【摘要】 目的 探讨基于风险现状—背景—评估—建议（SBAR）沟通模式与动态排班的复苏管理方案在全身麻醉术后患者复苏中的应用效果。方法 选取2023年8月至2024年7月广西壮族自治区人民医院麻醉恢复室（PACU）苏醒的全身麻醉术后患者200例为研究对象，年龄18～80岁，美国麻醉医师协会（ASA）分级Ⅱ或Ⅲ级，采用便利抽样法，将2023年8月至2024年2月广西壮族自治区人民医院入住PACU的100例患者纳入对照组，2024年3月至2024年7月入住PACU的100例患者为试验组，对照组实施常规复苏措施，试验组实施基于SBAR沟通模式与动态排班的复苏管理方案，比较两组患者苏醒期并发症及护理不良事件的发生情况。结果 试验组术后苏醒期躁动、恶心呕吐、低氧血症、转出延迟等并发症发生率低于对照组，差异具有统计学意义（P<0.05）；两组皮肤交接不清、尿管问题、护理记录差错不良事件比较，试验组发生率低于对照组，差异具有统计学意义（P<0.05）。结论 基于SBAR沟通模式与动态排班的复苏管理方案可有效降低全身麻醉术后患者苏醒期并发症及护理不良事件的风险，优化复苏流程，改善患者复苏质量，具有良好的临床推广价值。更多还原

【Abstract】 Objective To explore the application effect of resuscitation management scheme based on situationbackground-assessment-recommendation(SBAR) communication mode and dynamic scheduling in patients after general anesthesia. Methods A total of 200 patients, aged 18-80 years, of American Society of Anesthesiologists(ASA) physical status Ⅱ or Ⅲ, admitted to postanesthesia care unit(PACU) after general anesthesia at the People’s Hospital of Guangxi Zhuang Autonomous Region, from August 2023 to July 2024 were selected as research objects. According to convenience sampling method, the patients who admitted to PACU from August 2023 to February 2024 were selected as the control group(n=100). Those who admitted to PACU from March 2024 to July 2024 were selected as the experimental group(n=100). The control group was given routine resuscitation measures, and the experimental group was given resuscitation management scheme based on SBAR communication mode and dynamic scheduling. The occurrence of complications and nursing adverse events during the recovery period were compared between the two groups. Results The incidence of postoperative complications such as agitation, nausea and vomiting, hypoxemia and delayed transfer in the experimental group were significantly lower than those in the control group, with statistically significant difference(P<0.05). The incidence of nursing adverse events such as unclear skin handover, urinary catheter problems, and nursing record errors in the experimental group was lower than that in the control group, with statistically significant difference(P < 0.05). Conclusion The resuscitation management scheme based on SBAR communication mode and dynamic scheduling can effectively reduce the risk of complications and nursing adverse events during the recovery period of patients after general anesthesia, optimize the resuscitation process, improve the quality of resuscitation, and has good clinical promotion value.更多还原