基于SBAR模式的院区间转交接记录单的应用效果分析  

Application effect of handover record sheet between hospitals based on situation-background-assessment-recommendation model

作　　者：孙巧玲[1] 张四维 周玉洁[1] 李葆华[2] Sun Qiaoling;Zhang Siwei;Zhou Yujie;Li Baohua(Department of General Surgery,Peking University Third Hospital,Beijing 100191,China;Nursing Department,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院普通外科,北京100191 [2]北京大学第三医院护理部,北京100191

出　　处：《中华现代护理杂志》2022年第9期1216-1219,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨现状-背景-评估-建议(SBAR)沟通模式的院区间转交接记录的临床应用效果。方法采用便利抽样法,选取2020年8月—2021年8月北京大学第三医院普外科病房进行院区间转运的患者,分析患者转运质量、患者转运不良事件情况、护士使用满意度。结果共纳入90例患者,转运过程中未发生跌倒、管路滑脱、意外伤害等不良事件;转交接质量总均分为(6.47±0.68)分,转交接质量较好;护士对转运记录单使用满意度得分为(88.12+12.62)分,整体得分较高。结论基于SBAR模式的院区间转交接记录单符合临床情景,具有较好的临床应用效果,可提升患者转交接质量及保证患者转交接安全。Objective To explore the clinical application effect of handover record sheet between hospitals based on situation-background-assessment-recommendation(SBAR)model.Methods Using the convenient sampling method,patients who underwent inter-hospital transfer in the general surgery ward of Peking University Third Hospital from August 2020 to August 2021 were selected.The quality of patient transfer,adverse events of patient transfer and nurses'satisfaction with use were analyzed.Results A total of 90 patients were included,and there were no adverse events such as falls,pipeline slippage and accidental injuries during the transfer process.The score of handover quality was(6.47±0.68)and the handover quality was good.The score of nurses'satisfaction with the use of handover record sheet was(88.12+12.62)and the overall score was high.Conclusions The inter-hospital handover record sheet based on the SBAR model conforms to the clinical scenario,which has good clinical application effect.It can improve the quality of patient transfer and ensure the safety of patient transfer.

关 键 词：SBAR模式 转运 转交接记录单 

分 类 号：R47[医药卫生—护理学]