SBAR交接模式在危重患者长途转运中的应用

摘要

Objective To observe the effect of the transition mode of SBAR (status, background, assessment, advice) in long-distance transport for critically ill patients. Methods The control group included 119 patients from May 2015 to May 2016 and the observation group 123 cases fromJune 2016 to June 2017. Control group carried out conventional oral handover in the transition, while the observation group implemented the self-developed SBAR transition mode.The incidence of adverse events,nurses'satisfaction with the transition and nurses' critical thinking ability during the transport in the 2 groups were compared. Results The incidence of adverse events in the observation group was lower than that in the control group(P<0.05)and the scores of nurses'satisfaction with the transition and nurses' critical thinking ability during the transport in the observation group were significantly higher than those in control group (P<0.01). Conclusion SBAR transition mode in the long-distance transport is effective for standardizing the process of the long-distance tranport,reducing the incidence of adverse events, improving nurses' satisfaction with the transition and nurses' critical thinking ability during the transport.%目的 观察SBAR(现状-背景-评估-建议)交接模式在危重患者长途转运中的应用效果.方法 将2015年5月—2016年5月符合长途转运标准的119例危重患者作为对照组,2016年6月—2017年6月的123例作为观察组.对照组按照传统口头方式进行交接,观察组按照自行设计的SBAR交接模式进行交接.比较2组转运不良事件发生率、交接双方护士满意度和转运护士的评判性思维能力.结果 观察组交接不良导致的转运不良事件发生率低于对照组(P<0.05),观察组交接护士对交接工作的各项满意度评分和转运护士的评判性思维能力显著高于对照组(P<0.01).结论 使用危重患者长途转运SBAR交接模式,能够规范长途转运交接流程,降低转运不良事件发生率,提高交接双方护士的满意度和转运护士的评判性思维能力.