SBAR沟通模式在新生儿重症监护室床头交接班中的应用效果  

Application effect of SBAR communication model in bedside handover in neonatal intensive care unit

作　　者：黄霞 彭竹兰 袁珍兰 HUANG Xia;PENG Zhu-lan;YUAN Zhen-lan(Department of Neonatal,Yichun Maternal and Child Health Hospital,Jianxi Province,Yichun336000,China;Department of Neurology,Yichun Maternal and Child Health Hospital,Jianxi Province,Yichun336000,China)

机构地区：[1]江西省宜春市妇幼保健院新生儿科,江西宜春336000 [2]江西省宜春市第二人民医院神经内科,江西宜春336000

出　　处：《中国当代医药》2020年第27期151-153,157,共4页China Modern Medicine

基　　金：江西省宜春市科技计划项目(JXYC2019KSB072)。

摘　　要：目的探讨SBAR沟通模式在新生儿重症监护室(NICU)床头交接班中的应用效果。方法选取宜春市妇幼保健院新生儿科NICU 2019年1~3月抽查夜班与白班护士床头交接班共150次为对照组,采用传统交接班模式进行交接;选取2019年4~6月抽查夜班与白班护士床头交接班共150次为观察组,采用SBAR沟通模式床头交接班进行交接。比较两组交接内容完整率、不良事件总发生率及医护人员总满意度。结果观察组交接内容完整率高于对照组,差异有统计学意义(P<0.05);观察组不良事件总发生率低于照组,差异有统计学意义(P<0.05);观察组医护人员总满意度高于照组,差异有统计学意义(P<0.05)。结论SBAR沟通模式可提高NICU交接班完整率,降低不良事件发生率,提升医护人员满意度,值得临床推广应用。Objective To investigate the application effect of SBAR communication model in bedside handover in neonatal intensive care unit(NICU).Methods A total of 150 times of night shift and day shift nurses for bedside handover in NICU of Department of Gynaecology and Obstetrics in Yichun Maternal and Child Health Hospital from January to March 2019 were selected as control group,accepted traditional handover mode;150 times of night shift and day shift nurses for bedside handover from April to June 2019 were selected as observation group,accepted bedside handover based on SBAR communication model.The complete rate of handover contents,total incidence of adverse events and total satisfaction of medical staff were compared between two groups.Results The complete rate of handover contents in observation group was higher than that in control group,the difference was statistically significant(P<0.05);the total incidence of adverse events in observation group was lower than that in control group,the difference was statistically significant(P<0.05);the total satisfaction of medical staff in observation group was higher than that in control group,the difference was statistically significant(P<0.05).Conclusion SBAR communication mode can improve the complete rate of NICU handover,reduce the incidence of adverse events,and improve the satisfaction of medical staff.It is worthy of clinical application.

关 键 词：新生儿重症监护室 SBAR沟通模式 床头交接班完整率 不良事件 

分 类 号：R000[医药卫生]