首页|SBAR沟通模式在急诊心脏骤停患者救治管理中的应用效果

SBAR沟通模式在急诊心脏骤停患者救治管理中的应用效果

Application effect of the SBAR communication mode on the management of emergency patients with cardiac arrest

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目的 分析现况-背景-评估-沟通(SBAR)沟通模式在急诊心脏骤停(CA)患者救治管理中的应用效果.方法 选取2021年2月至2023年2月接诊的128例CA患者,随机分为Ⅰ组和K组,每组64例.Ⅰ组给予常规护理,K组在Ⅰ组基础上给予SBAR沟通模式,比较2组复苏成功率、血氧饱和度(SaO2)、收缩压(SBP)、格拉斯哥昏迷量表(GCS)评分、风险事件总发生率、护理满意度.结果 K组的复苏成功率为98.44%高于Ⅰ组的89.06%,差异有统计学意义(P<0.05).K组复苏0.5 h、1.0 h后的SaO2、SBP、GCS评分均高于Ⅰ组(P<0.05).K组的风险事件总发生率为1.56%,与Ⅰ组的3.13%比较,差异无统计学意义(P>0.05).K组的护理满意度为96.87%高于Ⅰ组的78.12%,差异有统计学意义(P<0.05).结论 SBAR沟通模式应用到CA急诊救治管理中,可有效提高复苏成功率,减轻昏迷程度,改善患者预后及护患关系,提高急诊救治管理效果,值得参考.
Objective To analyze the effect of the Situation,Background,Assessment,and Recommendation(SB AR)communication mode on the management of emergency patients with cardiac arrest(C A).Methods A total of 128 CA patients admitted to the emergency department from February 2021 to February 2023 were included.They were randomly assigned into Ⅰ group and K group,with 64 cases per group.Routine nursing intervention was performed in both groups,and the SBAR communication mode was additionally performed in K group.The success rate of resuscitation,blood oxygen saturation(SaO2),systolic blood pressure(SBP),Glasgow Coma Scale(GCS)score,total incidence of risk events and nursing satisfaction were compared between the two groups.Results After the intervention,the success rate of resuscitation was significantly higher in K group than that of Ⅰ group(98.44%vs 89.06%,P<0.05).SaO2,SBP and GCS score at 0.5 h and 1 h of resuscitation were significantly higher in K group than those of Ⅰ group(P<0.05).There was no significant difference in the total incidence of risk events between K group and Ⅰ group(1.56%vs 3.13%,P>0.05).The nursing satisfaction was significantly higher in K group than that of Ⅰ group(96.87%vs 78.12%,P<0.05).Conclusion The application of SBAR communication mode in the emergency management of CA can effectively enhance the success rate of resuscitation,reduce the degree of coma,improve the prognosis,nurse-patient relationship and the effect of emergency treatment management,which is worthy of reference.

Situation,Background,Assessment,and Recommendation(SBAR)communication modeemergency departmentcardiac arresttreatment management

姜艳、张文静、李春艳

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100043 北京市,首都医科大学附属北京朝阳医院石景山院区门诊治疗中心

SBAR沟通模式 急诊 心脏骤停 救治管理

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(17)