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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,P<0.01;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,P<0.01,观察组医生及患者对护士工作满意度明显高于对照组,P<0.05。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。
Objective To investigate the clinical efficacy of improved early warning score (MEWS) and current status-background-assessment-recommend standardized communication (SBAR) in the safety management of urologic patients. Methods A total of 200 patients admitted to Department of Urology from January 2016 to August 2016 in our hospital were randomly divided into control group (100 cases) and observation group (100 cases). Control groups used routine methods to assess and communicate. The observation group used MEWS to make early warning score of illness and communicate with SBAR. Comparing two groups of nurses work scores, the incidence of nursing risk, patient satisfaction and so on. Results The score of nurses in observation group was higher than that of control group in the aspects of medical communication, medical cooperation, initiative and observation and observation, P <0.01. The incidence of negative events and complications in observation group was significantly lower than that in control group (P < 0.01. Satisfaction of doctors and patients in the observation group with nurses was significantly higher than that of the control group (P <0.05). Conclusions Combined use of MEWS and SBAR in urology can improve nurses’ work ability and reduce negative events and complications of nursing. It is worth widely disseminating.