改良SBAR沟通模式联合交接班安全核查表在ICU患者床旁交接中的应用效果评价OA
Evaluation of theapplication effect of the modified SBAR communication mode combined with the shift handover safety checklist in bedside handover of ICU patients
目的 研究改良现状-背景-评估-建议(SBAR)沟通模式联合交接班安全核查表在重症监护病房(ICU)床旁交接中的应用效果.方法 本研究为历史对照研究,选取 2024 年 1～4 月溧阳市中医医院 68 例 ICU 患者作为对照组,实施常规交接班模式;2024 年 5～9 月同院 68 例 ICU 患者作为观察组,实施改良 SBAR 沟通模式联合交接班安全核查表.比较 2 组干预前、干预 5 d 后、干预 10 d 后患者焦虑自评量表(SAS)及抑郁自评量表(SDS)评分、心理弹性(乐观、自强、坚韧)评分,干预 10 d 后比较 2 组病情知晓情况(包括病情情况、治疗情况、健康宣教及日常生活护理)及护理满意度.结果 干预 5 d 和 10 d 后,观察组 SDS、SAS 评分均低于对照组,乐观、自强、坚韧评分均高于对照组(P 均<0.05);干预 10 d 后,观察组病情情况、治疗情况、健康宣教及日常生活护理评分均高于对照组(P 均<0.05);观察组满意度高于对照组(P<0.05).结论 改良 SBAR 沟通模式联合交接班安全核查表在 ICU 床旁交接中可改善患者心理状况,提高心理弹性及满意度.
Objective To explore the application effect of the modified Situation-Background-Assessment-Recommendation(SBAR)communication mode combined with the shift handover safety checklist in bedside handover of intensive care unit(ICU)patients.Methods This was a historical controlled study.A total of 68 ICU patients admitted to Liyang Hospital of Chinese Medicine from January to April 2024 were enrolled as the control group and received routine shift handover.Another 68 ICU patients in the same hospital from May to September 2024 were enrolled as the observation group,who adopted the modified SBAR communication mode combined with the shift handover safety checklist.The scores of Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)and psychological resilience(optimism,self-reliance,tenacity)were compared between the two groups before intervention,5 days and 10 days after intervention.After 10 days of intervention,the conditions of disease awareness(including disease status,treatment situation,health education and daily life care)and nursing satisfaction were also compared.Results After 5 days and 10 days of intervention,the SDS and SAS scores of the observation group were lower than those of the control group,and the scores of optimism,self-reliance and tenacity in the observation group were higher than those in the control group(P<0.05).After 10 days of intervention,the scores of disease status,treatment situation,health education and daily life care in the observation group were higher than those in the control group(P<0.05),and the satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion The modified SBAR communication mode combined with the shift handover safety checklist applied in ICU bedside handover can effectively improve patients'psychological status,enhance psychological resilience and nursing satisfaction.
朱瑛;史佳敏;许悦
溧阳市中医医院,江苏 常州,213300溧阳市中医医院,江苏 常州,213300溧阳市中医医院,江苏 常州,213300
医药卫生
重症监护病房改良现状—背景—评估—建议沟通模式交接班病情知晓情况心理弹性护理满意度
intensive care unitmodified Situation-Background-Assessment-Recommendation communication modeshift handoverdisease awarenesspsychological resiliencenursing satisfaction
《中西医结合护理（中英文）》 2026 (3)
142-145,4
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