基于循证的ISBAR沟通交班模式在降低急性缺血性脑卒中静脉溶栓患者护理风险中的应用效果

The Application Effect of Evidence-based ISBAR Communication Handover Mode in Reducing the Nursing Risk of Patients with Acute Ischemic Stroke Undergoing Intravenous Thrombolysis

目的:分析基于循证的介绍-现状-背景-评估-建议(ISBAR)沟通交班模式在降低急性缺血性脑卒中(AIS)行静脉溶栓患者护理风险中的应用。方法:选择2022年6月-2023年3月于我院收治的AIS行静脉溶栓患者100例为观察对象,分为常规组(n=50)、ISBAR组(n=50),比较两组静脉溶栓出血并发症、护理风险事件及满意度、交接班质量。结果:ISBAR组静脉溶栓出血并发症总发生率、护理风险事件总发生率低于常规组(P<0.05)。ISBAR组交接班质量评分及总满意度高于常规组(P<0.05)。结论:基于循证的ISBAR沟通交班模式可有效提高交接班质量,降低AIS患者静脉溶栓出血并发症、护理风险事件发生风险,提升患者对护理服务满意度,值得临床应用。

Objective:To analyze the application of evidence-based introduction-status-background-assessment-recommendation(ISBAR)communication handover mode in reducing the nursing risk of patients with acute ischemic stroke(AIS)undergoing intravenous thrombolysis.Methods:A total of 100 patients with AIS who underwent intravenous thrombolysis in our hospital from June 2022 to March 2023 were selected as the observation objects.They were divided into routine group(n=50)and ISBAR group(n=50).The complications of intravenous thrombolysis,nursing risk events and satisfaction,and handover quality were compared between the two groups.Results:The total incidence of bleeding complications and total incidence of nursing risk events in the ISBAR group were lower than those in the conventional group(P<0.05).The handover quality score and total satisfaction of the ISBAR group were higher than those of the conventional group(P<0.05).Conclusion:The evidence-based ISBAR communication shift handover model can effectively improve the quality of shift handover,reduce the risk of venous thrombolysis bleeding complications and nursing risk events in AIS patients,enhance patient satisfaction with nursing services,which is worthy of clinical application.