ISBAR标准沟通工具在血透高危跌倒患者中的应用及对护士交班满意度的影响  

Application of ISBAR Standard Communication Tool in Hemodialysis Patients at High Risk of Falling and the Impact on the Patients' Satisfaction of the Nurses

作　　者：张恬[1] 唐玮[1] 戢芳[2] 何成雨 崔念奇 甘秀妮[1] ZHANG Tian;TANG Wei;JI Fang;HE Chen-yu;CUI Nian-qi;GAN Xiu-ni(Dept. of Nephrology,The 2nd Hospital Affiliated to Chongqing Medical University,Chongqing 400010,China;Dept. of Nursing Department,The 2nd Hospital Affiliated to Chongqing Medical University,Chongqing 400010,China)

机构地区：[1]重庆医科大学附属第二医院肾内科,重庆400010 [2]重庆医科大学附属第二医院护理部,重庆400010

出　　处：《昆明医科大学学报》2017年第8期144-148,共5页Journal of Kunming Medical University

基　　金：重庆市卫生计生委医学重点科研基金资助项目(2016ZDXM008);重庆市卫生计生医学科研面上基金资助项目(2015MSXM022)

摘　　要：目的探讨应用ISBAR标准沟通工具对行血液透析的高危跌倒患者交班,患者对护士交班满意度的影响.方法用电脑随机数字法预先将150例患者随机分为分为实验组(n=74)和对照组(n=76),收集肾内科2016年5月至2016年12月行血液透析的高危跌倒患者150例,实验组应用1ISBAR标准沟通工具对行血液透析的高危跌倒患者进行交班,对照组给予高危跌倒患者常规口头交接重要事宜.结果干预后1周实验组患者对护士交班满意度总分为(72.2±4.5)分,对照组为(70.1±6.4)分,2组患者满意度总分差异P=0.02,具有统计学意义(P<0.05).干预至出院前1 d实验组患者对护士交班满意度总分为(81.6±2.1)分,对照组为(77.5±5.0)分,2组患者满意度总分差异有统计学意义(P<0.001).护士对跌倒管理考核得分从(87.4±4.1)分提升至(93.1±2.8)分,(P<0.05).结论对血液透析患者中的跌倒高危患者应用ISBAR标准沟通工具进行交班能提高交班质量,交班效果较好.Objective To explore the impact on the patients'satisfaction of the nurses by using ISBAR standard communication tool in patients receiving hemodialysis at high risk of falling.Methods We collected150cases of hospitalized patients with hemodialysis from December2015to February2016.Using computer random number method in advance,150patients were randomly divided into experimental group(n=74)and the control group(n=76).Patients in the experimental group used ISBAR communication tool for shifting,patients in the control group were given regular shifting.Results One week after intervention,the scores of the satisfaction on the nurse of patients in experimental group was(72.2+4.5),in the control group was(70.1+6.4),there was a statistically significant difference between two groups(P<0.05).The total scores of the satisfaction on the nurse of patients from admission to discharge in the experimental group was(81.6+2.1),in the control group was(77.5+5.0),there was a statistically significant difference between two groups(P<0.001).The falls management assessment score of nurse increased from(87.4±4.1)to(93.1±2.8)(P<0.05).Conclusion ISBAR communication tool can improve nursing quality in hemodialysis patients at high risk of falling.

关 键 词：ISBAR 透析患者 跌倒 交班 

分 类 号：R473[医药卫生—护理学]