SBAR 沟通模式在危重患者交接班中应用效果的Meta 分析
| 作者: |
1陈程,
1张贵洁,
2刘欣冉
1 十堰市人民医院健康管理中心，湖北医药学院学院附属人民医院，湖北 十堰 442000 2 中山大学附属第五医院呼吸内科，广东 珠海 519000 |
| 通讯: |
刘欣冉
Email: syhbmu@sina.com |
| DOI: | 10.3978/j.issn.2095-6959.2018.10.026 |
| 基金: | 国家自然科学基金 (71774049)。 |
摘要
目的：评价“现状-背景-评估-建议”(situat ion-back ground-assessment-recommendat ion， SBAR)沟通模式在危重患病交接班中的应用效果。方法：以中文检索词“现状-背景-评估-建议”“危重”“急救”“重症”“交接”“医护沟通”，英文检索词为“SBAR”“Situat ion-background-assessment-recommendation”“Critical”“First Aid”“Critical”“Transfer”“Health Care Communication”检索关于SBAR沟通模式在危重患病交接班中的随机对照试验，检索时限为各数据库建库至2018年4月，采用RevMan5.3软件进行Meta分析。结果：纳入12项研究，共2 687例患者，其中观察组1 244例，对照组1 443例。Meta分析结果显示采用SBAR沟通模式可缩短护士交接班时间(WMD=−4.71，95%CI：−6.23~−3.19)，减少患者输液脱出/外渗(OR=0.29，95%CI：0.14~0.63)和管道脱出(OR=0.13，95%CI：0.07~0.25)，降低患者压疮的发生风险(OR=0.33， 95%CI：0.10~1.02)，提高患者满意度(OR=6.07，95%CI：3.84~9.58)。敏感性分析结果显示本研究结果较可靠。结论：SBAR沟通模式可提高护士交接班的工作效率，有效保障患者安全，值得临床推广应用。
关键词：
SBAR沟通模式；危重患者；交接
Meta-analysis on the application of SBAR communication mode in the delivery control of intensive care patient
CorrespondingAuthor: LIU Xinran Email: syhbmu@sina.com
DOI: 10.3978/j.issn.2095-6959.2018.10.026
Foundation: This work was supported by the National Natural Science Foundation of China (71774049).
Abstract
Objective: To evaluate the application effect of situation-background-assessment-recommendation (SBAR) communication mode in domestic critical illness transition classes. Methods: Search words were “SBAR” “Situation-background-assessment-recommendation communication mode” “Critical” “First Aid” “Critical” “Transfer” “Health Care Communication”. For search terms, searched for all randomized controlled trials of the SBAR communication model in domestic critically ill transition classes. The search time limit for each database was built until April 2018, RevMan 5.3 software was used for Meta-analysis. Results: Twelve studies were included in a total of 2 687 patients, including 1 244 in the observation group and 1 443 in the control group. Meta-analysis results showed that the use of SBAR communication mode shortened nurses shift time (WMD=−4.71, 95%CI: −6.23 to −3.19), reduced infusion infiltration/exosmosis (OR=0.29, 95%CI: 0.14–0.63) and ductal prolapse (OR=0.13, 95%CI: 0.07–0.25), reduced the risk of pressure sores (OR=0.33, 95%CI: 0.10–1.02), and improved patient satisfaction (OR=6.07, 95%CI: 3.84–9.58). Sensitivity analysis results showed that the results of this study were reliable. Conclusion: The SBAR communication mode can improve the work efficiency of nurses’ shift classes, effectively protect the safety of patients, and is worthy of clinical application.
Keywords：
situation-background-assessment-recommendation communication mode; intensive care patient; handover