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SBAR沟通模式在儿科急诊患儿转运交接中的应用
Application of SBAR communication mode in hand-over of pediatric emergency children

陆群峰 杜桦 张建萍 李有蔚

Lu Qunfeng, Du Hua, Zhang Jianping, Li Youwei

【摘要】目的 探讨SBAR沟通模式在儿科急诊抢救室患者转运交接中的应用效果。方法 2016年 11 月开始上海市儿童医院儿科急诊抢救室根据SBAR 沟通模式进行交接班,比较实施前(2016 年9— 10 月)和实施后(2016年11— 12 月)护理不良事件发生率、护理文件书写错误/遗漏率、医护人员满意度。 结果 实施SBAR 沟通模式后护理不良反应事件发生率4.9%,护理文件书写错误/ 遗漏发生率3.1%,均 低于对照组,差异有统计学意义(χ2 值分别为9.141、10.794;P< 0.01);实施后医护人员对交班内容全 面性、语言条理性、病情重点的满意度分别为95.0%、97.5%、95.0%,均高于对照组,差异有统计学意义 (χ2 值分别为8.029、12.131、4.675;P< 0.05)。结论 在儿科急诊抢救室患者转运中采用SBAR沟通模 式后,因沟通不畅发生的护理不良事件减少;护理文书书写规范;参与交接的医护人员满意度提升,值 得进一步完善和推广。
【摘要】Objective To discuss the effects of SBAR (situation-background-assessmedicinerecommendation) communication in patient hand-over from pediatric emergency ward. Methods SBAR communication mode has been applied in hand-over in the Emergency Department of Children's Hospital of Shanghai from November 2016. The incidence of nursing adverse events, writing error or omission rate of nursing documents and medical staff's satisfaction were compared between before and after intervention, which were from September to October 2016 and from November to December 2016. Results After the implementation of SBAR, the incidence of nursing adverse events was 4.9%, the writing error or omission rate of nursing documents was 3.1%, which were all lower than those of the control group, and the differences were statistically significant( χ2=9.141,10.794;P < 0.01). After the implementation, the satisfaction rates on the comprehesiveness, language rationality and the focus of the disease were 95.0%, 97.5% and 95.0%, which were all higher than those of the control group, and the differences were statistically significant( χ2=8.029, 12.131, 4.675; P < 0.05). Conclusions After the SBAR communication mode being applied in patient hand-off in Pediatric Emergency Department, adverse events due to poor communication decreased; nursing documents became more normative; and the satisfaction rate of medical staff involved in hand-over increased. It is therefore worthy of further improving and making wider use of this type of communication.

【关键词】医院,儿科 ; SBAR 沟通模式; 急诊; 转运交接
【关键词】Hospital, pediatric; SBAR communication mode; Emergency; Hand-over