【摘要】 目的基于SBAR沟通模式自行研究设计产科危重症患者交接单,并评估其临床应用效果。方法采用方便抽样法,选取2018年7月—2019年6月在南京医科大学附属妇产医院产妇重症监护室住院的产科危重症患者160例为研究对象。根据患者入住监护室时间的先后顺序将其分为对照组(n=80)和观察组(n=80)。对照组采用传统口头汇报模式进行交接班,观察组采用自行研究设计的产科危重症患者SBAR交接单辅助进行交接班。采用护士交接班评估量表评估并比较护士对两种交接班模式的效果评价,比较两组患者入住监护室期间护士交接问题发生率及其在监护室的住院时间。结果护士对SBAR交接单辅助交接班模式的效果评价优于传统口头汇报模式,差异有统计学意义(P<0.05)。观察组患者入住监护室期间护士交接问题发生率低于对照组(P<0.05),监护室住院时间短于对照组(P<0.05)。结论产科危重症患者SBAR交接单可帮助护士快速、全面地掌握患者病情,提高病情交接的完整性和正确率,提升护理质量,进而保证产科危重症患者的安全。更多还原

【Abstract】 Objective To design handover sheets for critically ill obstetric patients based on SBAR communication mode and evaluate the clinical application effect. Methods A total of 160 critically ill obstetric patients hospitalized in the obstetric ICU of Women’s Hospital of Nanjing Medical University from July 2018 to June 2019 were selected by convenience sampling. The patients were divided into the control group(n=80)and the observation group(n=80) according to the order of ICU admission. Traditional verbal handover was applied in the control group, while self-designed SBAR handover sheets for critically ill obstetric patients were applied on this basis in the observation group. A nurse handover evaluation scale was used to evaluate and compare the opinions of nurses on the two modes, and the incidence of handover problems during ICU admission and the length of ICU stay were compared between the two groups. Results Nurses considered that the effect of SBAR handover sheet was superior to that of verbal handover, and the difference was statistically significant(P<0.05). The incidence of handover problems during ICU admission in the observation group was lower than that in the control group(P<0.05), and the length of ICU stay in the observation group was shorter than that in the control group(P<0.05). Conclusion SBAR hand-over sheets for critically ill obstetric patients can help nurses to quickly master the patient’s overall condition, improve the integrity and accuracy of handover and the quality of nursing care, and then ensure the safety of critically ill obstetric patients.更多还原