SBAR模式对胰腺重症病房护士病情掌握能力的影响
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摘要
目的探讨SBAR模式对胰腺重症病房护士病情掌握能力的影响,以便为护士提供一种新的交班方式。方法以本院重症胰腺病房2016年3月-5月收治的20例重症急性胰腺炎患者为对照组,采用传统病情汇报方式,以2017年1月-3月收治的20例重症急性胰腺炎患者为观察组,借鉴SBAR模式,结合胰腺重症病房特点,设计病情观察及汇报表格作为胰腺重症病房护士病情观察及汇报路径。比较11名护士采用SBAR模式前后对重症胰腺炎患者一般情况、观察重点、护理措施和健康教育等4个方面病情掌握能力的差异。结果 SBAR模式实施前后两组护士在一般情况、观察重点、护理措施、健康教育4方面评分及总分比较,均P<0.01,差异有统计学意义,观察组评分高于对照组,其提升幅度分别为8.5%、11.5%、12.0%、10.1%,其中观察重点及护理措施得分提高最显著。结论采用SBAR模式对重症胰腺患者进行病情交接班,内容全面、结构清晰、重点突出,提高了胰腺重症病房护士病情掌握能力及评判性思维能力。
Objective To explore the effect of SBAR mode on PICU nurse's ability of observing patient's conditionsin order to provide a new shift way. Methods Twenty patients admitted from March to May 2016 into the pancreatic intensive care unit(PICU)were set as the control groups, where the routine mode were used and another twenty ones during Juanury to March 2017 as the observation group, where the SBAR mode was used by 11 on-duty nurses by way of designing a disease condition table and reporting path based on PICU characteristics. The differences in understandings of general conditions, key points for observation, nursing interventions and health education were compared between pre-and post-manipulation of SBAR mode. Results After use of the SBAR mode, the average total scores increased from 84.8 ±3.5 to 93.6 ±2.6 among the 11 nurses(P <0.05). The scores on general conditions, key points for observation, nursing interventions and health education after using the SBAR mode were all improved significantly with increasing index of 8.5%,11.5%,12.0%,10.1%, especially the socres on key points for observation and nursing interventions. Conclusions The SBAR mode for patients' shift is comprehensive and prominent. Using this mode, the nurses can improve their ability to observe patients' conditions obviously, so it is helpful to improve the overall quality of nursing service in PICU.
Objective To explore the effect of SBAR mode on PICU nurse's ability of observing patient's conditionsin order to provide a new shift way. Methods Twenty patients admitted from March to May 2016 into the pancreatic intensive care unit(PICU)were set as the control groups, where the routine mode were used and another twenty ones during Juanury to March 2017 as the observation group, where the SBAR mode was used by 11 on-duty nurses by way of designing a disease condition table and reporting path based on PICU characteristics. The differences in understandings of general conditions, key points for observation, nursing interventions and health education were compared between pre-and post-manipulation of SBAR mode. Results After use of the SBAR mode, the average total scores increased from 84.8 ±3.5 to 93.6 ±2.6 among the 11 nurses(P <0.05). The scores on general conditions, key points for observation, nursing interventions and health education after using the SBAR mode were all improved significantly with increasing index of 8.5%,11.5%,12.0%,10.1%, especially the socres on key points for observation and nursing interventions. Conclusions The SBAR mode for patients' shift is comprehensive and prominent. Using this mode, the nurses can improve their ability to observe patients' conditions obviously, so it is helpful to improve the overall quality of nursing service in PICU.
引文
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[9]何正超,钟兰兰,陆群峰.SBAR沟通模式在临床护理应用的研究进展[J].护理研究,2017,31(3):271-274.
[10]贺嘉元.经验分享提高急诊科低年资护士病情观察能力的体会[J].护理学报,2015,22(3):10-12.
[11]王小玲,卢惠娟,戴垚,等.重症监护病房护士交接班体验的质性研究[J].现代临床护理,2017,16(7):50-54.
[2]林文,王凯,蒋小玲,等.重症胰腺炎患者并发症的观察与护理[J].护士进修杂志,2018,33(2):150-151.
[3]ACHREKAR M S,MURTHY V,KANAN S,et al.Introduction of situation,background,assessment,recommendation into nursing practice:a prospective study[J].Asia Pac J OncolNurs,2016,3(1):45-50.
[4]张映媛,黄华.急性胰腺炎评分系统的应用及研究进展[J].胃肠病学和肝病学杂志,2017,26(5):594-597.
[5]谢萍,周慧勤,张灿,等.全程模块化智能护理评估系统的应用与效果评价[J].中华护理杂志,2017,52(7):863-866.
[6]彭华,李倩,贺连香,等.重症监护专业护士核心能力综合评估表的编制与评价[J].中国现代医学杂志,2014,24(25):109-112.
[7]胡晓春,陈法东,曾达开.SBAR模式在急诊重症监护室交接班中的应用[J].医院管理论坛,2015,32(6):50-52.
[8]DAVISRL.Using SBAR as a preconference reporting tool for nursing students[J].Nurse Educ,2016,41(2):74.
[9]何正超,钟兰兰,陆群峰.SBAR沟通模式在临床护理应用的研究进展[J].护理研究,2017,31(3):271-274.
[10]贺嘉元.经验分享提高急诊科低年资护士病情观察能力的体会[J].护理学报,2015,22(3):10-12.
[11]王小玲,卢惠娟,戴垚,等.重症监护病房护士交接班体验的质性研究[J].现代临床护理,2017,16(7):50-54.