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| ISBAR标准沟通工具在血透高危跌倒患者中的应用及对护士交班满意度的影响 | |
| 引用本文： | 张恬,唐玮,戢芳,何成雨,崔念奇,甘秀妮. ISBAR标准沟通工具在血透高危跌倒患者中的应用及对护士交班满意度的影响[J]. 昆明医科大学学报, 2017, 38(8): 144-148 |
| 作者姓名： | 张恬 唐玮 戢芳 何成雨 崔念奇 甘秀妮 |
| 作者单位： | 1. 重庆医科大学附属第二医院肾内科 |
| 基金项目： | 基金: 重庆市卫生计生委医学重点科研基金资助项目 (2016ZDXM008); 重庆市卫生计生医学科研面上基金资助项目 (2015MSXM022); |
| 摘 要： | 目的 探讨应用ISBAR标准沟通工具对行血液透析的高危跌倒患者交班, 患者对护士交班满意度的影响.方法 用电脑随机数字法预先将150例患者随机分为分为实验组 (n=74) 和对照组 (n=76) , 收集肾内科2016年5月至2016年12月行血液透析的高危跌倒患者150例, 实验组应用1ISBAR标准沟通工具对行血液透析的高危跌倒患者进行交班, 对照组给予高危跌倒患者常规口头交接重要事宜.结果 干预后1周实验组患者对护士交班满意度总分为 (72.2±4.5) 分, 对照组为 (70.1±6.4) 分, 2组患者满意度总分差异P=0.02, 具有统计学意义 (P<0.05) .干预至出院前1 d实验组患者对护士交班满意度总分为 (81.6±2.1) 分, 对照组为 (77.5±5.0) 分, 2组患者满意度总分差异有统计学意义 (P<0.001) .护士对跌倒管理考核得分从 (87.4±4.1) 分提升至 (93.1±2.8) 分, (P<0.05) .结论 对血液透析患者中的跌倒高危患者应用ISBAR标准沟通工具进行交班能提高交班质量, 交班效果较好. |
| 关 键 词： | ISBAR 透析患者 跌倒 交班 |
| 收稿时间： | 2017-04-29 |
Application of ISBAR Standard Communication Tool in Hemodialysis Patients at High Risk of Falling and the Impact on the Patients' Satisfaction of the Nurses |
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| Abstract: | Objective To explore the impact on the patients' satisfaction of the nurses by using ISBAR standard communication tool in patients receiving hemodialysis at high risk of falling. Methods We collected150 cases of hospitalized patients with hemodialysis from December 2015 to February 2016. Using computer random number method in advance, 150 patients were randomly divided into experimental group (n = 74) and the control group (n = 76) . Patients in the experimental group used ISBAR communication tool for shifting, patients in the control group were given regular shifting. Results One week after intervention, the scores of the satisfaction on the nurse of patients in experimental group was (72.2 + 4.5) , in the control group was (70.1 +6.4) , there was a statistically significant difference between two groups (P < 0. 05) . The total scores of the satisfaction on the nurse of patients from admission to discharge in the experimental group was (81.6 + 2.1) , in the control group was (77.5 + 5.0) , there was a statistically significant difference between two groups (P <0.001) . The falls management assessment score of nurse increased from (87.4±4.1) to (93.1±2.8) (P <0. 05) . Conclusion ISBAR communication tool can improve nursing quality in hemodialysis patients at high risk of falling. |
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