陈秀娴 许改燕 邓凤阳

【摘要】 目的：探讨改良早期预警评分系统联合SBAR沟通模式在心内科患者中的应用效果。方法：采用前瞻性研究方法，选取2017年7月-2019年7月于笔者所在医院心内科收治的患者196例作为研究对象，按干预措施不同分为试验组和对照组，每组98例。试验组给予MEWS联合SBAR沟通模式的干预措施，对照组给予常规干预措施，比较两组患者不良事件发生情况、住院时间，及对护理工作满意度的差异。结果：干预后，试验组不良事件发生情况明显少于对照组，住院时间明显短于对照组，护理满意度明显高对照组，差异均有统计学意义（P<0.05）。结论：MEWS联合SBAR沟通模式能有效减少心内科患者不良事件发生情况，缩短住院时间，提升患者对护理服务的满意度，可以在临床推广使用。

【关键词】 改良早期预警评分系统 SBAR沟通模式 心内科

doi：10.14033/j.cnki.cfmr.2020.19.068 文献标识码 B 文章编号 1674-6805（2020）19-0-03

Application of Early Warning Scoring System and SBAR Communication Model in Cardiology Ward/CHEN Xiuxian， XU Gaiyan， DENG Fengyang. //Chinese and Foreign Medical Research， 2020， 18（19）： -167

[Abstract] Objective： To explore the effect of early warning scoring system combined with SBAR communication model on patients in cardiology ward. Method： A prospective study was conducted to select 196 patients from July 2017 to July 2019 in the Department of Cardiology of our hospital. They were divided into experimental group and control group according to the intervention measures， with 98 patients in each group. The experimental group was given early warning scoring system combined with SBAR communication mode intervention measures， while the control group was given routine intervention measures. The occurrence of adverse events， hospitalization time and nursing job satisfaction of the two groups were compared. Result： After intervention， the incidence of adverse events in the experimental group was significantly less than that in the control group， hospitalization time was significantly shorter than that in the control group， and nursing satisfaction was significantly higher in the control group， the differences were statistically significant （P<0.05）. Conclusion： Early warning scoring system combined with SBAR communication mode can effectively reduce the occurrence of adverse events on cardiology patients， shorten hospitalization time and improve patients satisfaction with nursing services， which can be widely used in clinical practice.

[Key words] Early warning scoring system SBAR communication mode Cardiology Department

First-authors address： Yangjiang City Peoples Hospital of Guangdong， Yangjiang 529500， China

心內科收治的患者包含高血压、心律失常、心肌炎、冠心病、心力衰竭等各种心血管疾病[1]。其患者往往病种复杂、病情较重，且发病迅速，因此更加要求医护工作者具备迅速识别风险的能力，及时发现患者病情变化，同时提高医护沟通的效率，避免因病情的延误导致患者不良事件的发生，改善患者预后[2-3]。近年来，早期预警评分系统（modified early waring score，MEWS）因可以对病情快速评估，在早期即能准确识别出“潜在的危重病患者”，并给予其高效的干预措施等优点，现已引起广泛重视并逐步开展使用[4-5];然而，目前国内大部分护理工作者在向医生汇报病情时，往往仅局限于对问题表面的陈述，缺乏相关信息的深入分析和思考，医护交流的标准不统一，因此造成汇报信息不全面，降低了沟通的有效性[6]。……