Abstract:

Objective To explore the application effects of nursing handover checklist of MECT（Modified Electroconvulsive Therapy） based on standard communication model（current situation-background-assessment-suggestion,SBAR）. Methods A random sampling was adopted to select 186 patients treated with MECT in a hospital as study subjects,in which 93 patients treated from September to November in 2017 were in a control group（n=93）,and 93 patients from March to May in 2018 were in an experimental group（n=93）. In the experimental group,the self-design nursing handover checklist of MECT based on SBAR was utilized,while the control group used the traditional handover model. The handover time of pre and post-treatment,the incidence of handover problems and staff’s satisfaction level towards the handover record checklist were used to measure the results. Results There is no significant difference in handover time of pre-treatment with MECT handover record under SBAR mode. The treatment time have lengthened 2 seconds;the incidence of handover problems dropped from 22.6% to 8.6%. Conclusion This self-design nursing handover checklist of MECT based on SBAR can smooth the whole treatment process,and reduce problems of handover.

Key words: Standard Communication, Modified Electroconvulsive Therapy, Nursing Care, Handover Record Checklist, Design, Application

摘要：

目的 探讨基于标准化 “现状-背景-评估-建议”（situation,background,assessment,recommendation,SBAR）沟通模式下设计的精神科无抽搐电痉挛治疗（modified electroconvulsive therapy,MECT）护理交接记录单的应用效果。方法 采用随机抽样法,抽取186例在某院精神科进行MECT的患者作为研究对象,将2018年3月—5月进行治疗的93例患者作为试验组,将2017年9月—11月进行治疗的93例患者作为对照组。试验组采用自行设计的SBAR模式下MECT护理交接记录单进行交接,对照组采用传统的交接模式。比较两组治疗前交接时间、治疗后交接时间、交接问题发生率。结果 运用SBAR模式下MECT护理交接记录单后,两组治疗前交接时间比较,差异无统计学意义（P>0.05）,试验组、对照组的治疗后交接时间分别为（43.68±6.41）s、（41.18±6.19）s,试验组、对照组的交接问题发生率分别为8.6%、22.6%。结论 应用基于SBAR模式下的MECT护理交接记录单,降低了交接问题发生率。

关键词: 标准化沟通, 无抽搐电痉挛治疗, 护理, 交接记录单, 设计, 应用