文章摘要
SBAR模式在重症监护病房护理规范交接班中的应用效果
Study on the effect of SBAR model on nursing standard shift in ICU
投稿时间：2018-11-23  修订日期：2019-09-09
DOI：
中文关键词: SBAR模式  重症监护病房  护理规范交班
英文关键词: SBAR model  Intensive Care Unit  Nursing shifts
基金项目:安徽省教育厅科研项目（项目编号2016gxk075)
作者单位
罗曼* 安徽中医药大学第一附属医院 
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中文摘要:
      目的 探讨SBAR模式在规范重症监护病房护理交接班中的应用价值。方法 选取安徽中医药大学第一附属医院2017年1月至2017年6月ICU的住院患者293例为对照组，采用常规交班，即口头交接、书面交班和床头交班相结合；选择2017年7月至2017年12月住院的患者311例为观察组，即口头交接加SBAR交班指引单进行交接班。比较两组患者在基础护理和专科护理质量评分、不良事件发生率、病情掌握准确情况、护士临床评判性思维能力等方面的差异。结果 基础护理质量对照组得分为（25.16±2.54）分，观察组（27.03±2.16）分，专科护理质量对照组得分（29.32±3.51）分，观察组为（32.05±2.93）分，差异均有统计学意义（P<0.05）；不良事件发生率由22.87%降至12.22%，病情掌握准确情况对照组得分为（93.50±2.86）分，观察组（95.14±3.28）分，护士临床评判性思维能力评分对照组（262.41±22.53）分，观察组（274.62±25.06）分，差异均有统计学意义（P<0.05）。 结论 SBAR模式可以有效规范重症监护病房的交接班流程，提高危重患者护理质量，降低护理不良事件发生率，同时提高护士的评判性思维能力。
英文摘要:
      [Abstract] Objective To explore the application value of SBAR model in standardizing nursing shift, improving nursing quality and ensuring nursing safety in ICU. Methods 293 inpatients in ICU of the First Affiliated Hospital of Anhui University of Traditional Chinese Medicine from January 2017 to June 2017 were selected as the control group. Routine shift, i.e. oral shift, written shift and bedside shift, were combined. 311 patients in ICU of the same hospital from July 2017 to December 2017 were selected as the observation group, i.e. oral shift plus SBAR shift guidance. Single handover. The differences in quality scores of basic nursing and specialty nursing, incidence of adverse events, accurate state of illness mastery and nurses'clinical critical thinking ability between the two groups were compared. Results The score of basic nursing quality was increased from ( 25.16±2.54) in the control group to (27.03±2.16) in the observation group. The score of specialized nursing quality was increased from (29.32±3.51) to (32.05±2.93). The difference was statistically significant (P<0.05). The incidence of adverse events was reduced from 22.87% to 12.22%, and the condition was accurately grasped. The clinical critical thinking ability score of nurses was increased from (262.41±22.53) to (274.62±25.06). The difference was statistically significant (P < 0.05). Conclusion The implementation of SBAR shift mode in the transition of critically ill patients can standardize the transfer process of ICU, improve the quality of care for critically ill patients, ensure the accurate and timely implementation of various nursing measures, reduce the occurrence of adverse events, and improve the accuracy of nurses'grasp of the condition and critical thinking ability.
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