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目的 观察SBAR沟通模式在动脉瘤性蛛网膜下隙出血(aSAH)围手术期患者床旁交接班中的应用效果.方法 将72例aSAH患者按照患者收住病区的单双数顺序分成观察组和对照组,每组36例.对照组采用传统的交接班模式,观察组采用SBAR交接班模式,比较2组床旁交接班时长、交接班问题发生率、护士对交接工作满意度、患者或家属对护士满意度、并发症发生率.结果 观察组交接班时长(5.43±0.44)min,明显低于对照组的(7.81±0.54)min,差异有统计学意义(t=39.496,P<0.01).观察组交接班问题发生率9.63％(13/135),明显低于对照组的27.41％(37/135),差异有统计学意义(χ2=14.138,P<0.01).观察组护士对交接工作各指标满意度明显高于对照组,差异有统计学意义(t=-15.193～-4.971,P<0.01).观察组中患者或家属对护士的满意度高于对照组,差异有统计学意义(t=-2.580～-2.120,P<0.05).观察组患者围手术期的并发症发生率为8.33％(3/36),低于对照组的27.78％(10/36),差异有统计学意义(χ2=4.600,P<0.05).结论SBAR沟通模式能够提高工作效率,降低护理风险,促进团队和谐.

Objective To observe the application of SBAR communication model in beside shift hand-over for the perioperative nursing of aneurysmall subarachnoid hemorrhage (aSAH). Methods A total of 72 cases who were diagnosed with aSAH were divided into the control group (36 cases)and observation group(36 cases).The traditional shift-change method was used in control group. The SBAR communication model was adopted in the observation group. To compare the time spent on handover, the incidence of care issues, the satisfaction of both patients and shift nurses and the incidence of complications between observation group and control group. Results Time consuming in shift change in observation group was (5.43 ± 0.44) min, lower than that in control group (7.81 ± 0.54) min, and the difference was significant (t=39.496, P<0.01). The incidence of care issues was 27.41％(37/135) in control group and 9.63％(13/135) in observation group, and there was significant difference (χ2=14.138, P<0.01). The satisfaction rate of shift nurses in observation group was higher than that in control group, and there was significant difference (t=-15.193--4.971, P<0.05). The satisfaction rate of caregivers and patients in observation group was higher than that in control group, and there was significant difference (t =--2.580--2.120, P<0.05) . Besides, the incidence of complications was 27.78％(10/36) in control group and 8.33％(3/36) in observation group, and there was significant difference (χ2=4.600, P<0.05). Conclusions The SBAR communication model in beside shift hand-over has improved the efficiency of shift change,reduced nursing risks and collaboration effect of nurse team.