan CPY, et al. Early exclusion of major adverse cardiac events in emergency department chest pain patients:a prospective observational study[J]. J Emerg Med, 2017, 53(3):287-294. |
| [9] | 金静芬. 急诊预检分诊标准解读[J]. 中华急危重症护理杂志, 2020, 1(1):49-52. |
| Jin JF. Interpretation for emergency triage sale[J]. Chin J Emerg Crit Care Nurs, 2020, 1(1):49-52. | |
| [10] | Australasian College for Emergency Medicine. Guidelines on the implementation of the australasian triage scale in emergency departments[EB/OL].[2021-10-11]. https://ed-areyoupre-pared.com/wp-content/uploads/2018/11/Australasian-Triage-Sca-le-in-Emergency-Departments. |
| [11] | Bullard MJ, Musgrave E, Warren D, et al. Revisions to the Canadian Emergency Department Triage and Acuity Scale (CTAS) guidelines 2016[J]. Canadian J Emerg, 2017, 19(S2):S18-S27. |
| [12] | Chang W, Liu HE, Goopy S, et al. Using the Five-level Taiwan triage and Acuity Scale computerized system:factors in decision making by emergency department triage nurses[J]. Clin Nurs Res, 2017, 26(5):651-666. |
| [13] | Jassin M, Jouria MD. The emergency severity index:guidelines for triage[EB/OL].[2021-10-11]. https://nursece4less.com/Account/Login?returnUrl=Default. |
| [14] | 史冬雷, 刘晓颖, 周瑛. 急诊预检分诊专家共识[J]. 中华急诊医学杂志, 2018, 27(6):599-604. |
| Shi DL, Liu XY, Zhou Y. Expert consensus on emergency triage[J]. Chin J Emerg Med, 2018, 27(6):599-604. | |
| [15] | Lee JH, Park YS, Park IC, et al. Over-triage occurs when considering the patient’s pain in Korean Triage and Acuity Scale(KTAS)[J]. PLoS One, 2019, 14(5):e0216519. |
| [16] | 李杰, 张培莉, 童宇平, 等. PQRST联合改良早期预警评分快速分诊记录表在急性上腹痛患者分诊中的应用[J]. 护理学报, 2019, 26(3):70-72. |
| Li J, Zhang PL, Tong YP, et al. Application of PQRST combined with modified early warning score rapid triage record table in triage of patients with acute epigastric pain[J]. J Nurs Chin, 2019, 26(3):70-72. | |
| [17] | Lanham DA, Taylor AN, Chessell SJ, et al. Non-cardiac chest pain:a clinical assessment tool[J]. Br J Hosp Med(Lond), 2015, 76(5):296-300. |
| [18] | Glanville D, Kiddell J, Lau R, et al. Evaluation of the effectiveness of an eLearning program in the nursing observation and assessment of acute surgical patients:a naturalistic observational study[J]. Nurse Educ Pract, 2021, 55:103152. |
| [19] | Mahler SA, Riley RF, Hiestand BC, et al. The HEART Pathway randomized trial:identifying emergency department patients with acute chest pain for early discharge[J]. Circ Cardiovasc Qual Outcomes, 2015, 8(2):195-203. |
| [20] | Than M, Flaws D, Sanders S, et al. Development and validation of the Emergency Department Assessment of Chest Pain Score and 2 h accelerated diagnostic protocol[J]. Emerg Med Australas, 2014, 26(1):34-44. |
| [21] | Otsuka Y, Takeda S. Validation study of the modified HEART and HEAR scores in patients with chest pain who visit the emergency department[J]. Acute Med Surg, 2020, 7(1):e591. |
| [22] | Peng LY, Hu H, He YR, et al. KTS and CRAMS were useful trauma scores in a resource-limited settings[J]. Am J Emerg Med, 2017, 35(9):1372-1373. |
| [23] | 聂洪鑫, 孟辉. 创伤评分在胸部损伤中的应用[J]. 解放军医学杂志, 2019, 44(10):887-895. |
| Nie HX, Meng H. Application of trauma scoring in thoracic trauma[J]. Med J Chin PLA, 2019, 44(10):887-895. | |
| [24] | McKee G, Mooney M, O’Donnell S, et al. A cluster and inferential analysis of myocardial infarction symptom presentation by age[J]. Eur J Cardiovasc Nurs, 2018, 17(7):637-644. |
| [25] | Groepenhoff F, Eikendal ALM, Onland-Moret NC, et al. Coronary artery disease prediction in women and men using chest pain characteristics and risk factors:an observational study in outpatient clinics[J]. BMJ Open, 2020, 10(4):e035928. |
| [26] | El Hajj MC, Litwin SE. Echocardiography in the era of obesity[J]. J Am Soc Echocardiogr, 2020, 33(7):779-787. |
| [27] | Sanders SF, DeVon HA. Accuracy in ED triage for symptoms of acute myocardial infarction[J]. J Emerg Nurs, 2016, 42(4):331-337. |
| [28] | Kanani AN, Hartshorn S. NICE clinical guideline NG39:major trauma:assessment and initial management[J]. Arch Dis Child Educ Pract Ed, 2017, 102(1):20-23. |
| [29] | 黄辉, 安文红, 刘欢, 等. 五级分诊标准信息系统用于急诊患者的信效度研究[J]. 护理学杂志, 2020, 35(13):23-26. |
| Huang H, An WH, Liu H, et al. Reliability and validity of an electronic five-level triage system for emergency patients[J]. J Nurs Sci, 2020, 35(13):23-26. | |
| [30] | 吴琪, 包招兰, 冯国和, 等. 急性胸痛护理分诊工具的应用进展[J]. 中国护理管理, 2018, 18(7):991-995. |
| Wu Q, Bao ZL, Feng GH, et al. Current status analysis of nursing triage of patients with acute chest pain[J]. Chin Nurs Manag, 2018, 18(7):991-995. | |
| [31] | 张晓庆, 沈小玲, 黄赣英, 等. 急诊预检分诊护士岗位胜任力评价指标体系的构建[J]. 中华急危重症护理杂志, 2021, 2(3):205-210. |
| Zhang XQ, Shen XL, Huang GY, et al. The construction of eva-luation index system of post competency among emergency triage nurses[J]. Chin J Emerg Crit Care Nurs, 2021, 2(3):205-210. | |
| [32] | 王国英, 赫晓慈, 李彩霞, 等. LBL和PBL双轨教学模式在急性胸痛分诊培训中的应用效果[J]. 中华现代护理杂志, 2015, 21(35):4318-4320. |
| Wang GY, He XC, Li CX, et al. Effects of LBL and PBL teaching mode on emergency triage of acute chest pain[J]. Chin J Mod Nurs, 2015, 21(35):4318-4320. | |
| [33] | 郭金玉, 杨洁, 孙红, 等. 胸痛中心模式下急诊护理流程的情景模拟演练设计与初步应用[J]. 中国急救复苏与灾害医学杂志, 2018, 13(10):1006-1009. |
| Guo JY, Yang J, Sun H, et al. Scenario simulation exercise design and preliminary application of emergency nursing process in chest pain center mode[J]. Chin J Emerg Resusc Di-saster Med, 2018, 13(10):1006-1009. | |
| [34] | 赵震, 杨洪华, 曹晓霞, 等. 新型冠状病毒肺炎疫情防控期间急诊科管理策略[J]. 中华护理杂志, 2020, 55(增刊2):576-577. |
| Zhao Z, Yang HH, Cao XX, et al. Management strategies of the emergency department during the coronavirus disease 2019 outbreak[J]. Chin J Nurs, 2020, 55(z2):576-577. | |
| [35] | Zuin G, Parato VM, Groff P, et al. ANMCO-SIMEU consensus document:in-hospital management of patients presenting with chest pain[J]. Eur Heart J Suppl, 2017, 19(Suppl D):D212-D228. |
| [36] | Silcock DJ, Corfield AR, Gowens PA, et al. Validation of the National Early Warning Score in the prehospital setting[J]. Resuscitation, 2015, 89:31-35. |
| [37] | 欧竹君, 范玉梅, 陈楚云. 急诊预检分诊护士的分诊能力调查及影响因素分析[J]. 护理实践与研究, 2021, 18(10):1462-1465. |
| Ou ZJ, Fan YM, Chen CY, et al. Investigation on the triage ability of the nurses in emergency pre-inspection and analysis of influencing factors[J]. Nurs Prac Res, 2021, 18(10):1462-1465. | |
| [38] | 陈玉国, 张敏, 王文君, 等. 护士在胸痛中心建设与发展中的作用[J]. 中华急危重症护理杂志, 2020, 1(1):7-10. |
| Chen YG, Zhang M, Wang WJ, et al. The role of nurses in the construction and development of chest pain centers[J]. Chin J Emerg Crit Care Nurs, 2020, 1(1):7-10. | |
| [39] | 蒋伟, 朱聚. 急诊科分级分区管理模式在胸痛患者分流中的应用研究[J]. 实用临床医药杂志, 2017, 21(14):173-175. |
| Jiang W, Zhu J. Application of emergency department graded and partitioned management mode in the shunting of chest pain patients[J]. J Clin Med Pract, 2017, 21(14):173-175. |
| [1] | HUANG Panpan, LI Liling, HU Xiaojing. Research progress of early exercise rehabilitation in infants with congenital heart disease [J]. Chinese Journal of Nursing, 2025, 60(9): 1050-1055. |
| [2] | ZHOU Miao, CHEN Xing, PENG Fei, SUN Shangxue, LI Yangyang. Systematic review of risk prediction instruments for central line associated bloodstream infections in ICU patients [J]. Chinese Journal of Nursing, 2025, 60(9): 1132-1139. |
| [3] | PENG Yingjie, LIU Aihong, ZHU Wenli, MEI Yuxin, ZHOU Meng, GUAN Wenjing. Systematic review of readiness assessment tools for advance care planning in older adults [J]. Chinese Journal of Nursing, 2025, 60(9): 1146-1153. |
| [4] | LIANG Yuanyuan, GAO Xinglian, DAI Zhangzhang, ZHOU Rongchao, HU Juanjuan, WANG Zengyan, SHEN Jianhui. Summary of the best evidence for surgical instrument management strategies in medical institutions [J]. Chinese Journal of Nursing, 2025, 60(8): 1005-1011. |
| [5] | RAN Lingxiao, WANG Dongmin, XU Ke, WANG Cong, CAO Hua, CUN Wei, JIANG Yan. Application of biomechanical simulation based on three-dimensional human body model in preventing pressure ulcers:a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1012-1018. |
| [6] | JIN Yujia, JIANG Hu, WANG Xiaoxuan, YI Jingna, MEI Yongxia, GUO Zhiting, ZHANG Zhenxiang, LIN Beilei. Application of information-based risk communication in primary prevention of cardiovascular diseases:a scoping review [J]. Chinese Journal of Nursing, 2025, 60(8): 1019-1025. |
| [7] | FENG Weiqing, CHEN Yanbo, CAI Huan, RUAN Jiahui, HE Xiuxian, LI Kun. A scoping review of the longitudinal studies on post stroke fatigue [J]. Chinese Journal of Nursing, 2025, 60(7): 799-805. |
| [8] | ZHOU Nan, ZHI Shihan, WANG Meng, ZHANG Hui, ZHANG Lihong, LUO Maoyu, HE Ying, GU Wei. The scope of application of sexual dysfunction intervention in cervical cancer patients and nursing inspira-tion [J]. Chinese Journal of Nursing, 2025, 60(7): 890-897. |
| [9] | JIANG Yan, TAN Li, ZOU Mingjun, RAN Maojun, LI Wenyuan, MA Jiaqin. Development and application of a nurse-led intelligent medical waste temporary storage equipment [J]. Chinese Journal of Nursing, 2025, 60(6): 659-665. |
| [10] | HUANG Zhenzhen, SUI Weijing, DONG Jing, ZHANG Junru, ZHANG Chuchu, ZHOU Hongting, ZHANG Jiayu, ZHANG Na, ZHUANG Yiyu. Application of eye tracking techniques in ICU patients with aphasia:a scoping review [J]. Chinese Journal of Nursing, 2025, 60(6): 757-763. |
| [11] | LI Haijiao, WEI Dongshuai, WANG Ruiyan, LIU Rongxun, ZHANG Chaofeng, JIA Jie, WEI Yange. The application progress of music intervention in nursing of patients with psychiatric disorders [J]. Chinese Journal of Nursing, 2025, 60(6): 764-768. |
| [12] | SHI Jinli, MO Junjun, LU Lingling, CHEN Ye. Survey on the current situation of management of sterilization and supply centers in response to emerging and outbreaks of infectious diseases in 442 hospitals and analysis of influencing factors [J]. Chinese Journal of Nursing, 2025, 60(5): 589-595. |
| [13] | CUI Yuzhen, YAO Zhuoya, GENG Junhui, LI Manchun, ZHAN Meng, DING Lina, JIANG Enshe. Investigation and nursing countermeasures on the current situation of oral instrument cleaning,disinfection,and sterilization management in 348 medical institutions in Henan Province [J]. Chinese Journal of Nursing, 2025, 60(5): 596-602. |
| [14] | JIANG Sishan, CHENG Qinqin, LUO Tingwei, ZHANG Na, GUO Junchen, LI Dongya, LI Dandan, ZHU Lihui. A systematic review of quality assessment tools for pediatric palliative care based on COSMlN guidelines [J]. Chinese Journal of Nursing, 2025, 60(5): 611-618. |
| [15] | TIAN Siying, CHANG Hong. Research progress on the application of just-in-time adaptive intervention in chronic illness sedentary and physical activity [J]. Chinese Journal of Nursing, 2025, 60(5): 619-623. |
| Viewed | ||||||
|
Full text |
|
|||||
|
Abstract |
|
|||||