中华灾害救援医学2024,Vol.11Issue(10) :1183-1185.DOI:10.13919/j.issn.2095-6274.ZHJY202407005

SBAR沟通模式在癫痫持续状态患者急救中的应用

Application of SBAR Communication Model in the Emergency Management of Patients with Status Epilepticus

李芳 杨延洁 薛萌 张萌 爨旭琦 王敏
中华灾害救援医学2024,Vol.11Issue(10) :1183-1185.DOI:10.13919/j.issn.2095-6274.ZHJY202407005

SBAR沟通模式在癫痫持续状态患者急救中的应用

Application of SBAR Communication Model in the Emergency Management of Patients with Status Epilepticus

李芳 1杨延洁 1薛萌 1张萌 1爨旭琦 1王敏1
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作者信息

  • 1. 472000 河南三门峡,黄河三门峡医院神经内科
  • 折叠

摘要

目的 探索在癫痫持续状态(Status Epilepticus,SE)患者急救中采取标准化医护沟通模式(Situation-现状、Background-背景、Assessment-评估、Recommendation-建议,SBAR)的效果.方法 回顾性收集2023年1月至2024年1月黄河三门峡医院收治的68例癫痫持续状态患者的病历资料,根据沟通方式不同分为研究组(采用SBAR沟通模式)与对照组(采用常规沟通模式),每组各34例.比较两组患者的生活质量、并发症以及护理满意度.结果 两组患者干预前精神健康、认知功能、生理机能评分均无显著差异(P>0.05);采取沟通模式后,两组患者以上评分均提高,且研究组情绪健康、认知功能、综合生活质量评分均高于对照组(P<0.001).住院期间,研究组并发症发生率为8.82%,低于对照组的41.18%,差异有统计学意义(P<0.05).研究组护理满意度为97.06%,高于对照组的79.41%,差异有统计学意义(P<0.05).结论 在癫痫持续状态患者急救中,采用SBAR沟通模式可显著改善癫痫持续状态患者的生活质量,降低并发症的发生,提高护理满意度.

Abstract

Objective To explore the effectiveness of using the SBAR (situation、background、assess-ment、recommendation) communication model in the emergency care of patients with status epilepticus. Meth-ods A retrospective collection of medical records from 68 patients with status epilepticus treated at Huanghe Sanmenxia Hospital between January 2023 and January 2024 was conducted. Based on the different communication methods employed,the patients were divided into a study group (SBAR communication model) and a control group (conventional communication model). The quality of life,complications,and physician satisfaction with nursing care were compared between the two groups. Results Before the intervention,there were no significant differ-ences in mental health,cognitive function,or physiological function scores between the two groups (P>0.05). After implementing the SBAR communication model,scores for mental health,cognitive function,and overall quality of life improved in both groups,with the study group showing significantly higher scores in emotional health,cogni-tive function,and comprehensive quality of life compared to the control group (P<0.001). The incidence of com-plications during hospitalization was 8.82% in the study group,significantly lower than the 41.18% in the control group (P<0.05). Physician satisfaction with nursing care was 97.06% in the study group,higher than the 79.41% in the control group,with a statistically significant difference (P<0.05). Conclusion The use of the SBAR commu-nication model in the emergency care of patients with status epilepticus can significantly improve their quality of life,reduce the incidence of complications,and increase physician satisfaction with nursing care.

关键词

癫痫持续状态/生活质量/手术后并发症

Key words

status epilepticus/quality of life/postoperative complications/patient satisfaction

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出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
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