SBAR沟通模式在急诊腹股沟疝手术患者中的应用研究

Application of SBAR communication mode in patients undergoing emergency inguinal hernia surgery

目的探究SBAR沟通模式在急诊腹股沟疝手术患者中的应用效果。方法以SBAR沟通模式在临泉县人民医院推行时间(2022年7月)为分界点,将推行前(2022年1—6月)实施常规沟通管理的腹股沟疝手术患者50例纳入常规组;将推行后(2022年7月至2023年1月)实施基于SBAR沟通模式管理的腹股沟疝手术患者50例纳入SBAR组,推行前后均由同一批护理人员执行(n=32),对比推行前后护士交班效率(NARS)与交班时间、临床沟通能力(CEX),并对比2组患者遵医行为、方案偏离事件发生率及护理满意度。结果SBAR沟通模式推行后,护士交班效率显著提高(P<0.05),交班时间显著减少(P<0.05),护士沟通能力(环境、组织效能、沟通、临床判断、人文关怀)评分均显著上升(P<0.05);SBAR组患者饮食控制良好、恢复练习良好、摒弃不良习惯、定期复查的遵医行为率均显著高于常规组(P<0.05);SBAR组方案偏离事件发生率(4.00%)显著低于常规组(18.00%)(P<0.05);SBAR组护理满意度(94.00%)显著高于常规组(80.00%)(P<0.05)。结论SBAR沟通模式可有效提高急诊护士交班效率,减少发生护理方案偏离事件,提升急诊腹股沟疝手术患者遵医行为,患者满意度更高。

Objective To explore the application effect of SBAR communication mode in patients undergoing emergency inguinal hernia surgery.Methods Taking the implementation time of SBAR communication mode in Linquan County People's Hospital(July 2022)as the cut-off point,50 patients with inguinal hernia surgery who underwent routine communication management before implementation(from January to June 2022)were included in routine group,and 50 patients with inguinal hernia surgery who underwent SBAR communication mode management after the implementation(from July 2022 to January 2023)were enrolled as SBAR group,and the patients received management by the same group of nurses(n=32)before and after the implementation.Nursing Assessment of Shift Report(NARS),shift time and clinical evaluation exercise(CEX)before and after the implementation were compared,and compliance behaviors,incidence rates of protocol deviation events and nursing satisfaction were compared between the two groups of patients.Results After the implementation of SBAR communication mode,the shift efficiency of nurses was significantly improved(P<0.05),the shift time was significantly shortened(P<0.05),and the scores of CEX(environment,organizational effectiveness,communication,clinical judgment,humanistic care)of nurses were significantly increased(P<0.05).After implementation,the compliance behaviors rates of good diet control,good recovery exercise,abandonment of bad habits and regular review of patients in SBAR group were significantly higher than those in routine group(P<0.05).The total incidence rate of protocol deviation events in SBAR group(4.00%)was significantly lower than that in routine group(18.00%)(P<0.05).Nursing satisfaction in SBAR group(94.00%)was significantly higher than that in routine group(80.00%)(P<0.05).Conclusion SBAR communication mode can effectively improve the shift efficiency of emergency nurses,reduce the occurrence of nursing protocol deviation events,and improve the compliance behaviors of patients with emergency inguinal hernia surgery,with high patient satisfaction.