标准化沟通模式在养老机构老年人迁移应激中的应用  

SBAR Communication Technique for Reducing Relocation Stress among Elderly People Newly Admitted to Nursing Homes

作　　者：王真真[1] 唐浪娟[2] 涂淑华[3] HomesWANG Zhen-zhen;TANG Lang-juan;TU Shu-hua(Medical College of Nanchang University,Nanchang 330003,China;Department of Nursing,the Fourth Affiliated Hospital of Nanchang University,Nanchang 330003,China;Department of Geriatrics,the Fourth Affiliated Hospital of Nanchang University,Nanchang 330003,China)

机构地区：[1]南昌大学医学院,江西省南昌市330003 [2]南昌大学第四附属医院护理部,江西省南昌市330003 [3]南昌大学第四附属医院老年医学科,江西省南昌市330003

出　　处：《中国全科医学》2018年第14期1661-1665,共5页Chinese General Practice

摘　　要：目的探讨SBAR标准化沟通模式在养老机构老年人中迁移应激的应用效果。方法选取2016年4—9月南昌市某养老机构新入住的57例老年人为对照组,2017年3—8月该养老机构新入住的61例老年人为观察组,对照组采用传统交接方式入住,观察组根据SBAR标准化沟通模式的结构框架,设计SBAR老年人入住交接表。比较两组老年人入住初期问题发生率,采用简版老年抑郁量表(GDS-15)和应激反应问卷(SRQ)评价老年人入住期间抑郁情况和迁移应激反应。结果观察组入住初期问题发生率低于对照组(P<0.05)。观察组入住1周、入住1个月、入住2个月GDS-15评分均低于对照组(P<0.05)。入住2个月后,观察组SRQ总分、情绪反应、躯体反应、行为反应得分均低于对照组(P<0.01)。结论 SBAR标准化沟通模式规范了老年人入住交接流程,有效改善了老年人迁移应激反应,提高了养老护理工作效率,可在机构养老中进行推广。Objective To explore the effect of SBAR communication technique on reducing the relocation stress among elderly people newly admitted to nursing homes.Methods The enrolled participants were 118 elderly people newly admitted to a nursing home in Nanchang,57 of them treated with the conventional reception between April and September 2016 were assigned to the control group,and other 61 treated with the SBAR communication technique-based reception between March and August 2017 were assigned to the observation group.The Chinese version of 15-item Geriatric Depression Scale（C-GDS-15） was used to assess the depression status.The Chinese version of Stress Response Questionnaire（C-SRQ） was employed to evaluate the status of relocation stress.The symptoms of relocation stress occurred within a short period after admission were compared between the groups.Results Compared with the controls,patients treated with SBAR communication technique-based reception were less likely to have symptoms of relocation stress within a short period after admission（P〈0.05）,and they demonstrated much lower C-GDS-15 total score at 1 week,1 month,2 months after admission（P〈0.05）,as well as much lower C-SRQ total score,emotional reaction score,somatic reaction score and behavioral reaction score at 2 months after admission（P〈0.01）.Conclusion SBAR communication technique reduces the incidence of relocation stress among elderly people and enhances the work efficiency of nursing homes via improving the reception mode,so it can be widely applied in such institutions.

关 键 词：养老机构 迁移应激 SBAR模式 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]