| 黄敏,王晶,杨帆.基于SBAR沟通模式的产科危重症患者交接班记录单的设计及临床应用[J].上海护理,2021,21(2): |
| 基于SBAR沟通模式的产科危重症患者交接班记录单的设计及临床应用 |
| he design and clinical application of the shift record of critical patients in obstetrics based on SBAR communication mode |
| DOI： |
| 中文关键词: SBAR 沟通模式 产科危重症 交接班 |
| 英文关键词:SBAR communication mode Obstetrical critical illness Handover |
| 基金项目:2018年度南京市卫生科技发展专项资金项目（YKK18154) |
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| 中文摘要: |
| 【摘要】 目的：探讨SBAR沟通模式在产科危重症患者交接过程中的应用效果。 方法：选取2018年7-12月我院MICU收治的80例危重症产妇作为对照组，以传统口头交接班模式交接；选取2019年1-6月我院MICU收治的80例危重症产妇作为观察组，采用SBAR（现状、背景、评估、建议）结构框架设计的产科危重症患者交接单进行各个班次的病情交接。使用中文版护士交接班评估量表（NASR）对两组交接班的质量进行比较，并对两组交接班问题发生率及孕产妇MICU监护时间进行对比。结果：观察组NASR总分(4.13±0.87)分, 其中有效与高效交班(4.30±0.74)分，保证患者安全(4.06±0.78)分，促进患者参加(4.02±0.80)分，增进护士监督、合作、责任（4.01±0.83)分，提供患者信息(4.16±0.69)分。对照组NASR总分(3.16±0.92)分, 其中有效与高效交班(3.16±0.74)分，保证患者安全(3.03±0.80)分，促进患者参加(2.92±0.85)分，增进护士监督、合作、责任（2.97±0.77)分，提供患者信息(3.16±0.74)分。观察组NASR评分明显高于对照组，两组差异有统计学意义(t=13.962，P<0.05)。观察组交接问题发生率低于对照组，两组差异有统计学意义(χ2 =6.632, P<0.05)。观察组MICU监护时间少于对照组，两组差异有统计学意义（t=2.545, P<0.05）。结论：基于SBAR沟通模式的产科危重症患者交接班记录单在MICU的应用，可帮助护士快速、全面的掌握产科危重症患者病情，提高病情交接的完整性、正确率，有利于培养护士的评判性思维，提升护理质量，从而保证危重症孕产妇的安全。 |
| 英文摘要: |
| [Abstract] Objective: To explore the effect of SBAR communication mode in the handover process of critical obstetrical patients. Methods: 80 critically ill parturient women treated in ICU from January to June 2018 were selected as the control group, and 80 critical parturient women treated in ICU from July to December 2018 were selected as the observation group, and the transition orders of obstetrical critical patients designed by SBAR (present situation, background, evaluation, suggestion) were used for each shift. The Chinese version of nurse transfer assessment scale (NASR) was used to compare the transition quality of the two groups, to compare the incidence of transfer problems between the two groups, and to compare the MICU monitoring time of pregnant women. Results: The total score of NASR in the observation group was (4.13 ±0.87), including effective and efficient shift (4.30 ±0.74), ensuring patient safety (4.06 ±0.78), promoting patient participation (4.02 ±0.80), enhancing nurse supervision, cooperation, responsibility (4.01 ±0.83), and providing patient information (4.16 ±0.69). The total score of NASR in the control group was (3.16 ±0.92), including effective and efficient shift (3.16 ±0.74), ensuring patient safety (3.03 ±0.80), promoting patient participation (2.92 ±0.85), enhancing nurse supervision, cooperation, responsibility (2.97 ±0.77), and providing patient information (3.16 ±0.74). The NASR score of the observation group was significantly higher than that of the control group, and there was significant difference between the two groups (t = 13.962, P < 0.05). The MICU monitoring time of the observation group was less than that of the control group, and the difference between the two groups was statistically significant (t=2.545, P<0.05）. The incidence of handover problems in the observation group was lower than that in the control group, and there was significant difference between the two groups (χ2 = 6.632, P < 6.632). Conclusion: The application of shift record form for obstetrical critical patients based on SBAR communication mode in MICU helps nurses to master the patients' condition more comprehensively, improves the integrity and accuracy of the patient's condition handover, and at the same time helps to cultivate nurses' critical thinking and improve the quality of care, so as to ensure the safety of critically ill pregnant and lying-in women. |
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