SBAR交接班模式在呼吸重症患者中的应用  

Application of SBAR shift mode in patients with severe respiratory diseases

作　　者：章梅妹 李燕[2] 周启芳 金菊 王东梅 陆艳华 Zhang Meimei;Li Yan;Zhou Qifang;Jin Ju;Wang Dongmei;Lu Yanhua(Nanma Health Center,Shengze Town,Wujiang District,Suzhou City,215226,China;Department of Respiratory Medicine,Shengze Branch of Jiangsu Provincial People's Hospital,Suzhou 215228,China)

机构地区：[1]苏州市吴江区盛泽镇南麻卫生院,215226 [2]江苏省人民医院盛泽分院呼吸内科,苏州215228

出　　处：《国际护理学杂志》2023年第1期1-4,共4页international journal of nursing

基　　金：国家自然科学基金 (81670029)。

摘　　要：目的探讨情景-背景-评估-建议(SBAR)交接班模式在呼吸重症患者中的应用效果。方法选择2019年2~8月于江苏省人民医院盛泽分院呼吸内科治疗的呼吸重症患者106例。采用SBAR模式对该科室护理工作交接班进行改进,比较2019年2月1~28日(改进前)、2019年8月4~31日(改进后)护理工作的护理工作质量(基础护理、病情观察、专科护理、健康教育)、交接班质量及护士对患者病情掌握情况。结果改进前后,护理人员基础护理以及健康教育项目得分比较差异无统计学意义(P>0.05),而在病情观察、风险预防以及总分评价结果中,以上三项改进后得分明显高于改进前,差异有统计学意义(P<0.05);改进后,护理人员在中文版护士交接班评估量表(NASR)评分中的各领域得分除促进患者参与外,其余领域以及总分均明显高于改进前,差异有统计学意义(P<0.05);改进后,护理人员对患者的诊断结果、病情进展、异常化验结果、治疗方案、护理重点评分均明显高于改进前,差异有统计学意义(P<0.05)。改进前,护理人员床边交接班缺陷率为21.8%,交接班内容知晓率为80.1%;改进后,护理人员床边交接班缺陷率为8.03%,交接班内容知晓率为95.9%,交接班缺陷率显著下降,交接班内容知晓率显著提升,差异有统计学意义(P<0.05)。结论SBAR交接班模式可提升护理人员对患者本身的了解程度,提高工作效率与护理质量。Objective To explore the application of SBAR shift mode in patients with severe respiratory diseases.Methods From February to August 2019,106 patients with severe respiratory illness were treated in the respiratory department of Shengze Branch of Jiangsu Provincial People's Hospital.SBAR mode was adopted to improve the handover of nursing work in this department.The quality of the nursing work before and after the improvement(basic nursing,disease observation,specialized nursing,health education),the quality of the handover,the occurrence of unclear handover,the satisfaction of patients and their families,and the nurses'understanding of patients'conditions were compared from February 1 to 28,2019(before the improvement)and August 4 to 31,2019(after the improvement).Results There was no significant difference in the scores of basic nursing and health education before and after the improvement(P>0.05).However,the scores of disease observation,risk prevention and total score evaluation after improvement were significantly higher than those before improvement,with statistically significant difference(P<0.05).After the improvement,the scores of nurses in all fields of the Chinese version of the Nurse Assessment of Shift Report(NASR)were significantly higher than before,except for promoting patient participation,and the scores in other fields and total scores were significantly higher,with statistical significance(P<0.05).After the improvement,the nursing staff's diagnosis results,disease progression,abnormal laboratory results,treatment plan,nursing focus score of patients were significantly higher than before the improvement,and the differences were statistically significant(P<0.05).Before the improvement,the defect rate of bedside shift of nurses was 21.8%,and the awareness rate of shift content was 80.1%.After the improvement,the bedside shift defect rate of nursing staff was 8.03%,the awareness rate of shift content was 95.9%.The defect rate of shift was significantly decreased,and the awareness rate of shift cont

关 键 词：SBAR 交接班 呼吸重症患者 护理质量 

分 类 号：R473.5[医药卫生—护理学]