MEWS及SBAR在泌尿外科安全管理中的应用

发布时间：2018-12-08 15:56

【摘要】：目的探讨改良早期预警评分(MEWS)及现状-背景-评估-建议标准化沟通模式(SBAR)联合应用于泌尿外科患者安全管理的临床效果观察。方法选取某院泌尿外科2016年1月-2016年8月收治患者200例,随机分为对照组(100例)和观察组(100例)。对照组采用常规方法评估和沟通。观察组采用MEWS进行病情早期预警评分,用SBAR沟通方式沟通。对比两组护士工作得分、护理风险发生率、患者满意度等情况。结果观察组护士在医护沟通、医护配合、主动性、病情观察掌握等方面得分均高于对照组,P0.01;观察组患者护理负性事件及并发症发生率明显低于对照组,P0.01,观察组医生及患者对护士工作满意度明显高于对照组,P0.05。结论 MEWS及SBAR联合应用于泌尿外科,使护士的工作能力得到提高,降低了护理负性事件及并发症的发生,值得广泛推广。
[Abstract]:Objective to investigate the clinical effect of modified early warning score (MEWS) and current situation, background, evaluation and suggested standardized communication model (SBAR) in the safety management of urological patients. Methods from January 2016 to August 2016, 200 patients were randomly divided into control group (n = 100) and observation group (n = 100). The control group was evaluated and communicated by routine method. In the observation group, MEWS was used for early warning and SBAR was used to communicate. The scores of nurses, the incidence of nursing risk and patient satisfaction were compared between the two groups. Results the scores of nurses in the observation group were higher than those in the control group in terms of medical communication, medical cooperation, initiative and condition observation and mastery (P0.01). The incidence of negative events and complications in the observation group was significantly lower than that in the control group (P 0.01). The job satisfaction of the doctors and patients in the observation group was significantly higher than that in the control group (P0.05). Conclusion the combined application of MEWS and SBAR in urology can improve the working ability of nurses and reduce the occurrence of negative events and complications. It is worth popularizing widely.
【作者单位】：河北北方学院附属第一医院;
【基金】：河北省张家口市科技局指导性项目(1621093D)
【分类号】：R473.6

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