CAJ | 학술논문

目的：探讨个体化现况－背景－评估－沟通（SBAR）沟通模式在骨科疼痛管理医护沟通中的应用。方法在骨科无痛病房实施以护士为主体的疼痛管理模式，设计SBAR疼痛评估沟通表，对骨三科12名经过培训的护士，采用个体化SBAR模式进行医护沟通管理。结果应用SBAR沟通模式后，因沟通不良引起的患者疼痛控制不良率由30％下降到3％；患者疼痛控制的满意度由92．7％提升到98．7％；医生对护士工作满意度由86％提升到97％；12名护士在应用SBAR沟通模式的体验高于使用模式前，差异有统计学意义（P＜0．05）。结论结合科室特点的个体化SBAR沟通模式，能提高疼痛管理质量，提升护士体验，赢得满意度，促进医护和谐团队的建立，推动了患者安全文化的发展。
목적：탐토개체화현황－배경－평고－구통（SBAR）구통모식재골과동통관리의호구통중적응용。방법재골과무통병방실시이호사위주체적동통관리모식，설계SBAR동통평고구통표，대골삼과12명경과배훈적호사，채용개체화SBAR모식진행의호구통관리。결과응용SBAR구통모식후，인구통불량인기적환자동통공제불량솔유30％하강도3％；환자동통공제적만의도유92．7％제승도98．7％；의생대호사공작만의도유86％제승도97％；12명호사재응용SBAR구통모식적체험고우사용모식전，차이유통계학의의（P＜0．05）。결론결합과실특점적개체화SBAR구통모식，능제고동통관리질량，제승호사체험，영득만의도，촉진의호화해단대적건립，추동료환자안전문화적발전。
Objective To study the application of individualized situation‐background‐assessment‐recommendation (SABA) mode for pain management doctor and nurse communication in orthopedics department .Method 12 nurses in third orthopedics department was trained by self‐designed SABA communication table and implement pain man‐agement in painless orthopedics ward by nurses as the main body .Result The defective rate of patients pain control was reduced from 30% to 3% after the application of SABA communication mode .The patients’ pain control satis‐faction rate increased from 92 .7% to 98 .7% .The doctors’ satisfaction rate on nurses increased from 86% to 97% . The experience of communication among nurse was hihger than that before applying SABA mode .There was signifi‐cant difference before and after SABA mode application(P<0 .05) .Conclusion The individualized SBAR communica‐tion mode could improve the quality of pain management and the nurse’ experience win the satisfaction ,and promote the establishment of the medical team harmony and the development of the patient safety culture .