危重患者实施SBAR标准化床旁交接班模式的设计及应用  

The Design and Application of Implementing SBAR Standardized Bedside Shift Mode in Critical Patients

作　　者：牛建佩[1] 胡少华[1] 常小霞[1] 刘艳红[1] 白瑞莉[1] 靳冰蕾 Niu Jian-pei;Hu Shao-hua;Liu Yan-hong(Department of Gynaecology,The Third People's Hospital of Zhengzhou,Zhengzhou 450000,Henan Province,China)

机构地区：[1]河南省郑州市第三人民医院妇科

出　　处：《罕少疾病杂志》2019年第5期88-90,110,共4页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨危重患者实施SBAR模式床旁交接班的设计及应用效果。方法根据综合重症医学科、心血管内科、骨科的专科特点,将交班内容根据SBAR模式进行标准化设计,运用到床旁交接班。分析实施前后护理人员进行病情交班的缺陷情况、护理人员的满意度,及责任护士对患者病情的掌握情况。结果危重患者运用SBAR模式进行床旁交接班,交班时病情不全的缺陷率由20.3%降低至8.8%(P<0.05),“患者病情掌握”的成绩由实施前的7.8分提高至实施后的9.5分(P<0.05),护士对交班模式满意度为33.43分(满分36分)。结论运用SBAR模式进行床旁交接班,规范危重患者交班流程,减少护理人员病情交班时的信息遗漏,提高护理人员对患者的病情掌握,改进护理工作质量。Objective To explore the effects of design and application on implementing SBAR standardized shift mode in critical patients.Methods According to specialized characteristics of the departments of General ICU,cardiovascular medicine and orthopaedics,we designed the shift content on the basis of SBAR mode,and applied it into bedside shift exchange,analyzed the defects of shift exchange,the satisfaction of nurses and the mastery situation of duty nurses in patient’s condition before and after implementation.Results After implementation of SBAR standardized shift mode,the rate of incomplete mastery of patient’s condition defects reduced from 20.3%to 8.8%(P<0.05),the score of incomplete mastery of patient’s condition increased from 7.8 to 9.5(P<0.05),the score of nurse satisfaction on shift mode was 33.43(out of 36).Conclusion Application of SBAR standardized shift mode in bedside shift exchange can standardize shift procedure in critical patients,reduce the information missing of the shift exchange,improve the mastery of patients’condition.

关 键 词：SBAR模式 交班 护理 质量改进 

分 类 号：R473.5[医药卫生—护理学]