摘要
目的探索在癫痫持续状态(Status Epilepticus,SE)患者急救中采取标准化医护沟通模式(Situation-现状、Background-背景、Assessment-评估、Recommendation-建议,SBAR)的效果。方法回顾性收集2023年1月至2024年1月黄河三门峡医院收治的68例癫痫持续状态患者的病历资料,根据沟通方式不同分为研究组(采用SBAR沟通模式)与对照组(采用常规沟通模式),每组各34例。比较两组患者的生活质量、并发症以及护理满意度。结果两组患者干预前精神健康、认知功能、生理机能评分均无显著差异(P>0.05);采取沟通模式后,两组患者以上评分均提高,且研究组情绪健康、认知功能、综合生活质量评分均高于对照组(P<0.001)。住院期间,研究组并发症发生率为8.82%,低于对照组的41.18%,差异有统计学意义(P<0.05)。研究组护理满意度为97.06%,高于对照组的79.41%,差异有统计学意义(P<0.05)。结论在癫痫持续状态患者急救中,采用SBAR沟通模式可显著改善癫痫持续状态患者的生活质量,降低并发症的发生,提高护理满意度。
Objective To explore the effectiveness of using the SBAR(situation、background、assessment、recommendation)communication model in the emergency care of patients with status epilepticus.Methods A retrospective collection of medical records from 68 patients with status epilepticus treated at Huanghe Sanmenxia Hospital between January 2023 and January 2024 was conducted.Based on the different communication methods employed,the patients were divided into a study group(SBAR communication model)and a control group(conventional communication model).The quality of life,complications,and physician satisfaction with nursing care were compared between the two groups.Results Before the intervention,there were no significant differences in mental health,cognitive function,or physiological function scores between the two groups(P>0.05).After implementing the SBAR communication model,scores for mental health,cognitive function,and overall quality of life improved in both groups,with the study group showing significantly higher scores in emotional health,cognitive function,and comprehensive quality of life compared to the control group(P<0.001).The incidence of complications during hospitalization was 8.82%in the study group,significantly lower than the 41.18%in the control group(P<0.05).Physician satisfaction with nursing care was 97.06%in the study group,higher than the 79.41%in the control group,with a statistically significant difference(P<0.05).Conclusion The use of the SBAR communication model in the emergency care of patients with status epilepticus can significantly improve their quality of life,reduce the incidence of complications,and increase physician satisfaction with nursing care.
作者
李芳
杨延洁
薛萌
张萌
爨旭琦
王敏
LI Fang;YANG Yanjie;XUE Meng;ZHANG Meng;CHUAN Xuqi;WANG Min(Yellow River Sanmenxia Hospital Department of Neurology,Sanmenxia 472000,China)
出处
《中华灾害救援医学》
2024年第10期1183-1185,共3页
Chinese Journal of Disaster Medicine
关键词
癫痫持续状态
生活质量
手术后并发症
status epilepticus
quality of life
postoperative complications
patient satisfaction
