标准化沟通方式在眼科手术室医护间的应用

Medical applications of SBAR communication of ophthalmic operating room

目的:探讨标准化"现状-背景-评估-建议"(Situation-Backgroud-Assessment-Recommendation,SBAR)沟通方式在眼科手术室医护间沟通的应用。方法:随机选取2013年1月至2013年12月手术病例202例,分为对照组(102例)和实验组(100例),对照组按传统沟通方式进行手术室医护间的沟通,实验组采用SBAR沟通方式进行沟通。以问卷调查、统计登记的形式,取得医生对眼科手术室护士工作能力的评分、护士护理差错率以及患者对医护工作的满意度情况。结果:医生对眼科手术室护理工作的评分实验组高于对照组(P<0.05),实验组眼科手术室护士的差错率降低至1.20%,实验组患者对医护工作的满意度与对照组相比也有所提高(P<0.05)。结论:SBAR沟通方式在眼科手术室的实施,不仅规范了眼科手术室医护间的沟通方式,减少了医疗差错的发生,使手术顺利进行,同时也提高了医生和患者的满意度。

Objective： To explore the applications of standardized communication（ situation-backgroudassessment-recommendation,SBAR） between medical communication in ophthalmic operating room. Methods：Randomly divide the 202 surgical cases between Jnuary 2013 and December 2013 into experimental group（ 102）and control group（ 100）,respectively taking SBAR commucation ways and traditional communication mode. We got scores of nurses working ability from doctors’,the rate of nursing errors and patients’ satisfaction with medical work,by the questionnaire and statistical registration. Results： Observation set and matched control comparison,the scores of nurses working ability from eye doctors’ were greatly improved in experimetal group（ P 〈 0. 05）,the rate of nursing errors dropped to 1. 2% and patients for medical work satisfaction was also increased（ P 〈 0. 05）,the difference was statistically significant. Conclusion： The implementation of the SBAR communication in ophthalmic operating room,not only standardize the communication means between nurses and doctors in ophthalmic operating room,reduce medical errors,make the operation smoothly,also improve the doctors’ and patients’ satisfaction.