SBAR沟通模式在急诊心脏骤停患者救治管理中的应用效果

Application effect of the SBAR communication mode on the management of emergency patients with cardiac arrest

目的分析现况-背景-评估-沟通(SBAR)沟通模式在急诊心脏骤停(CA)患者救治管理中的应用效果。方法选取2021年2月至2023年2月接诊的128例CA患者,随机分为I组和K组,每组64例。I组给予常规护理,K组在I组基础上给予SBAR沟通模式,比较2组复苏成功率、血氧饱和度(SaO 2)、收缩压(SBP)、格拉斯哥昏迷量表(GCS)评分、风险事件总发生率、护理满意度。结果K组的复苏成功率为98.44%高于I组的89.06%,差异有统计学意义(P<0.05)。K组复苏0.5 h、1.0 h后的SaO 2、SBP、GCS评分均高于I组(P<0.05)。K组的风险事件总发生率为1.56%,与I组的3.13%比较,差异无统计学意义(P>0.05)。K组的护理满意度为96.87%高于I组的78.12%,差异有统计学意义(P<0.05)。结论SBAR沟通模式应用到CA急诊救治管理中,可有效提高复苏成功率,减轻昏迷程度,改善患者预后及护患关系,提高急诊救治管理效果,值得参考。

Objective To analyze the effect of the Situation,Background,Assessment,and Recommendation(SBAR)communication mode on the management of emergency patients with cardiac arrest(CA).Methods A total of 128 CA patients admitted to the emergency department from February 2021 to February 2023 were included.They were randomly assigned into I group and K group,with 64 cases per group.Routine nursing intervention was performed in both groups,and the SBAR communication mode was additionally performed in K group.The success rate of resuscitation,blood oxygen saturation(SaO_(2)),systolic blood pressure(SBP),Glasgow Coma Scale(GCS)score,total incidence of risk events and nursing satisfaction were compared between the two groups.Results After the intervention,the success rate of resuscitation was significantly higher in K group than that of I group(98.44%vs 89.06%,P<0.05).SaO_(2),SBP and GCS score at 0.5 h and 1 h of resuscitation were significantly higher in K group than those of I group(P<0.05).There was no significant difference in the total incidence of risk events between K group and I group(1.56%vs 3.13%,P>0.05).The nursing satisfaction was significantly higher in K group than that of I group(96.87%vs 78.12%,P<0.05).Conclusion The application of SBAR communication mode in the emergency management of CA can effectively enhance the success rate of resuscitation,reduce the degree of coma,improve the prognosis,nurse-patient relationship and the effect of emergency treatment management,which is worthy of reference.