【摘要】 目的:探讨SBAR沟通模式对急诊留观患者疾病不确定感的影响。方法:选取某三甲医院2019年9～12月需急诊留观的患者604例,随机分为实验组302例和对照组302例,均在患者入住急诊留观室时干预前进行疾病不确定感评分,实验组采用SBAR沟通模式,对照组按照传统方式进行沟通,干预后2 h内再次进行疾病不确定感评分,比较两组干预前后疾病不确定感的差异及患者满意度。结果:两组患者干预前疾病不确定感评分对比差异无统计学意义(P>0.05)。干预后,实验组疾病不确定感评分明显低于对照组(P<0.05),且实验组满意度显著高于对照组(P<0.05)。结论:在急诊留观室对留观患者采用SBAR沟通模式,可以有效降低患者的疾病不确定感,有利于提高患者依从性,进而提高治疗效果,改善医(护)患关系,提高患者的满意度。更多还原

【Abstract】 Objective:To investigate the effect of SBAR communication model on illness uncertainty among patients in emergency observation wards.Methods:A total of 604 cases of patients requiring stay in the emergency observation ward of a tertiary hospital from September to December 2019 were selected and randomly divided into 302 cases in the experimental group and 302 cases in the control group, all of whom were scored for illness uncertainty before the intervention when the patients were admitted to the emergency observation room. The experimental group used the SBAR communication mode, the control group followed the traditional communication method, and the patients’ illness uncertainty was assessed again within 2 hours after the intervention. The differences in illness uncertainty and patient satisfaction between the two groups before and after the intervention were compared.Results:There was no statistically significant difference between the two groups in terms of illness uncertainty score before the intervention(P>0.05). After the intervention, the experimental group had significantly lower illness uncertainty score than the control group(P<0.05), and the satisfaction of the experimental group was significantly higher than that of the control group(P<0.05). Conclusion:The use of SBAR communication model for patients in emergency observation wards can effectively reduce patients’ illness uncertainty, help improve patients’ compliance, and thus improve the treatment effect, improve the doctor(nurse)-patient relationship and increase patients’ satisfaction.更多还原