CAJ | 학술논문

目的研究在急诊重症监护室床头交接班过程中，采用SBAR模式交流病人病情的应用效果；方法以急诊科重症监护病房2014年2月～8月收治的410例病人为观察组，以该科室2013年2月～8月收治患者390例病人为对照组，比较分析采用SBAR模式前后，因交接不良导致的护理不良事件发生例数、投诉例数以及患者或家属满意度，护士对病情掌握情况等方面的效果；结果实施SBAR后比实施前，病人的非计划拔管、压疮、输液脱出渗漏、给药错误、投诉等明显下降（P<0.05），患者满意度明显提高（P<0.05），护士对患者病情掌握程度明显提高（P<0.05）；结论采用SBAR模式进行病情交流可以提高保障患者安全的针对性，有利于提高护理质量和患者满意度，有利于提高低年资护士的综合能力。
목적연구재급진중증감호실상두교접반과정중，채용SBAR모식교류병인병정적응용효과；방법이급진과중증감호병방2014년2월～8월수치적410례병인위관찰조，이해과실2013년2월～8월수치환자390례병인위대조조，비교분석채용SBAR모식전후，인교접불량도치적호리불량사건발생례수、투소례수이급환자혹가속만의도，호사대병정장악정황등방면적효과；결과실시SBAR후비실시전，병인적비계화발관、압창、수액탈출삼루、급약착오、투소등명현하강（P<0.05），환자만의도명현제고（P<0.05），호사대환자병정장악정도명현제고（P<0.05）；결론채용SBAR모식진행병정교류가이제고보장환자안전적침대성，유리우제고호리질량화환자만의도，유리우제고저년자호사적종합능력。
Objective To study the application effect of exchanging patients' condition with SBAR model in shifting of duty in emergency ICU. Methods Take 410 patients admitted from February to August 2014 in emergency ICU as treatment group while 390 patients admitted the department from February to August 2013 in the same department as the control group. Compare and analyze the number of nursing adverse cases due to poor handover, the number of complaints, patients or family satisfaction etc. before and after using SBAR model.Results After the implementation of SBAR, patient's unplanned extubation, pressure sores, infusion infiltration, administration errors and complaints decreased significantly (P <0.05) while patients' satisfaction and nurses' mastery of the patients' condition improved significantly (P <0.05 ).Conclusion Exchanging patients' condition with SBAR model can improve and guarantee patient safety, conductive to improving nursing quality, patient satisfaction, and comprehensive ability of junior nurses.