摘要
目的探讨联合应用改良早期预警评分(MEWS)及现状-背景-评估-建议标准化沟通模式(SBAR)在泌尿外科中的效果。方法选取河北北方学院附属第一医院泌尿外科2016年1月~2016年8月200例住院患者,按随机数字表法分为对照组和观察组,每组各100例;对照组按常规方法对患者进行病情观察、向医生汇报病情及护士交接班。观察组用MEWS评分评估患者,应用SBAR沟通方式向医生汇报病情及护士交接班。比较两组患者负性事件发生情况以及医生、患者对护理工作的满意度。结果观察组患者负性事件发生情况明显低于对照组,差异有高度统计学意义(P<0.01);观察组医生、患者对护理工作的满意度均高于对照组,差异有统计学意义(P<0.05)。结论 MEWS及SBAR联合应用可降低负性意外事件的发生,提高对护理工作的满意度以及提升护士的职业价值感。
Objective To discuss the effect of the combined application of early warning score（MEWS） and status-background-assessment-recommended（SBAR） standard communication model in the Department of Urology Surgery.Methods 200 patients in Department of Urological Surgery, the First Affiliated Hospital of Hebei North University from January 2016 to August 2016 were selected and randomly divided into control group（100 cases） and observation group（100 cases）, according to random number table. In the control group, the normal method was applied by the compared team to observe the patients, to report to the doctors and the nurses’ duty shift. In the observation group, the NEWS assessment was applied by the observed team to appraise the patients, the SBAR coomunication method was used to report to doctor about patients’ condition as well as the nurse duty shift. The incidence of negative events and the satisfaction degree of the doctors and patients in two groups were recorded. Results The incidence of negative events in the observation group was significantly lower than that in the control group, with statistically significant difference（P 〈0.01）. The satisfaction degree of doctors and patients in the observation group was higher than that in the control group,with statistically significant difference（P〈0.05）. Conclusion The combined application of MEWS and SBAR can reduce the incidence of negative events, improve the satisfaction degree of nursing and enhance the professional value of nurses.
出处
《中国医药导报》
CAS
2017年第8期160-163,共4页
China Medical Herald
基金
河北省张家口市科学技术和地震局市级科技计划自筹经费项目(1621093D)
