SBAR沟通模式联合三维综合护理在急性心肌梗死患者中的应用效果  

Application effect of SBAR communication model combined with three-dimensional comprehensive nursing in acute myocardial infarction patients

作　　者：李红芳[1] 王海燕[1] 石崖琳[1] LI Hongfang;WANG Haiyan;SHI Yalin(Department of Emergency,The Third People􀆳s Hospital of Nantong,Nantong,Jiangsu,226001,China)

机构地区：[1]南通市第三人民医院急诊科,江苏南通226001

出　　处：《中西医结合护理（中英文）》2022年第9期9-12,共4页Journal of Clinical Nursing in Practice

摘　　要：目的 探讨现状-背景-评估-建议(SBAR)沟通模式联合三维综合护理在急性心肌梗死(AMI)患者中的应用效果。方法 回顾性分析了2020年5月至2021年5月南通市第三人民医院收治的105例AMI患者的临床资料,根据护理方法的不同将患者分别纳入对照组(52例)和观察组(53例)。对照组患者给予常规护理,观察组患者给予SBAR沟通模式联合三维综合护理。比较2组患者的急救用时、心功能和主要不良心血管事件(MACE)。结果 观察组的病情评估时间、心电图检查时间、开放静脉通路时间、急诊至经皮冠状动脉介入治疗(PCI)时间、导管室护士准备时间、入导管室至球囊扩张时间和门-球时间均较对照组短(P均<0.05)。出院时,2组的左室舒张末期内径和左室收缩末期内径均低于入院时,左室射血分数均高于入院时(P均<0.05),且观察组均优于对照组(P均<0.05)。观察组在住院期间的MACE总发生率较对照组低(P<0.05)。结论 SBAR沟通模式联合三维综合护理可缩短AMI患者的急救用时,改善其心功能,降低MACE发生率。Objective To investigate the application effect of the situation-background-assessmentrecommendation(SBAR)communication model combined with three-dimensional comprehensive nursing in the patients with acute myocardial infarction(AMI).Methods The clinical data of 105 AMI patients admitted to the Third People􀆳s Hospital of Nantong from May 2020 to May 2021 were retrospectively analyzed.The patients were assigned to the control group(52 cases)and the observation group(53 cases)according to the different nursing methods.The control group was given conventional nursing,while the observation group was given SBAR communication model combined with three-dimensional comprehensive nursing.The first aid time,cardiac function,and major adverse cardiovascular events(MACEs)of the two groups were compared.Results The observation group had shorter disease evaluation time,time to electrocardiogram examination,time required to establish venous access,time from emergency to percutaneous coronary intervention(PCI),preparation time of catheterization laboratory nurse,time from entering catheterization room to balloon dilation,and doorto-balloon time than the control group(all P<0.05).At discharge,the left ventricular end-diastolic diameter and left ventricular end-systolic diameter of both groups were lower than those at admission,and the left ventricular ejection fraction was higher than that at admission(all P<0.05).The observation group outperformed the control group in the above indicators(all P<0.05).The overall incidence of MACEs during hospitalization was lower in the observation group than in the control group(P<0.05).Conclusion The implementation of SBAR communication model combined with threedimensional comprehensive nursing can shorten the first aid time of AMI patients,improve their cardiac function,and reduce the incidence of MACEs.

关 键 词：急性心肌梗死 现状-背景-评估-建议沟通模式 三维综合护理 急救用时 心功能 

分 类 号：R459.7[医药卫生—急诊医学]