Application of situation-background-assessment-recommendation communication mode based on modified early warning score in duty shifting of neurological thrombolytic patients
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摘要:目的 探讨基于改良早期预警的事情-背景-评估-建议(SBAR)沟通模式在神经内科溶栓患者交接班中的应用效果。方法 选取神经内科溶栓患者50例为对照组，采用常规交接班，选取同期神经内科溶栓患者53例为观察组，采用基于改良早期预警的SBAR沟通模式交接班。观察2组患者对护理人员的满意度、患者并发症发生率以及由于病情变化的ICU转入率。结果 观察组对护理工作满意度高于对照组，并发症发生率以及由于病情变化的ICU转入率低于对照组(P < 0.05)。结论 在神经内科溶栓患者的护理中使用基于改良早期预警的SBAR沟通模式进行交接班，有助于提高患者对护士的满意度，降低患者并发症发生率以及由于病情变化的ICU转入率。
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关键词:
- 改良早期预警评分 /
- 事情-背景-评估-建议沟通模式 /
- 交接班 /
- 护理工作满意度
Abstract:Objective To explore the application effect of situation-background-assessment-recommendation(SBAR) communication mode based on modified early warning in duty shifting of neurology thrombolysis patients.Methods A total of 50 patients with neurological thrombolysis were enrolled in the control group, given routine duty shifting model. Another 53 patients with neurological thrombolytic therapy were selected as observation group, given duty shifting based on modified early warning in duty shifting. The satisfaction to the nursing staff in the two groups, the incidence of complications, and the transfer rate of ICU due to disease changes were observed.Results The satisfaction to nursing work in the observation group was higher, and the incidenceof complications in the observation group and the transfer rate of ICU due to change of the disease were lower than that in the control group(P < 0.05).Conclusion SBAR communication mode based on modified early warning can improve the patients′satisfaction to the nurses, reduce the incidence of complications and the transfer rate of ICU due to disease changes for patients with neurology thrombolysis. -
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