ISBAR沟通预防消化道出血患者跌倒的效果观察

Observation on the Effect of ISBAR Communication on Preventing Falls in Patients With Gastrointestinal Bleeding

目的对ISBAR(即Introduction、Situation、Background、Assessment、Recommendation)沟通在预防消化道出血患者跌倒中的应用效果进行评析。方法将2017 年9 月—2019 年3 月我院消化内科收治的80 例消化道出血患者纳入观察中,通过数字表法随机分成研究组和对照组,均为40 例;两组均给予积极对症、对因治疗和护理,对照组落实跌倒预防措施,研究组同时采取ISBAR 沟通模式进行交接班,通过问卷了解患者护理满意度,对比跌倒发生情况。结果通过应用ISBAR 沟通模式交接班,研究组患者的护理满意度等各维度评分均高于对照组(P< 0.05);研究组未出现跌倒事件,发生率为0,对照组出现4 例跌倒,发生率为10%,差异有统计意义(P < 0.05)。结论在消化道出血患者护理交接班中采用ISBAR 沟通模式,可有效提高临床护理交班质量,减少院内跌倒发生。

Objective To evaluate the effect of ISBAR communication mode in preventing falls in patients with gastrointestinal bleeding. Methods 80 patients with gastrointestinal bleeding admitted to our department of gastroenterology from September 2017 to March 2019 were enrolled in the study. They were randomly divided into study group and control group by digital table method, all of which were 40 cases. Symptomatic, due to treatment and care, the control group implemented fall prevention measures, the research team also adopted the ISBAR communication mode for the handover class, through the questionnaire to understand the patient care satisfaction, compared with the occurrence of falls. Results By applying the ISBAR communication mode handover class, the scores of nursing satisfaction and other dimensions of the study group were significantly higher than those of the control group (P < 0.05). There was no fall event in the study group, the incidence rate was 0, and the control group showed 4 cases. The incidence of falls was 10%, and the difference was statistically significant (P < 0.05). Conclusion The use of ISBAR communication mode in nursing care shifts for patients with gastrointestinal bleeding can effectively improve the quality of clinical care shifts and reduce the incidence of falls in hospitals.