基于MEWS评分的SBAR模式在严重创伤医护一体化查房中的应用效果  

Application effect of SBAR model based on MEWS score in integrated ward rounds of doctor-nurse among patients with severe trauma

作　　者：赵江宁[1] 李兴珍[1] 党星波[1] 孙捷[1] 苏晓丽[1] ZHAO Jiangning;LI Xingzhen;DANG Xingbo;SUN Jie;SU Xiaoli(Shaanxi Provincial People's Hospital,Xi'an 710068,China)

机构地区：[1]陕西省人民医院,陕西西安710068

出　　处：《临床医学研究与实践》2020年第27期161-163,共3页Clinical Research and Practice

摘　　要：目的探索基于改良早期预警评分(MEWS)的现状-背景-评估-建议(SBAR)模式在严重创伤医护一体化查房中的应用效果。方法选择120例严重创伤患者为研究对象,采用单双号随机化分组将其分为对照组和观察组,各60例;本次实施护理管理措施的医护人员共40名,每组20名。对照组采用常规护理,观察组采用基于MEWS评分加强SBAR模式医护一体化查房干预。比较两组的干预效果。结果观察组的反馈、会诊等待、护理交接及标本送检时间均短于对照组(P<0.05)。观察组的抢救成功率、医护质量满意率及遵医行为患者占比均高于对照组,不良事件发生率低于对照组(P<0.05)。干预后,观察组的医护评判思维能力评分及NPCS评分高于对照组(P<0.05)。结论对严重创伤患者实施基于MEWS评分加强SBAR模式的医护一体化查房的效果显著。Objective To explore the application effect of situation,background,assessment,recommendation(SBAR)model based on modified early warning score(MEWS)in integrated ward rounds of doctor-nurse among patients with severe trauma.Methods A total of 120 patients with severe trauma were selected as the research objects and divided into control group and observation group by randomization of odd and even numbers,with 60 cases in each group.A total of 40 medical staff who implemented nursing management measures this time,with 20 cases in each group.The control group received routine nursing,and the observation group received strengthening SBAR model based on MEWS score for integrated ward rounds of doctor-nurse.The intervention effects of the two groups were compared.Results The time of feedback,waiting for consultation,nursing handover and specimen submission in the observation group were shorter than those of the control group(P<0.05).The success rate of rescue,satisfaction rate of medical quality and the proportion of patients with compliance behavior in the observation group were higher than those in the control group,and the incidence of adverse events was lower than that in the control group(P<0.05).After intervention,the score of thinking ability in medical evaluation and the NPCS score of the observation group were higher than those of the control group(P<0.05).Conclusion The effect of implementing integrated ward rounds of doctor-nurse based on the MEWS score to strengthen the SBAR model for patients with severe trauma is significant.

关 键 词：MEWS评分 SBAR 严重创伤 医护一体化查房 

分 类 号：R473.6[医药卫生—护理学]