摘要
目的探讨SBAR标准化沟通模式在急性心肌梗死(AMI)患者预检分诊中的应用,为临床提供参考。方法以珠海市人民医院风险SBAR标准化沟通模式开始实施时间(2021年3月中旬)为界线,将实施前(2021年2月至2021年3月初)接受传统急诊护理路径干预的116例AMI患者纳入对照组,将实施后(2021年3月中旬后至2021年4月)入组的118例AMI患者纳入观察组。对比两组急救各阶段时间、抢救效果、并发症及护理满意度。结果观察组患者急救各阶段时间和住院总时间均短于对照组(P<0.01);急诊诊断准确率、护理满意度评分高于对照组(P<0.05),院内心肌梗死再发率、二次手术率低于对照组(P<0.01)。而两组病死率及并发症发生率差异无统计学意义(P>0.05)。结论风险SBAR标准化沟通模式应用于AMI患者的预检分诊可促进护理工作有条不紊的执行,从而提高其急救质量,且患者满意度较高。
Objective To explore the application of risk Situation-Background-Assessment-Recommendation(SBAR)in preview and triage of patients with acute myocardial infarction(AMI).Methods Taking the implementation time of the risk SBAR standardized communication model in Zhuhai Municipal People’s Hospital(mid-March 2021)as the boundary,116 AMI patients received traditional emergency nursing pathway intervention before the implementation(from February 2021 to the beginning of March 2021)were included in control group,and another 118 AMI patients enrolled after the implementation(from mid-March 2021 to April 2021)were included in observation group.The time of each emergency stage,rescue effects,complications and nursing satisfaction were compared between the two groups.Results The time of each emergency stage and the total hospitalization time in observation group were significantly shoter than those in control group(P<0.01),the accuracy rate of emergency diagnosis and nursing satisfaction score were higher than those in control group(P<0.05),the recurrence rate of myocardial infarction and the second operation rate in the observation group were lower than those in the control group(P<0.01).But there were no statistically significant differences in the fatality rate and complication rate between two groups(P>0.05).Conclusion Risk SBAR standardized communication model in the preview and triage of AMI patients can promote the orderly implementation of nursing work,thereby improving the emergency quality,with higher patient satisfaction.
作者
罗晓玲
刘春燕
陈艺丹
徐素玲
LUO Xiao-ling;LIU Chun-yan;CHEN Yi-dan;XU Su-ling(不详;Department of Emergency Medicine,Zhuhai Municipal People's Hospital,Zhuhai,Guangdong 519000,China)
出处
《中国临床研究》
CAS
2022年第8期1181-1184,F0003,共5页
Chinese Journal of Clinical Research
基金
珠海市科技计划项目(15A1024)。
关键词
急性心肌梗死
护理满意度
预检分诊
标准化沟通
Acute myocardial infarction
Nursing satisfaction
Preview and triage
Standardized communication
