【摘要】 目的：探究现状-背景-评估-建议（SBAR）沟通模式对手外伤皮瓣移植术后患者创伤后应激障碍及应对方式的影响。方法：选择2020年6月—2022年8月滨州医学院附属医院收治的手外伤皮瓣移植术后患者82例为研究对象，按随机数表法分为两组，各41例。对照组予以常规干预，观察组于对照组基础上采取SBAR沟通模式，两组均持续干预1个月。比较两组创伤后应激障碍评分、应对方式评分、生活质量评分、患者总满意度。结果：干预前，两组创伤后应激障碍评分、应对方式评分、生活质量评分比较，差异无统计学意义（P>0.05）；干预后，观察组创伤后应激自评量表（PTSD-SS）中主观评定、反复重现体验、回避症状、警觉性提高及社会功能受损评分均低于对照组，医学应对方式问卷（MCMQ）中面对评分高于对照组，回避、屈服评分低于对照组，生活质量综合评定问卷（GQOLI-74）中躯体功能、心理功能、社会功能及物质生活状态评分均高于对照组，差异有统计学意义（P<0.05）。观察组总满意度为95.12%，高于对照组的78.05%，差异有统计学意义（P<0.05）。结论：SBAR沟通模式能够有效减轻手外伤皮瓣移植术患者创伤后应激障碍，帮助其积极应对疾病，进而提高生活质量、患者满意度。更多还原

【Abstract】 Objective: To explore the impact of the situation-background-assessment-recommendation(SBAR) communication mode on post traumatic stress disorder and coping styles in patients after hand injury skin flap transplantation. Method: A total of 82patients with hand injury skin flap transplantation admitted to the Binzhou Medical University Hospital from June 2020 to August 2022were selected as the study objects, and they were divided into two groups according to the random number table method, with 41 patients in each group. The control group received routine intervention, while the observation group adopted SBAR communication mode on the basis of the control group. Both groups continued to receive intervention for 1 month. The scores of post traumatic stress disorder, coping style,quality of life, and overall patient satisfaction between two groups were compared. Result: Before intervention, there were no statistically significant differences in the scores of post traumatic stress disorder, coping style, and quality of life between the two groups(P>0.05).After intervention, the subjective assessment, repeated recurrence experience, avoidance symptoms, increased alertness, and social function impairment scores on post traumatic stress disorder self-rating scale(PTSD-SS) in the observation group were lower than those in the control group, in the medical coping modes questionnaire(MCMQ), the face to face score was higher than that in the control group,while the avoidance and surrender scores were lower than those in the control group, in the generic quality of life inventory 74(GQOLI-74),the scores of physical function, psychological function, social function, and material life status were higher than those in the control group,the differences were statistically significant(P<0.05). The total satisfaction rate of the observation group was 95.12%, which was higher than 78.05% of the control group, and the difference was statistically significant(P<0.05). Conclusion: The SBAR communication mode can effectively reduce post traumatic stress disorder in patients with hand injury skin flap transplantation, help them actively cope with the disease, and there by improve their quality of life and patient satisfaction.更多还原