Application of standardized healthcare communication mode combined with procedural communication mode in low educated and elderly pa-tients undergoing enhanced CT examination for hydration
Objective To explore the effectiveness of applying the standardized healthcare communication model(SBAR)combined with procedural communication(CICARE)model in elderly patients undergoing enhanced CT examination for hy-dration.Methods A total of 84 low educated elderly patients who were scheduled to undergo enhanced CT hydration in the General Ward,the Second Affiliated Hospital of Wenzhou Medical University from December 2020 to November 2022 were selected.They were divided into intervention group and control group by random number table method,with 42 patients in each group.The control group used CICARE mode to communicate,and the intervention group used SBAR mode to commu-nicate on the basis of the control group,after communication,the patients were guided to perform hydration intervention.The changes of hydration compliance and qualified rate,renal function index,and urine pH value were compared between the two groups,and the incidence of contrast-induced nephropathy and satisfaction with nursing work were compared between the two groups.Results The hydration compliance rate and qualification rate of the intervention group were higher than those of the control group,and the differences were statistically significant(P＜0.05).There was statistical significance in urine pH value between the two groups at each time point(P＜0.05).The urine pH value of the intervention group was lower than that of the control group at each time point after angiography,and the differences were statistically significant(P＜0.05).The incidence of contrast nephropathy in intervention group was lower than that in control group,and the difference was statistically significant(P＜0.05).The overall satisfaction of the intervention group was better than that of the control group,and the difference was statistically significant(P＜0.05).Conclusion The application of SBAR combined with CI-CARE communication mode intervention in low educated and elderly patients undergoing enhanced CT examination for hy-dration can improve their compliance and qualification rate of hydration,promote the restoration of urine pH to normal lev-els,reduce the impact on renal function,and reduce the occurrence of contrast enhanced nephropathy,and improve patient satisfaction.
Low educatedElderlyEnhanced CT scanningHydrationStandardized communication modeProcedural communication mode
NETL
NSTL
万方数据
