标准化沟通模式在麻醉恢复室护理床旁交接班中的应用  

Application of situation-background-assessment-recommendation communication mode in nursing bedside shift in post anesthesia care unit

作　　者：郭秋月[1] 赵婧 陈培炎 GUO Qiuyue;ZHAO Jing;CHEN Peiyan(Department of Anesthesiology,Luoyang Central Hospital,Henan Province,Luoyang471000,China)

机构地区：[1]河南省洛阳市中心医院麻醉科,河南洛阳471000

出　　处：《中国当代医药》2024年第10期173-176,共4页China Modern Medicine

摘　　要：目的探讨标准化沟通模式在麻醉恢复室护理床旁交接班中的应用效果。方法选取2022年3月至8月洛阳市中心医院的麻醉恢复室复苏的300例全身麻醉手术患者作为研究对象,2022年3月至5月纳入的150例患者对照组,2022年6月至8月纳入的150例患者为观察组。对照组采取传统口头和常规交接单进行交接;观察组在常规交接基础上采用标准化沟通模式进行规范交接。比较两组患者交接不良事件发生率,中文版护士交接班评估量表评分以及术后并发症发生率。结果观察组在实施标准化沟通模式交接后,患者交接不良事件发生率和全麻术后并发症发生率均低于对照组,差异具有统计学意义(P<0.05);中文版护士交接班评估量表评分高于对照组,差异具有统计学意义(P<0.05)。结论标准化沟通模式在麻醉恢复室护理床旁交接班中具有较高的应用价值,可以进一步规范麻醉恢复室护理床旁的交接,提高护理人员的交接工作质量,降低了患者的术后并发症的发生率,值得推广应用。Objective To study the application effect of situation-background-assessment-recommendation(SBAR)communication mode in nursing bedside shift in post anesthesia care unit(PACU).Methods A total of 300 general anesthesia patients who were resuscitated from the anesthesia recovery room of Luoyang Central Hospital from March to August 2022 were selected as the study objects.150 patients admitted to PACU from March to May 2022 were selected as control group,and 150 patients admitted to PACU from June to August 2022 were selected as observation group.The control group was handed over orally and conventionally,the observation group was adopted the SBAR communication mode handover method for normative handover.The incidence of handover adverse events,postoperative complications and the score of the Chinese version of the nurse shift assessment scale were compared between the two groups.Results After the implementation of SBAR communication mode handover,the incidence of adverse events and postoperative complications after general anesthesia in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The score of the Chinese version of nurse shift assessment scale score was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion SBAR communication mode has high application value in the nursing bedside transition in the PACU,which can further standardize the nursing bedside transition in the PACU,improve the quality of nursing staff handover work,reduce the incidence of postoperative complications of patients,and is worthy of promotion and application.

关 键 词：标准化沟通模式 麻醉恢复室 护理床旁交接 全身麻醉 

分 类 号：R473[医药卫生—护理学]