SBAR沟通模式在急诊-ICU病人转运交接中的应用  

Application of SBAR communication mode in emergency ICU patients transfer

作　　者：梁添英 邓肖云 LIANG Tian-ying;DENG Xiao-yun(Department of Emergency,Zhongshan Southern District Hospital,Guangdong Province,Zhongshan528455,China;ICU,Zhongshan Southern District Hospital,Guangdong Province,Zhongshan528455,China)

机构地区：[1]广东省中山市南区医院急诊科,广东中山528455 [2]广东省中山市南区医院ICU,广东中山528455

出　　处：《中国当代医药》2021年第14期260-263,共4页China Modern Medicine

基　　金：广东省中山市医学科研项目(2019A020423)。

摘　　要：目的探讨“现状-背景-评估-建议”沟通模式在急诊-重症加强护理病房患者转运交接中的应用。方法选取广东省中山市南区医院2019年3月~2020年7月收治的80例急诊-ICU转运交接危重患者,按照随机数字表法分为观察组(40例)与对照组(40例)。对照组转运交接以口头交接与填写普通交接表方法;观察转运交接以SBAR沟通模式,比较两组的交接效果。结果观察组的护理不良事件总发生率为7.50%,低于对照组的25.00%,差异有统计学意义(P<0.05);观察组的护士交接问题不清发生率为5.00%,低于对照组的27.50%,差异有统计学意义(P<0.05);观察组的护理总满意度为97.5%,高于对照组的60.00%,差异有统计学意义(P<0.05);观察组的平均转运交班时间为(4.18±0.51)min,低短对照组的(12.01±0.70)min,差异有统计学意义(t=57.178,P<0.05)。结论SBAR沟通模式在急诊-ICU患者转运交接中应用效果好,可减少不良事件与交接中问题发生率,提高对患者护理满意度,缩短平均转运交班时间。Objective To explore the application of SBAR communication mode in the transfer and handover of emergency ICU patients.Methods A total of 80 cases of critically ill patients with emergency ICU transfer handover in Zhongshan Southern District Hospital in Guangdong Province from March 2019 to July 2020 were selected and divided into the observation group(40 cases)and the control group(40 cases)according to the random number table method.The control group was transferred by oral handover and filling in the ordinary handover form;the transfer handover was observed by SBAR communication mode,and the handover effect of the two groups was compared.Results The total incidence of adverse nursing events in the observation group was 7.50%,lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).The incidence of unclear nurse handover problems in the observation group was 5.00%,lower than 27.50%in the control group,and the difference was statistically significant(P<0.05).The patients′total satisfaction with nursing in the observation group was 97.5%,higher than that of the control group of 60.00%,the difference was statistically significant(P<0.05).The average transfer time of the observation group was(4.18±0.51)min shorter than the control group of(12.01±0.70)min,the difference was statistically significant(t=57.178,P<0.05).Conclusion The application of SBAR in the transfer of patients can reduce the incidence of adverse events and reduce the incidence of adverse events.

关 键 词：SBAR沟通模式 急诊 ICU 转运交接 

分 类 号：R472[医药卫生—护理学]