改进式 SBAR 床边交班模式在胸科 ICU 应用的效果研究

Improved type SBAR bedside mode in the ICU application effect of chest succession studies

目的：探讨改进式SBAR交班模式在胸科ICU应用的效果。方法根据呼吸内科患者的特点，改进 SBAR 床边交班模式，比较改进前后的效果。结果①患者压疮和非计划拔管率分别有1.18%和1.02%降至0.31%和0.36%；②患者满意度提高，交接班时间延长；③护士对患者整体情况的知晓率（包括病情及治疗、护理问题、护理风险、护理方案）（P 〈0.05）和护理措施率提高（包括生活护理、健康教育、监护护理、治疗执行）（P 〈0.05）。结论改进式SBAR床边交班模式有利降低护理风险，提高护理质量，有利管理者对护士的考核，也有利于低年资护士的成长，值得推广。

Objective To explore the application effect of SBAR shift model in the ICU . Methods According to the characteristics of the ICU,to improve SBAR shift model, and to compare the effect of before and after . Results ①the pressure ulcers rate and unplanned extubation rate are from 1.18% and 1.02% to 1.18%and 1.18% respectively; ②the patient satisfaction, extended their succession; ③the nurses konw patients in the overall population （include the illness and treatment,nursingproblems,nursing risk and plan）（P〈 0.05） and the nursing measures rate increased（include life nursing,healtheducation,critical care and treatment） （P〈 0.05）. Conclusion The SBAR shift model was beneficial to reduce nursing risks, to improve the quality of nursing, to appraise nurses , also conducive to the growth of low qualification nurses. So it is worth promoting.