摘要
目的探究现况-背景-评估-建议(SBAR)沟通模式联合清单式管理在神经危重症患者转运中的应用效果。方法选取2021年8月至2022年8月南昌大学第二附属医院重症监护室内转运的100例神经危重症患者作为研究对象,按抽签法将患者随机分为对照组与试验组,每组各50例。对照组采取传统模式转运,试验组采取SBAR沟通模式联合清单式管理进行转运。比较两组的转运过程中不良事件发生率、转运交接时间、患者家属及接收科室总满意度。结果试验组患者的转运不良事件发生率低于对照组,差异有统计学意义(P<0.05)。试验组患者的转运交接时间短于对照组,差异有统计学意义(P<0.05)。试验组的患者家属、接收科室总满意度高于对照组,差异有统计学意义(P<0.05)。结论在神经危重症患者转运中应用SBAR沟通模式联合清单式管理可以降低不良事件发生率,缩短转运交接时间,提高患者家属、接收科室满意度。
Objective To explore the application effect of situation-background-assessment-recommendation(SBAR)communication mode combined with checklist management in the transport of neurocritical patients.Methods A total of 100 neurocritical patients transferred in the Intensive Care Unit of the Second Affiliated Hospital of Nanchang University from August 2021 to August 2022 were selected.The patients were randomly divided into control group and experimental group by lottery method,with 50 cases in each group.The control group adopted the traditional mode of transport,while the experimental group adopted the SBAR communication mode combined with checklist management for transport.The incidence of adverse events during the transfer,the time of transfer and handover,and the total satisfaction of patients'families and receiving departments were compared between the two groups.Results The incidence of adverse transport events in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).The transfer and handover time of the experimental group was shorter than that of the control group,and the difference was statistically significant(P<0.05).The total satisfaction of patients'families and receiving departments in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of SBAR communication mode combined with checklist management in the transfer of neurocritical patients can reduce the incidence of adverse events,shorten the transfer and handover time,and improve the satisfaction of patients,their families and receiving departments.
作者
易利波
YI Libo(Intensive Care Unit,the Second Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330000,China)
出处
《中国当代医药》
CAS
2023年第15期160-163,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202310574)。
关键词
神经危重症
状态-背景-评估-建议沟通模式
清单式管理
不良事件
Neurocritical illness
Situation-background-assessment-recommendation communication mode
Checklist management
Adverse events