摘要
目的:探讨"现状(S)-背景(B)-评估(A)-建议(R)"(SBAR)沟通措施结合强化干预对急诊腹泻患儿恢复效果、肠道菌群变化情况和患儿家属症状自评量表(SCL-90)评分的影响。方法:选取2018年8月-2019年12月在大连市妇女儿童医疗中心(集团)急诊接受治疗的120例急性腹泻患儿作为研究对象进行研究,应用随机数字表法将其分为对照组和研究组,各60例。对照组给予常规沟通管理方式和干预措施,研究组采取SBAR沟通措施与患儿家属进行沟通,同时给予患儿强化护理干预措施。比较两组患儿的恢复效果、肠道菌群变化情况及SCL-90评分。结果:研究组患儿的退热时间、止泻时间、大便恢复正常时间、纠正脱水时间和住院时间均显著短于对照组(P<0.05)。研究组复发率较对照组明显降低(P<0.05)。干预4周,两组患儿肠道双歧杆菌、乳杆菌数量较干预前均明显升高,酵母样真菌数量较干预前均明显降低,且干预后两组患儿的双歧杆菌、乳杆菌、酵母样真菌数量比较,差异均有统计学意义(P<0.05)。干预后,两组患儿家属的情感支持、沟通/信息支持、优质护理支持评分较干预前均明显升高,且干预后研究组患儿家属上述评分较对照组均明显升高(P<0.05)。干预后,研究组患儿家属SCL-90的躯体化症状、强迫症状、人际关系敏感、焦虑、抑郁、敌对、恐怖维度评分和总分较干预前均明显降低,且较对照组患儿家属均显著降低(P<0.05)。结论:在急诊腹泻患儿治疗过程中应用SBAR沟通模式联合强化过干预措施有利于促进患儿症状的缓解,缩短其相关症状消失时间,并且有利于患儿肠道菌群平衡的恢复,此外其还有利于改善患儿家属的不良心理状态,提高满意度,进而对患儿产生积极的影响。
Objective:To explore the effect of “status (S)-background (B)-assessment (a)-suggestion (R)” (SBAR) communication measures combined with intensive intervention on the recovery effect,changes of intestinal flora and the score of symptom checklist 90 (SCL-90) of children’s families with emergency diarrhea.Method:A total of 120 cases of children with acute diarrhea who received emergency treatment in Dalian Women and Children Medical Center (Group) from August 2018 to December 2019 were selected as the research objects,and they were divided into control group and study group by random number table method,60 cases in each group.The control group was given conventional communication management methods and intervention measures,while the research group took SBAR communication measures to communicate with the children’s family members,and gave the children intensive nursing intervention measures.The recovery effect,changes of intestinal flora and SCL-90 score were compared between the two groups.Result:The antipyretic time,antidiarrheal time,stool recovery time,dehydration correction time and hospital stay time in the study group were significantly shorter than those in the control group (P<0.05).The recurrence rate of study group was significantly lower than that of control group (P<0.05).4 weeks intervention,the number of Bifidobacteria and Lactobacillus in intestinal tract of two groups were significantly increased compared with those before intervention,while the number of yeast-like fungi were significantly decreased compared with those before intervention,and the number of Bifidobacteria,Lactobacillus and yeast-like fungi in intestinal tract of two groups were significantly differences after intervention (P<0.05).After intervention,the scores of emotional support,communication/information support and quality nursing support of the family members of the children in the two groups were significantly higher than before intervention,and the scores of the family members of the children in the study group were s
作者
孙杰
SUN Jie(Dalian Women and Children Medical Center(Group),Dalian 116033,China)
出处
《中国医学创新》
CAS
2022年第3期108-114,共7页
Medical Innovation of China
关键词
腹泻
急性
小儿
SBAR沟通模式
强化护理
肠道菌群
心理状态
Diarrhea
Acute
Children
SBAR communication mode
Intensive nursing
Intestinal flora
Psychological state
