呼吸监护室护理交接班中的沟通模式比较

目的 探索SBAR沟通模式在呼吸科监护室护理交接班中的应用.方法 2014年10月至2015年3月采用SBAR沟通模式,制定并建立呼吸科监护室交班表,规范护理交接班内容及过程.结果 应用SBAR沟通模式前,呼吸科共检查66名患者,漏项576项,漏项率17.4％,实施后检查75例,漏项224项,漏项率5.8％,实施前不良事件管道脱出15例(22.7％),漏执行医嘱8例(12.1％),约束不良2例(3％),实施后分别为2例(2.67％),1例(1.3％),0例,差异有统计学意义(X2值分别为13.32,6.84,2.31,P＜0.05).对比SBAR沟通模式实施前后护士对患者诊断和病情、异常化验结果、治疗、护理重点、相关风险的掌握,实施前分别为(6.80±1.44)、(6.55±1.29)、(7.90±0.30)、(7.89±1.43)、(7.10±0.88),实施后分别为(9.06±0.82)、(8.73±0.59)、(8.99±0.67)、(9.56±0.44)、(9.32±0.66),差异有统计学意义(t值分别为-12.74,-17.4,-16.81,-11.35,-21.01,P＜0.05).结论 运用SBAR沟通模式后,规范交接班内容与重点,让接班护士快速明确当班护理重点与后续治疗,在保证患者安全的同时提高护理质量.

Comparison of Communication Models in Nursing Shift of Respiratory Care Unit

Objective To explore the effect of the application of SBAR Communication Model in the nursing shift of Respiratory Care Unit.Methods The SBAR Communication Model was applied from October 2014 to March 2015 to develop and establish Respiratory Care Unit shift form, and to standardize the process of nursing shift.Results Before the application of SBAR Communication Model, the 66 patients had been diagnosed and the omitted items during the nursing shift process were 576, accounting for 17.4％.After the application of SBAR Communication Model, 75 patients were diagnosed and the omitted items during the nursing shift process diminished to 224, accounting for 5.8％.Additionally, the occurrences of pipeline prolapse, failure to execute the prescribed dose, and incomplete restraint before the application of SBAR Communication Model were respectively 15 cases (approximately 22.7％), 8 cases (12％) and 2 cases (3％).In comparison, after the application of SBAR Communication Model, the occurrences of pipeline prolapse, failure to execute the prescribed dose or the incomplete restraint respectively decreased to 2 cases (2.67％), 1 case (1.3％) and 0.The results have statistical significance (the value of X2 is respectively 13.32, 6.84, 2.31 and P＜0.05).Comparing the situation before and after the application of SBAR Communication Model, nurses have better understanding of the diagnoses, patients' conditions, abnormal test results, treatment, nursing key-point and relevant medical risks.Before the application of SBAR Communication Model, the results are (6.80±1.44),(6.55±1.29), (7.90±0.30),(7.89±1.43)and(7.10±0.88) respectively and after the application of the SBAR Communication Model, such data were (9.06±0.82),(8.73±0.59),(8.99±0.67),(9.56±0.44), and(9.32±0.66).The difference between the statistics before and after the application is statistically significant(the value of t is respectively-12.74,-17.4,-16.81,-11.35,-21.01, and P＜0.05).Conclusion The application of SBAR Communication Mode has standardized the content and key-point of the nursing shift.By this means, the nurses on the next shift could quickly understand the focus of the following medical care and treatment and then therefore, could improve the quality of medical care and ensure patients' safety.