危重患儿外出检查标准化交接模型的构建与实施
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Establishment of standardized handover model for critically ill children to be escorted out of PICU for an examination
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    摘要:

    目的 构建基于SBAR模式的危重患儿外出检查标准化交接模型,保证外出检查环节危重患儿的安全。方法 将危重患儿按 入住时间分组,2018年1~4月的150例危重患儿为对照组,按常规进行外出检查交接;2018年6~9月的150例危重患儿为观察 组,实施基于SBAR的危重患儿外出检查标准化交接。比较两组危重患儿外出检查风险事件发生率、患儿家属对护理服务满意 度、医护外出检查交接沟通合作满意度。结果 观察组危重患儿外出检查风险事件发生率显著低于对照组,患儿家属对护理服务 的满意度得分显著高于对照组,实施后医护人员对外出检查交接沟通合作满意度得分显著高于实施前(均 P<0.01)。结论 在 PICU 实施SBAR沟通模式的规范化交接,可保证危重患儿外出检查环节的安全,促进医患关系和谐发展,增进医护之间的沟通 与协作。

    Abstract:

    Objective To establish a standardized SBAR-based handover model for critically ill children to be escorted out of PICU for an examination, and to enhance safety of the children during the process.Methods A total of 150 critically ill children admitted in PICU in January through April, 2018 were assigned into the control group, and received routine measures when escorted out of PICU for an examination. Another 150 critically ill children admitted in PICU in June through September, 2018 were regarded as the observation group, and were handed over based on a standardized SBAR-based handover model to other personnel who escorted them out of PICU for an examination. The incidence rates of out-of-PICU accidents, satisfaction of children′s family in the two groups, medical workers′ satisfaction with out-of-PICU handover communication and cooperation before and after the implement of the standardized SBAR-based handover model, were compared.Results The incidence rates of out-of-PICU accidents were significantly lower, satisfaction of children′s family were significantly higher in the observation group than the control group; medical workers′ satisfaction with out-of-PICU handover communication and cooperation was higher than before (P<0.01 for all).Conclusion The standardized SBAR-based handover model guaranteed the safety of critically ill children when they were escorted out of PICU for an examination, contributed to a harmony relationship between doctors and patients,and enhanced the communication and cooperation among medical staff.

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贺琳晰,杨芳,赵璠,刘月娜.危重患儿外出检查标准化交接模型的构建与实施[J].护理学杂志,2019,34(7):1-3+11

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  • 收稿日期:2018-11-09
  • 最后修改日期:2019-01-06
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  • 在线发布日期: 2022-08-09