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中国当代医药  2022, Vol. 29 Issue (20): 55-58    
  临床研究 本期目录 | 过刊浏览 | 高级检索 |
I PASS结构化病情交班模式在急诊危重症患者交班中的应用效果
谌欢      潘小康      吴洁华      王蒙蒙
南昌大学第二附属医院急诊科,江西南昌   330006
Application effect of I PASS structured disease handover model in emergency critically ill patients
CHEN Huan   PAN Xiaokang   WU Jiehua   WANG Mengmeng
Department of Emergency, the Second Affiliated Hospital of Nanchang University, Jiangxi Province, Nanchang   330006, China
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摘要 目的 探讨I PASS结构化病情交班模式在急诊危重症患者交班中的应用效果。方法 选取2021年5月至12月于南昌大学第二附属医院急诊科工作的42名护理人员为研究对象。其中2021年5月至8月南昌大学第二附属医院急诊科对危重症患者交接班实施传统床旁交接班模式,此阶段交接班相关资料作为对照组;2021年9月至12月南昌大学第二附属医院急诊科对危重症患者交接班实施I PASS结构化病情交班模式,此阶段交接班相关资料作为观察组。比较两组护理人员的交接班质量、交接班时间、交接内容完整性及其对交接班模式的满意度。结果 观察组护理人员的交班环境、交班内容、沟通技巧、人文关怀、组织效率、临床判断及总体交班能力评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理人员的接班环境、沟通技巧、人文关怀、组织效率、临床判断及总体交班能力评分均高于对照组,差异有统计学意义(P<0.05)。观察组护理人员的交接班时间短于对照组,交班内容完整性高于对照组,差异有统计学意义(P<0.05)。观察组护理人员对交接班模式的总满意度高于对照组,差异有统计学意义(P<0.05)。结论 I PASS结构化病情交班模式应用于急诊危重症患者中,护理人员的交接班质量、交接班效率、交班内容完整性均得到提升,其对交班模式也更满意。
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谌欢
潘小康
吴洁华
王蒙蒙
关键词 急诊危重症患者交班I PASS结构化病情交班模式    
Abstract:Objective To investigate the application effect of I PASS structured disease handover model in emergency critically ill patients. Methods A total of 42 nurses worked in emergency department of the Second Affiliated Hospital of Nanchang University from May to December 2021 were selected as the research subjects. Traditional bedside handover model was adopted in the emergency department from May to August 2021, and nurses adopted this model during the period were included in the control group. I PASS structured disease handover model was adopted in the emergency department from September to December 2021, and nurses adopted this model during the period were included in the observation group. The shift handover quality, shift handover time, completeness of handover contents and nurses′ satisfaction with the shift handover mode were compared between the two groups. Results The scores of handover environment, handover content, communication skills, humanistic care, organizational efficiency, clinical judgment and overall handover ability in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05). The scores of shift environment, communication skills, humanistic care, organizational efficiency, clinical judgment and overall handover ability in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05). The shift handover time of the observation group was shorter than that of the control group, and the completeness of the handover content in the observation group was higher than that in the control group, the differences were statistically significant (P<0.05). The nurses′ total satisfaction with the shift handover mode in the observation group was higher than that in the control group, the difference was statistically significant (P<0.05). Conclusion I PASS structured disease handover mode is applied to emergency critically ill patients, the shift handover quality, shift handover efficiency and handover contents completeness of nurses are improved, and they are more satisfied with the handover mode.
Key wordsEmergency    Critically ill patient    Handover    I PASS structured disease handover model
    
基金资助:江西省卫生健康委科技计划项目(202130435)
引用本文:   
谌欢; 潘小康; 吴洁华; 王蒙蒙. I PASS结构化病情交班模式在急诊危重症患者交班中的应用效果[J]. 中国当代医药, 2022, 29(20): 55-58.
CHEN Huan; PAN Xiaokang; WU Jiehua ; WANG Mengmeng. Application effect of I PASS structured disease handover model in emergency critically ill patients. 中国当代医药, 2022, 29(20): 55-58.
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