基于标准化沟通的产科病房与手术室间病情交接表的设计及应用

Design and application of disease transfer table based on standardized communication between the ;maternity ward and the operating room

目的：设计产科病房－手术室孕产妇“现状（S）－背景（B）－评估（A）－建议（R）”式病情交接表，探讨其在剖宫产孕产妇于产科病房－手术室病情交接中的应用效果。方法选取产科2个病区拟行剖宫产的570名孕妇和30名医务人员为研究对象，一病区为对照组，二病区为观察组，对照组采用传统的病情交接方式，观察组采用产科病房－手术室SBAR式病情交接表交接病情，比较2组产妇术后与病情交接相关不良事件的发生率和2组医务人员对交接工作的满意度情况。结果观察组因交接引起的伤口渗血、宫缩乏力导致产后出血、伤口感染护理不良事件发生率分别为2.06%（6/291）、1.71%（3/291）、1.37%（4/291），低于对照组的3.94%（15/279）、3.58%（10/279）、4.66%（13/279），差异有统计学意义（χ2=4.41、4.17、5.31，均P＜0.05）；观察组双方医护人员对交接工作全面性、病情重点、工作认可、交接效率满意度分别为（4.75±0.12）、（4.82±0.55）、（4.86±0.67）、（4.76±0.22）分，高于对照组的（3.04±0.29）、（3.11±0.35）、（3.09±0.32）、（3.01±0.42）分，差异有统计学意义（t=2.72～3.12，均P＜0.05）。结论剖宫产孕妇SBAR式病情交接表能提高产科病房与手术室间的病情交接效率和质量，保证剖宫产孕产妇的护理安全。

Objective To design the disease transfer table of standardized communication between the maternity ward and the operating room,and explore the application effect of disease transfer table based on situation (S)-background (B)-assessment (A)-recommendation (R) communication in cesarean delivery of maternal. Methods 570 pregnant women and 30 medical staff from two wards of maternity ward were selected as research object, the first ward was the control group, the second ward was observation group. The control group used traditional way of disease transfer,and the observation group used SBAR transition table for disease transfer, compared the incidence of adverse events after caesarean section of puerperal and the satisfaction of disease transfer of medical staff from two groups. Results The incidence of wound bleeding, postpartum hemorrage caused by uterine inertia, wound infection of observation group was 2.06%(6/291), 1.71%(3/291), 1.37%(4/291), which was lower than 3.94%(15/279), 3.58%(10/279), 4.66%(13/279) of control group (χ2=4.41, 4.17, 5.31,P < 0.05). The satisfaction of comprehensive, state of the iuness, work acceptance, transfer efficiency of medical staff was (4.75 ± 0.12), (4.82 ± 0.55), (4.86 ± 0.67), (4.76 ± 0.22) points, which were higher than (3.04 ± 0.29), (3.11 ± 0.35), (3.09 ± 0.32), (3.01 ± 0.42) points of control group (t=2.72-3.12,P < 0.05). Conclusions The SBAR condition transition table can improve the efficiency and quality of disease transfer between maternity ward and operating room, ensure the care safety of cesarean section maternal.