摘要
目的探讨现况-背景-评估-建议(SBAR)交班模式在颅脑外伤患者院内CT检查转运中的应用效果。方法选取2020年3月至2021年7月韶关市第一人民医院收治的80例颅脑外伤患者为研究对象,按随机数字表法分为对照组(n=40)和观察组(n=40)。两组患者均接受CT检查,对照组按照常规护理模式交接,观察组在常规护理的基础上给予SBAR交班模式交接。比较两组交接班时间、转运时间、交接班效果评分、转运中交接缺陷发生率。结果观察组交接班时间、转运时间均短于对照组,差异有统计学意义(P<0.05)。观察组增进护士合作、高效交班、保证安全、提供患者信息、促进患者参与评分及总分均高于对照组,差异有统计学意义(P<0.05)。观察组转运过程中交接缺陷总发生率为5.0%,低于对照组总发生率27.5%,差异有统计学意义(P<0.05)。结论在颅脑外伤患者院内CT检查转运中应用SBAR交班模式的效果显著,可有效缩短转运时间,降低转运中交接缺陷的发生风险,提高交接效率。
Objective To explore the application effect of the Situation-Background-Assessment-Recommendation(SBAR)mode in the transfer of CT examinations in the hospital for patients with traumatic brain injury.Methods 80 patients with craniocerebral trauma treated in Shaoguan first people's Hospital from March 2020 to July 2021 were selected as the research object.They were randomly divided into control group(n=40)and observation group(n=40).Both groups received CT examination,the control group was intervened according to the routine nursing mode,and the observation group was intervened by SBAR mode on the basis of routine nursing.Both groups received CT examination.The control group was intervened according to the routine nursing mode,and the observation group was intervened by SBAR mode on the basis of routine nursing.The shift handover time,transfer time,shift handover effect score and incidence of adverse events of two groups were compared.Results The shift change time and transit time in the observation group were shorter than those in the control group,and the difference was statistical significant(P<0.05).The scores of improving nurse cooperation,efficient shift handover,ensuring safety,providing patient information,promoting patient participation and total score in the observation group were significantly higher than those in the control group,with statistical significance(P<0.05).The total incidence of adverse events during transportation in the observation group was 5.0%,which was lower than that in the control group(27.5%),and the difference was statistical significant(P<0.05).Conclusion The application effect of the SBAR in the transfer of CT examinations in the hospital for patients with traumatic brain injury has a significant effect,which can effectively shorten the transportation time,reduce the risk of adverse events in transportation and improve the handover efficiency.
出处
《浙江临床医学》
2022年第10期1538-1540,共3页
Zhejiang Clinical Medical Journal
基金
广东省韶关市卫健局科研项目(Y21201)
韶关市科技局项目(210727094530408)。
关键词
SBAR交班模式
颅脑外伤
院内转运
CT检查
Situation-Background-Assessment-Recommendation mode
Craniocerebral trauma
Hospital transfer
CT examination
