医护一体化-SBAR 模式在乳腺癌围手术期风险管理中的应用价值
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R248.2

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广东省中医药局课题资助项目(20212081)


Application Value of Doctor-Nurse Integration and SBAR Model in Risk Management of Perioperative Period of Breast Cancer
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    摘要:

    目的:分析医护一体化-SBAR 模式在乳腺癌围手术期风险管理中的应用效果。方法:回顾性分析2020 年5 月—2021 年4 月间行手术治疗的乳腺癌患者600 例,分别将2020 年5 月—2020 年10 月间收治310 例未实施医护一体化-SBAR 模式的患者设为对照组,2020 年11 月—2021 年4 月间收治的290 例实施医护一体化-SBAR 模式风险管理的患者设为观察组,比较2 组患者护理满意度、护理不良事件发生率。结果:观察组患者第1、2、3、4、5、6 个月的护理满意度分别为99.2%、100%、98.89%、100%、100%、100%,对照组分别为98.57%、99.00%、98.72%、97.7%、100%、95.38%;观察期间2 组护理满意度比较,经秩和检验,差异有统计学意义(P<0.05)。护理后,观察组不良事件发生率为0.34 %,对照组为2.58%,2 组比较,差异有统计学意义(P<0.05)。结论:医护一体化-SBAR 模式在乳腺癌围手术期风险管理中的应用能够减少不良事件的发生,提高患者的护理满意度,有效保障患者的安全,可作为乳腺外科围手术期风险管理中的一项举措。

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    Abstract:Objective:To analyze the application effect of doctor-nurse integration and SBAR model on the risk management of perioperative period of breast cancer. Methods: A retrospective analysis was performed on 600 breast cancer patients who underwent surgical treatment from May 2020 to April 2021. A total of 310 patients admitted from May 2020 to October 2020 who did not implement the doctor- nurse integration and SBAR model were enrolled as the control group,and 290 patients admitted from November 2020 to April 2021 who implemented the doctor- nurse integration and SBAR model were enrolled as the observation group. The nursing satisfaction, nursing adverse events were compared between the two groups. Results:The nursing satisfaction in the observation group was 99.2%,100%,98.89%,100%, 100% , 100% at the first, second, third, fourth, fifth and sixth months, and 98.57% , 99.00% , 98.72%,97.7%,100%,95.38% in the control group. There was significant difference in the comparison of the nursing satisfaction between the two groups during the observation period(P<0.05). After nursing, the incidence of adverse events was 0.34% in the observation group and 2.58% in the control group,the difference being significant(P<0.05). Conclusions: The application of doctor- nurse integration and SBAR model can reduce the incidence of adverse events,improve patient nursing satisfaction and ensure patient safety in the risk management of perioperative period of breast cancer,which can be used as a measure in the risk management of perioperative period of breast surgery.

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黄丽梅,付攸缘,王慧欣,颜丹,周春姣.医护一体化-SBAR 模式在乳腺癌围手术期风险管理中的应用价值[J].新中医,2022,54(16):183-187

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  • 在线发布日期: 2022-08-28
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