摘要
目的研究预警评分联合SBAR(Situation-Background-Assessment-Recommendation)沟通模式在甲状腺腺叶切除术患者围手术期管理中的应用。方法选取2020年6月1日~11月30日的30例实施常规护理治疗的甲状腺腺叶切除术患者为对照组,选取2020年12月1日~2021年5月30日的30例实施预警评分联合SBAR沟通模式的甲状腺腺叶切除术患者为观察组,以此相关数据来进行回顾性分析。主要指标有术后不同时间段的疼痛程度、平均住院时间、救治反应时间、交接班时间、救治时间、负性情绪、术后并发症以及医护满意度评价。结果观察组的NRS疼痛评分在术后、术后6h、术后24h三个时间段均低于对照组,且住院时间短于对照组,差异比较有统计学意义(P<0.05);两组患者干预前抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS),评分比较差异无统计学意义(P>0.05);两组患者干预后SDS、SAS评分均有所下降,且观察组低于对照组,差异具有统计学意义(P<0.05)。另外实施管理模式后,医生对护士及护士对护理工作的满意度评价均较实施前有明显提升,差异具有统计学意义(P<0.05)。术后并发症方面,观察组、对照组并发症发生率分别为10.00%、33.33%,差异有统计学意义(P<0.05)。与对照组相比,观察组中救治反应时间、交接班时间及救治时间均较低(P<0.05)。结论甲状腺腺叶切除术患者采取预警评分联合SBAR沟通模式具有重要意义,可以提高医务人员的预警意识与沟通效率,有效规避风险,同时也有利于患者病情康复,缓解手术造成的心理影响。
Objective Study the application of early warning score combined with SBAR technique(Situation-Background-Assessment-Recommendation)communication mode in perioperative management of patient who had undergonethyroidectomy.Methods Thirty cases of thyroid lobectomy patients undergoing routine nursing treatment from June 1,2020 to November 30,2020 were selected as the control group,and 30 cases December 1,2020 to May 30,2021 were selected as the observation group.The retrospective analysis was performed.The main indicators included the pain degree at different time periods after surgery and the average time of hospital stay,treatment response time,shift time,treatment time,negative emotions,postoperative complications,evaluation of medical and nursing satisfaction.Results The NRS pain score of the observation group was lower than the control group in the three-time periods:after the operation,6h after operation and 24h after operation.and The hospital stay was shorter than the control group and the difference was significant(P<0.05).There was no significant difference in SDS and SAS scores before intervention(P>0.05).SDS and SAS scores of the patients from the two group decreased after the intervention and the observation group was lower than the control group.So the difference was statistically significant(P<0.05).In addition,after the implementation of the management model,the doctors'evaluation of nurses and nurses'satisfaction with nursing work were significantly improved compared with before being put into force and the difference was statistically significant(P<0.05).In terms of postoperative complications,the incidence of complications in the observation group and control group was 10.00% and 33.33% respectively and the difference was statistically significant (P<0.05). Compared with the control group, the treatment response time, shift time, and treatment time were lower in the observation group (P<0.05). Conclusion The use of early warning scores combined with SBAR communication mode for patients undergoing thyroidectomy is of great significance .which can improve the early warning awareness and communication efficiency of medical staff. Also it can effectively avoid risks and help patients recover from the disease and alleviate the psychological impact caused by surgery.
作者
周兰平
郑燕玲
苏丽丽
夏余芝
曹卫
宋杨
杨见明
ZHOU Lanping;ZHENG Yanling;SU Lili;XIA Yuzhi;CAO Wei;SONG Yang;YANG Jianming(Department of Otorhinolaryngology,Head and Neck Surgery,The Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui,230000 China)
出处
《中国中西医结合耳鼻咽喉科杂志》
2022年第3期236-240,215,共6页
Chinese Journal of Otorhinolaryngology in Integrative Medicine
基金
安徽省自然科学基金项目项目(基金编号:2008085QH423)。
