基于护理重点的ISBAR沟通模式在护理业务查房中的应用研究  

Application research of ISBAR communication mode based on nursing priorities in nursing rounds

作　　者：冯燕英 吴少丽 黄细妹 郑丽娇 王海英 叶燕芬 欧阳玉林 Feng Yanying;Wu Shaoli;Huang Ximei;Zheng Lijiao;Wang Haiying;Ye Yanfen;Ouyang Yulin(Nursing Department of Central Hospital of Panyu District,Guangzhou 511486,China;Department of Rheumatism and Kidney Disease,Central Hospital of Panyu District,Guangzhou 511486,China;Administrative office,Central Hospital of Panyu District,Guangzhou 511486,China)

机构地区：[1]广州市番禺区中心医院护理部,511486 [2]广州市番禺区中心医院肾病风湿科,511486 [3]广州市番禺区中心医院行政办公室,511486

出　　处：《中国实用护理杂志》2021年第32期2550-2556,共7页Chinese Journal of Practical Nursing

基　　金：广州市番禺区科技计划医疗卫生项目(2019-Z04-24)。

摘　　要：目的研究基于护理重点的ISBAR沟通模式在护理业务查房中应用的临床价值。方法采用类试验性研究的方法将广州市番禺区中心医院肾病风湿科2020年4—6月行二、三级护理业务查房的104例患者设为对照组,2020年7—9月行二、三级护理业务查房的122例患者设为试验组,进行非随机对照的设立,对照组采用传统模式进行护理业务查房,试验组采用基于护理重点的ISBAR沟通模式进行护理业务查房。比较2组管床护士对患者病情掌握情况、病情观察能力及评判性思维能力,并比较2组患者护理质量及出院患者满意度。结果管床护士对患者病情掌握情况试验组为(81.14±3.09)分,对照组为(75.90±2.84)分,2组比较差异有统计学意义(t值为-12.88,P<0.01);护士病情观察能力试验组为140.50(137.00,144.50)分,对照组为135.50(128.75,139.00)分,2组比较差异有统计学意义(Z值为-3.399,P<0.01);护士中文版评判性思维态度倾向性量表(CTDI-CV)评分试验组为(309.82±36.33)分,对照组为(286.86±33.54)分,2组比较差异有统计学意义(t值为-2.177,P<0.05);患者护理质量试验组为62.50(60.00,64.00)分,对照组为59.00(55.00,61.50)分,2组比较差异有统计学意义(Z值为-6.47,P<0.01);患者出院满意度试验组为53.00(48.75,55.00)分,对照组为51.00(44.00,54.00)分,2组比较差异有统计学意义(Z值为-3.56,P<0.01)。结论基于护理重点的ISBAR沟通模式在护理业务查房中的应用,对护士对患者病情掌握能力、病情观察能力及护士评判性思维能力的提高具有明显的促进作用,并能有效提高患者护理质量,提升患者满意度。Objective To study the clinical value of the ISBAR communication model based on nursing priorities in nursing ward rounds.Methods Using a quasi-experiment method,104 patients who received secondary and tertiary care from April to June 2020 were set as the control group,and 122 patients who received secondary and tertiary care from July to September 2020 were set up as the experimental group,with non-randomized method.The experimental group used the ISBAR communication model based on nursing priorities for nursing ward rounds,and the control group used the traditional method for nursing ward rounds.The abilities of bedside nurses collecting the patients′condition,the bedside nurses′condition observation and the nurses′critical thinking were compared between the two groups,and the patients'nursing quality and satisfaction were also compared.Results The scores of the bedside nurses′knowledge of the patients′condition were 81.14±3.09 in the test group and 75.90±2.84 in the control group,with statistically significant difference(t value was-12.88,P<0.01).The scores of the bedside nurses′ability in observing patients′condition were 140.50(137.00,144.50)in the experimental group and 135.50(128.75,139.00)in the control group,with statistically significant difference(Z value was-3.399,P<0.01).The scores of the Critical Thinking Disposition Inventory Chinese-version(CTDI-CV)were 309.82±36.33 in the experimental group and 286.86±33.54 in the control group,with statistically significant difference(t value was-2.177,P<0.05).The scores of patient care quality evaluation were 62.50(60.00,64.00)in the experimental group and 59.00(55.00,61.50)in the control group,with statistically significant difference(Z value was-6.47,P<0.01).The patient discharge satisfaction score of the experimental group was 53.00(48.75,55.00),and that of the control group was 51.00(44.00,54.00),with statistically significant difference(Z value was-3.56,P<0.01).Conclusions The application of ISBAR communication model based on nursing prio

关 键 词：ISBAR 标准化沟通 业务查房 护理 

分 类 号：R47[医药卫生—护理学]