MEWS联合SBAR沟通模式在肺心病合并心力衰竭患者中的应用

Application of MEWS combined with SBAR communication mode in patients with pulmonary heart disease and heart failure

目的探讨改良早期预警评分联合现状-背景-评估-建议沟通模式在肺心病合并心力衰竭患者中的应用效果。方法将90例肺心病合并心力衰竭患者按随机数字表法分为对照组(44例)和研究组(46例)。对照组予以常规护理干预,研究组在对照组基础上予以改良早期预警评分联合现状-背景-评估-建议沟通模式干预,观察住院全程。比较两组护士对病情掌握程度、护理不良事件发生率、主要不良心血管事件发生率及护理工作满意度(PZB服务质量量表评分)。结果研究组护士对病情诊断、护理重点、护理风险、重点/异常评估结果、治疗现状评分均显著高于对照组(P<0.01)。研究组护理不良事件、主要不良心血管事件发生率显著低于对照组(P<0.05),PZB服务质量量表评分显著高于对照组(P<0.05)。结论在肺心病合并心力衰竭临床护理中应用改良早期预警评分联合现状-背景-评估-建议沟通模式干预可有效提高护士对病情掌握程度,降低护理不良事件及主要不良心血管事件发生风险,提高护理满意度。

Objective To investigate the application effect of the modified early warning score(MEWS)combined with the situation,background,assessment,recommendation(SBAR)communication mode in patients with pulmonary heart disease(PHD)and heart failure(HF).Methods A total of 90 patients with PHD and HF were divided into control group(44 cases)and study group(46 cases)according to random number table method.The control group was given routine nursing intervention.On this basis,the study group was given MEWS combined with SBAR communication mode intervention.The whole hospitalization process was observed.The nurses'mastery degree of the condition,the incidence of nursing adverse events,the incidence of major adverse cardiovascular events(MACE),and nursing job satisfaction[PZB service quality(SERVQUAL)]were compared between the two groups.Results The condition diagnosis,nursing focus,nursing risk,focus/abnormal assessment results,and treatment status scores of the nurses in the study group were all significantly higher than those of the control group(P<0.01).The incidence of nursing adverse events and MACE in the study group were significantly lower than those in the control group(P<0.05).The SERVQUAL score in the study group was significantly higher than that in the control group(P<0.05).Conclusions MEWS combined with SBAR communication mode applied to patients with PHD and HF can effectively improve the nurses'mastery degree of the condition,reduce the risk of nursing adverse events and MACE,and improve nursing satisfaction.