Bobath握手和桥式运动翻身在神经内科床边交接班环节的应用研究  

Study on the Application of Bobath Handshake and Bridging Exercise to Turn Over in Bedside Handover in Neurology Department

作　　者：曾继红[1] 邓旭辉 朱兰芳 唐佳英 Zeng Jihong(Yuebei People’s Hospital Shaoguan.Guangdong Province,Shaoguan Guangdong 512000)

机构地区：[1]广东省韶关市粤北人民医院,广东韶关512000

出　　处：《黑龙江医药》2023年第6期1459-1462,共4页Heilongjiang Medicine journal

基　　金：韶关市卫生健康科研计划项目(编号:Y22125)。

摘　　要：目的:探讨在神经内科床边交接班环节应用Bobath握手和桥式运动(B&B.e)翻身对卧床患者康复情况以及对交接效率、护理质量的影响。方法:收集2022年6月份入住我院神经内科脑血管病区执行床边交接班的住院患者65例,作为对照组;收集2022年7月份入住同一病区执行床边交接班环节的住院患者66例,作为观察组。对照组实施传统护理交接班模式,观察组基于对照组方案引入B&B.e翻身法。比较两组床边交接班情况及护理质量观察结果;比较两组患者康复情况及平均住院时间;比较两组医生、护士及陪护人员对晨交班的满意度。结果:观察组的交接班总人次数高于对照组,而平均每晨交班时间、平均每患者交班时间均短于对照组(P<0.05);观察组床边交接班的不良事件发生率显著低于对照组(P<0.05)。出院时两组患者Barthel指数评分均较入院时升高,且观察组提升幅度优于对照组(P<0.05);观察组患者的平均住院时间短于对照组(P<0.05)。观察组护士及陪护人员对晨交班的满意度均优于对照组(P<0.05)。结论:在神经内科床边交接班环节对卧床患者使用B&B.e法为患者翻身检查皮肤,并配合康复指导和宣教,可缩减床边交接班耗时,提高床边交接班工作效率和质量,利于患者康复,提升护士及陪护人员的满意度,值得推广应用。Objective:To investigate the effects of Bobath handshake and bridge movement(B&B.e)on the rehabilitation of bedridden patients,handover efficiency and nursing quality during bedside transition in neurology department.Methods:65 inpatients admitted to the cerebrovascular ward of Neurology Department of our hospital in June 2022 for bedside shift were collected as control group;A total of 66 inpatients admitted to the same ward for bedside shift in July 2022 were collected as the observation group.The control group implemented the traditional nursing transition mode,and the observation group introduced the B&B.e transformation method based on the control group scheme.The observation results of bedside shift and nursing quality were compared between the two groups.The average length of hospital stay and the rehabilitation of the two groups were compared.The satisfaction of doctors,nurses and escorts on morning shift was compared between the two groups.Results:The total number of shifts in observation group was higher than that in control group,and the average shift time per morning and the average shift time per patient were shorter than that in control group(P<0.05).The incidence of adverse events in the observation group was significantly lower than that in the control group(P<0.05).At discharge,the Barthel index score in both groups was higher than that at admission,and the improvement rate in observation group was better than that in control group(P<0.05).The average length of hospital stay in observation group was shorter than that in control group(P<0.05).The satisfaction of nurses and escorts in the observation group was better than that in the control group(P<0.05).Conclusion:The use of B&B.e method in bedside shift in the department of neurology for bed patients to turn over and check the skin of patients,combined with rehabilitation guidance and education,can reduce the time spent on bedside shift,improve the efficiency and quality of bedside shift,help patients recover,improve the satisfaction of nurses a

关 键 词：神经内科 床边交接班环节 Bobath握手 桥式运动翻身 

分 类 号：R473.74[医药卫生—护理学]