基于SBAR沟通模式的医护一体化建设与应用效果

Construction of nurse-physician collaboration based on SBAR communication mode and its applicationeffects

目的 探讨医护一体化建设的经验与临床实践效果.方法 2013年6月-2015年12月,基于SBAR沟通模式,在郑州大学附属肿瘤医院（河南省肿瘤医院）肿瘤内外科推行医护一体化建设.采用便利抽样法,于医护一体化模式实施前后,应用问卷调查法分别对实施科室进行医护之间合作状况以及医生、护士、患者满意度情况调查和评价.结果 基于SBAR沟通模式的医护一体化建设实施后,护士和医生合作量表（NPCS）总分（114.89±14.56）分,高于实施前的（94.37±16.21）分,差异有统计学意义（t=-8.75,P〈0.01）;医护一体化实施后医、护、患对护理工作的满意度分别为（93.57±6.43）、（95.50±7.89）、（94.80±6.72）分,均高于实施前,差异均有统计学意义（t值分别为-2.07、-5.81、-7.02;P〈0.05）.结论 基于SBAR沟通模式的医护一体化建设与实施,可有效促进医护之间合作程度,提高医护患三者满意度,提高全院护理服务品质.

Objective To explore the experience of nurse-physician collaboration construction and its clinical practice effects. Methods From June 2013 to December 2015, based on the SBAR communication model, nurse-physician collaboration was constructed in oncology and surgery wards of Affiliated Cancer Hospital of Zhengzhou University, He＇nan Cancer Hospital. The situation of nurse-physician collaboration, satisfaction of doctors, nurses, patients to nursing work were evaluated using the convenience sampling method and questionnaire survey method, before and after the implementation of nurse-physician collaboration mode. Results After the application, the score of Nurse-Physician Collaboration Scale （NPCS） was （114.89±14.56）, which was higher than before （94.37±16.21）, and the difference was statistically significant （t=-8.75, P〈0.01）.The satisfaction degrees about nursing work of physicians, nurses and patients were （93.57±6.43）, （95.50±7.89） and （94.80±6.72）, which were all higher than before, and the differences were statistically significant （t=-2.07,-5.81,-7.02;P〈0.05）. Conclusions Based on the SBAR communication mode, the establishment of nurse-physician collaboration mode could effectively promote the degree of cooperation between physicians and nurses, improve the satisfaction of physicians, nurses and patients, and improve the hospital care quality.