摘要目的:分析SBAR[（即现状（situation）、背景（background）、评估（assessment）、建议（recommendation）]沟通模式指导的情景模拟演练对实习护士交接班质量及护理风险发生率的影响。方法:选择2017年5月至2018年12月在广元市中心医院心脏血管内科进行实习的46名护士作为对照组，并按照常规交接班模式进行实习指导；选择2019年1月至2020年6月同科室进行实习的46名实习护士作为研究组，并采取SBAR沟通模式指导的情景模拟演练后进行交接班。比较两组实习护士交班质量评价结果、接班质量评价结果、实习护士满意度。采用统计学软件SPSS 22.0进行 t检验和卡方检验。 结果:研究组实习护士交班质量的7个条目评价结果均优于对照组（ P<0.001）；研究组实习护士接班质量的6个条目评价结果均优于对照组（ P<0.001）；研究组实习护士交接班满意度评估量表的5个维度得分均高于对照组（ P<0.001）； 结论:实施SBAR沟通模式指导的情景模拟演练，能够提高实习护士交接班质量和实习护士满意度。

abstractsObjective:To analyze the effects of SBAR(namely situation, background, assessment and recommendation) communication mode-guided scenario simulation exercise on the quality of shift change of practice nurses and the incidence of nursing risks.Methods:From May 2017 to December 2018, 46 nurses interning in the Department of Cardiovascular Medicine of Guangyuan Central Hospital were selected as the control group, and received practice guidance according to the conventional shift change mode; 46 nurses were selected as the research group having the SBAR communication mode-guided scenario simulation exercise from January 2019 to June 2020 in the same department. The evaluation results of the quality of nurses' shift change, the evaluation results of the quality of nurses' succession, and the satisfaction of nurses were compared between the two groups. SPSS 22.0 was used for t test and chi-square test. Results:The evaluation results of 7 items of nurses' handover quality in the research group were better than those in the control group ( P<0.001). The evaluation results of 6 items of nurses' succession quality in the research group were better than those in the control group ( P<0.001). The scores of 5 dimensions in the research group were higher than those in the control group ( P<0.001). Conclusion:The implementation of SBAR communication mode-guided scenario simulation exercise can improve the quality of nurses' shift change and the satisfaction of practice nurses.