Application of SBAR communication model in beside shift hand-over for the perioperative nursing of aneurysmall subarachnoid hemorrhage / 中国实用护理杂志

ABSTRACT

Objective To observe the application of SBAR communication model in beside shift hand-over for the perioperative nursing of aneurysmall subarachnoid hemorrhage (aSAH). Methods A total of 72 cases who were diagnosed with aSAH were divided into the control group (36 cases)and observation group(36 cases).The traditional shift-change method was used in control group. The SBAR communication model was adopted in the observation group. To compare the time spent on handover, the incidence of care issues, the satisfaction of both patients and shift nurses and the incidence of complications between observation group and control group. Results Time consuming in shift change in observation group was (5.43 ± 0.44) min, lower than that in control group (7.81 ± 0.54) min, and the difference was significant (t=39.496, P<0.01). The incidence of care issues was 27.41％(37/135) in control group and 9.63％(13/135) in observation group, and there was significant difference (χ2=14.138, P<0.01). The satisfaction rate of shift nurses in observation group was higher than that in control group, and there was significant difference (t=-15.193--4.971, P<0.05). The satisfaction rate of caregivers and patients in observation group was higher than that in control group, and there was significant difference (t =--2.580--2.120, P<0.05) . Besides, the incidence of complications was 27.78％(10/36) in control group and 8.33％(3/36) in observation group, and there was significant difference (χ2=4.600, P<0.05). Conclusions The SBAR communication model in beside shift hand-over has improved the efficiency of shift change,reduced nursing risks and collaboration effect of nurse team.