摘要
目的探讨现状-背景-评估-建议(SBAR)沟通模式在慢性阻塞性肺疾病急性加重期(AECOPD)患者护理中的应用效果。方法将94例于2022年4月-2023年4月收治的AECOPD患者按随机数字表法分为对照组、试验组,每组47例,对照组实施常规护理,试验组在对照组基础上实施SBAR沟通模式,比较两组患者干预后疾病不确定感、心理弹性、治疗依从性及护理满意度。结果干预后,疾病不确定感成人量表(MUIS-A)评分试验组较对照组低,Connor-Davidson心理弹性量表(CD-RISC)评分试验组较对照组高,差异有统计学意义(P<0.05);干预后治疗依从优良率试验组(97.87%)较对照组(85.11%)高,差异有统计学意义(P<0.05);护理满意率试验组(93.62%)较对照组(78.72%)高,差异有统计学意义(P<0.05)。结论SBAR沟通模式能有效减轻AECOPD患者疾病不确定感,增强患者心理弹性,提高患者治疗依从性及护理满意度。
Objective To investigate the application effect of the status-background-assessment-recommendation(SBAR)communication model in the care of patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods A total of 94 patients with AECOPD admitted from April 2022 to April 2023 were divided into control group and experimental group according to random number table method,with 47 cases in each group,the control group implemented routine nursing,and the experimental group implemented SBAR communication mode on the basis of the control group,and compared the disease uncertainty,psychological resilience,treatment compliance and nursing satisfaction of the two groups after intervention.Results After the intervention,the Adult Disease Uncertainty Scale(MUIS-A)score in the experimental group was lower than the control group,the Connor-Davidson Resilience Scale(CD-RISC)score in the experimental group was higher than the control group,the difference was statistically significant(P<0.05),the post-intervention treatment adherence rate was higher(97.87%)than the control group(85.11%),the difference was statistically significant(P<0.05),and the nursing satisfaction rate(93.62%)was higher than that of the control group(78.72%),and the difference was statistically significant(P<0.05).Conclusion SBAR communication mode can effectively reduce the sense of disease uncertainty,enhance patients'psychological resilience,and improve patients'treatment compliance and nursing satisfaction in AECOPD patients.
作者
任晓艳
Ren Xiaoyan(Department of Respiratory and Critical Care Medicine,Gucheng County People's Hospital,Xiangyang,Hubei 441700,China)
出处
《首都食品与医药》
2023年第23期144-146,共3页
Capital Food Medicine
关键词
AECOPD
SBAR沟通模式
疾病不确定感
心理弹性
治疗依从性
AECOPD
SBAR communication mode
Feeling of uncertainty about the disease
psychological resilience
Treatment adherence