摘要
目的:分析基于色彩和现况-背景-评估-建议(SBAR)交接理念设计的手术护理交班指引单在普外科的应用效果。方法:选取2022年3月至2023年5月上海中医药大学附属市中医医院普通外科Ⅲ、Ⅳ级手术住院病人共计319例和同期普外科护士共计68名为研究对象,其中2022年3—9月入组病人155例,护士30名为常规对照组,2022年11月至2023年5月入组病人164例,护士38名为指引单交接组。常规对照组病人行常规交接班,指引单交接组实施手术护理交班指引单交接班。比较2组护士交接满意度[中文版护士交接班评估问卷(NASR)]、交接合格率、护理质量及医生满意度。结果:指引单交接组NASR各维度评分均高于常规对照组(P<0.01);指引单交接组不合格率为7.89%,低于常规对照组的30.00%(P<0.05);指引单交接组围术期护理质量合格率为94.74%,高于常规对照组的73.33%(P<0.05);指引单交接组医师满意度评分高于常规对照组(P<0.01)。结论:在普外科实施基于色彩和SBAR交接理念设计的手术护理交班指引单进行交接班有利于提高护理质量和交接班合格率,提升医生及护士满意度。
Objective:To investigate the application effects of surgical nursing shift guidance sheet based on handover concept of color and situation-background-assessment-recommendation(SBAR)in department of general surgery.Methods:A total of 319 inpatients undergoing gradeⅢ-Ⅳsurgery and 68 surgical nurses in general surgery department were selected as the research objects between March 2022 and May 2023,which included 155 patients and 30 nurses in routine control group between March and September 2022,and 164 patients and 38 nurses in guidance sheet handover group between November 2022 and May 2023.The routine control group were given routine shift change,while the guideline sheet handover group were given shift change based on surgical nursing shift guidance sheet.The nurse satisfaction with handover[Nursing Assessment of Shift Report(NASR)],qualification rate of handover,nursing quality and doctors satisfaction were compared between two groups.Results:The NASR score in the guideline sheet handover group was higher than those in routine control group(P<0.01),the unqualified rate in the guideline sheet handover group was lower than that in routine control group(7.89%vs 30.00%,P<0.05),the qualification rate of perioperative nursing quality in the guideline sheet handover group was higher than that in routine control group(94.74%vs 73.33%,P<0.05),and the score of doctors satisfaction in the guideline sheet handover group was higher than that in routine control group(P<0.01).Conclusions:The application of surgical nursing shift guidance sheet based on handover concept of color and SBAR in department of general surgery is beneficial to improve the nursing quality,qualification rate of handover and satisfaction of doctors and nurses.
作者
姜颖
蒋明瑾
刘青
周旭
徐俐
JIANG Ying;JIANG Mingjin;LIU Qing;ZHOU Xu;XU Li(Department of General Surgery,The Affiliated Hospital of Traditional Chinese Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China)
出处
《蚌埠医科大学学报》
2025年第11期1644-1648,共5页
Journal of Bengbu Medical University
基金
上海中医药大学预算内项目(人文社科类)(2021WK121)
上海市科学技术委员会项目(20Y21903100)。
关键词
手术护理交班指引单
色彩
现况-背景-评估-建议交接理念
surgical nursing shift guidance sheet
color
handover concept of situation-background-assessment-recommendation
