Application effect of standardized communication mode combined with WeChat platform in pediatric emergency outpatient nursing management

doi:10.3760/cma.j.issn.1007-1245.2023.02.017

Abstract

Abstract:

Objective　To explore the application value of standardized communication mode combined with WeChat platform in pediatric outpatient emergency nursing management. Methods　A retrospective analysis was performed on the clinical data of 80 cases of children who were treated in the pediatric emergency outpatient department of Children's Hospital Affiliated to Zhengzhou University from January 2020 to June 2021. Among them, 40 children (20 nurses) who received routine nursing were set as a control group, including 21 boys and 19 girls who were 4-13 (8.48±1.17) years old. At the same period, 40 children (20 nurses) who received standardized communication mode combined with Welhat platform management were set as an observation group, including 23 boys and 17 girls who were 4-13 (8.52±1.20) years old. The nurses' goal achievement conditions [Chinese version of Nurse Behavior Goal Achievement Evaluation Scale (NPGA) scores] of the two groups were compared. The nursing qualities of the two groups were evaluated. The nursing satisfactions of the children's family members of the two groups were investigated. χ² and t tests were applied. Results　The nurses' NPGA scores of personalized nursing measures, independent decision-making, team role, team cooperation, empathy, and common participation and total score of the observation group were higher than those of the control group [(25.73±5.61) vs. (18.37±4.20), (45.70±6.22) vs. (31.52±5.03), (11.03±1.62) vs. (9.25±1.70), (25.74±4.47) vs. (20.62±3.03), (10.62±1.94) vs. (8.75±2.20), and (140.08±15.77) vs. (113.18±13.48)], with statistically differences (t=4.697, 7.760, 3.390, 4.240, 2.851, and 5.799; all P<0.05). The children's family members' SERVQUAL scores of responsiveness and reliability dimensions and total score of the observation group were higher than those in the control group [(12.37±1.07) vs. (10.03±1.62), (17.08±1.85) vs. (13.62±2.17), and (76.88±8.49) vs. (70.38±9.68)], with statistical differences (t=7.623, 7.674, and 3.193; all P<0.05). The children's family members' nursing satisfaction in the observation group was higher than that in the control group [95.00% (38/40) vs. 80.00% (32/40)], with a statistical difference (χ²=4.114, P=0.043). Conclusion　Standardized communication mode combined with WeChat platform can effectively improve the goal achievement of pediatric outpatient emergency nurses, the quality of nursing service, and the nursing satisfaction of children's family members.

Key words:

Pediatric emergency, Outpatient care, Standardized communication, WeChat platform, Satisfaction

摘要：

目的　探讨标准化沟通模式联合微信平台在儿科急诊门诊护理管理中的应用价值。方法　回顾性分析2020年1月至2021年6月在郑州大学附属儿童医院儿科急诊门诊就诊的80例患儿的临床资料，其中接受常规护理40例患儿（20名护士）作为对照组，其中男21例、女19例，年龄4～13（8.48±1.17）岁；同时期接受标准化沟通模式联合微信平台管理的40例患儿（20名护士）作为观察组，其中男23例、女17例，年龄4～13（8.52±1.20）岁。比较两组护士的目标达成情况［中文版护士行为目标达成度评价量表（NPGA）评分］，评估两组护理质量，调查两组患儿家属的护理满意度。统计学方法采用χ²检验、t检验。结果　观察组护士NPGA评分中个性化护理措施、自主决策性、团队角色、团队协作、共情及共同参与评分和总分分别为（25.73±5.61）分、（45.70±6.22）分、（11.03±1.62）分、（25.74±4.47）分、（10.62±1.94）分、（140.08±15.77）分，均高于对照组［（18.37±4.20）分、（31.52±5.03）分、（9.25±1.70）分、（20.62±3.03）分、（8.75±2.20）分、（113.18±13.48）分］，差异均有统计学意义（t=4.697、7.760、3.390、4.240、2.851、5.799，均P<0.05）；观察组患儿家属Servqual评分中响应性、可靠性维度评分及总分分别为（12.37±1.07）分、（17.08±1.85）分、（76.88±8.49）分，均高于对照组［（10.03±1.62）分、（13.62±2.17）分、（70.38±9.68）分］，差异均有统计学意义（t=7.623、7.674、3.193，均P<0.05）；观察组患儿家属护理满意度为95.00%（38/40），高于对照组［80.00%（32/40）］，差异有统计学意义（χ²=4.114，P=0.043）。结论　标准化沟通模式联合微信平台可有效提高儿科急诊门诊护士的目标达成度，提高护理服务质量和患儿家属的护理满意度。

关键词:

儿科急诊, 门诊护理, 标准化沟通, 微信平台, 满意度

Zhao Ying, Cao Zhe.

Application effect of standardized communication mode combined with WeChat platform in pediatric emergency outpatient nursing management [J]. International Medicine and Health Guidance News, 2023, 29(2): 217-.

赵颖曹哲.

标准化沟通模式联合微信平台在儿科急诊门诊护理管理中的应用效果分析 [J]. 国际医药卫生导报, 2023, 29(2): 217-.

References

[1] Hettinger AZ,Benda N,Roth E,et al. Ten best practices for improving emergency medicine provider-nurse communication[J].J Emerg Med,2020,58(4):581-593.DOI:10.1016/j.jemermed.2019.10.035.
[2] 金燕,陆佳韵,曾海燕,等.SBAR标准化沟通模式在国内急诊患者转运中的应用现状[J].现代临床护理,2019,18(4):76-80.DOI:10.3969/j.issn.1671-8283.2019.04.015.
[3] Edwards LA,Bui C,Cabrera AG,et al.Improving outpatient advance care planning for adults with congenital or pediatric heart disease followed in a pediatric heart failure and transplant clinic[J].Congenit Heart Dis,2018,13(3):362-368.DOI:10.1111/chd.12579.
[4] 周润梅,张传来,郑秋兰.ISBAR沟通模式在重症患者床旁交接班中的应用研究[J].中国实用护理杂志,2019,35(11):807-812.DOI:10.3760/cma.j.issn.1672-7088.2019.11.002.
[5] 诸白美,赵丽.病情分级管理模式对儿科急诊患儿抢救效率及护理安全的影响[J].中国临床研究,2019,32(2):269-271.DOI:10.13429/j.cnki.cjcr.2019.02.031.
[6] 张玉,袁娇,龙宝贵,等.I-PASS交接班模式对急诊儿科交接班质量及护理效果的影响[J].医学临床研究,2019,36(5):1037-1039.DOI:10.3969/j.issn.1671-7171.2019.05.076.
[7] Wu ZC,Zhou NN,Li YX,et al.Application of the SBAR communication model in the early triage of acute myocardial infarction[J].Am J Emerg Med,2022,54:320-322.DOI:10.1016/j.ajem.2021.05.055.
[8] 徐秋香.人性化服务在儿科急诊输液患儿护理中的应用效果观察及护理满意度分析[J].中国药物与临床,2019,19(22):4019-4020. DOI:10.11655/zgywylc2019.22.095.
[9] 沈蕾蕾.SBAR沟通模式联合微信平台在儿科急诊护理管理中的应用价值研究[J].贵州医药,2019,43(5):832-833.DOI:10.3969/j.issn.1000-744X.2019.05.067.
[10] 闫丽娟,康凤英,亀岡智美,等.中文版护士行为目标达成度评价量表的信效度研究[J].中华护理杂志,2013,48(12):1112-1115.DOI:10.3761/j.issn.0254-1769.2013.12.020.
[11] 苏娅丽,卢俊红,王丕琳,等.Servqual评价调查表在优质护理示范病房服务质量评价中的应用[J].护理实践与研究,2012,9(6):80-82.DOI:10.3969/j.issn.1672-9676. 2012.06.042.
[12] Tindle K,David A,Carlisle S,et al.Relationship of the built environment on nursing communication patterns in the emergency department: a task performance and analysis time sudy[J]. J Emerg Nurs,2020,46(4):440-448.DOI:10.1016/j.jen.2020.04.005.
[13] 施银,罗彩凤,杨丽萍,等.基于预警分级管理的SBAR沟通模式在急诊观察室交接班中的应用[J].中国实用护理杂志,2020,36(31):2470-2476.DOI:10.3760/cma.j.cn211501- 20200412-01822.
[14] 刘霞.SBAR模式与微信平台在儿童急诊科护理管理中的应用价值[J].护士进修杂志,2018,33(10):903-905.DOI:10.16821/j.cnki.hsjx.2018.10.011.
[15] 陈程,张贵洁,刘欣冉.SBAR沟通模式在危重患者交接班中应用效果的Meta分析[J].临床与病理杂志,2018,38(10):2215-2222.DOI:10.3978/j.issn.2095-6959.2018.10.026.
[16] 李春容,林少虹,卢琼芳,等.MEWS评分联合SBAR沟通模式在外科术后患者中的应用效果[J].广西医学,2019,41(19):2531-2533.DOI:10.11675/j.issn.0253-4304.2019.19.30.
[17] 焦薇,徐海婷.微信结合SBAR沟通方式在急诊护理管理中的应用效果评价[J].中国实用护理杂志,2022,38(3):224-228.DOI:10.3760/cma.j.cn211501-20210312-00731.
[18] 尹丹娜,罗静,徐飞,等.基于互联网+移动护士站联合ISBAR沟通模式在手术室交班中的应用[J].护理学报,2021,28(24):26-30.DOI:10.16460/j.issn1008-9969.2021. 24.026.
[19] 吴焰,方向红,刘伟.SBAR沟通训练模式提升心内科低年资护士临床思维能力的研究[J].重庆医学,2018,47(21):2866-2867,2870.DOI:10.3969/j.issn.1671-8348.2018. 21.029.
[20] 徐建英,俞刚,诸纪华.儿科门诊输液护理管理信息系统构建与应用[J].中华医院管理杂志,2019,35(2):134-136.DOI:10.3760/cma.j.issn.1000-6672.2019.02.015.
[21] 王艳艳,刘娟,张俊,等.基于德尔菲专家咨询法和层次分析法对儿科门诊护理质量评价体系的构建的应用[J].护士进修杂志,2019,34(22):2036-2040.DOI:10.16821/j.cnki.hsjx.2019.22.005.
[22] 李红,王芳.SBAR沟通模式结合危急值报告流程在老年重症肺炎伴呼吸衰竭中的应用及对提升护理质量的影响分析[J].武警后勤学院学报:医学版,2021,30(12):199-200.
[23] 刘玉娥,翟忠昌.标准化二次分诊模式在儿科急诊患儿管理中的建立与应用[J].护理管理杂志,2020,20(1):57-60.DOI:10.3969/j.issn.1671-315x.2020.01.013.
[24] 郭娟,马玉霞,李琳杰,等.SBAR标准化沟通模式在护理交接班中应用效果的Meta分析[J].护理管理杂志,2018,18(12):865-869.DOI:10.3969/j.issn.1671-315x.2018.12.008.
[25] 尹丹娜,罗静,徐飞,等.基于互联网+移动护士站联合ISBAR沟通模式在手术室交班中的应用[J].护理学报,2021,28(24):26-30.DOI:10.16460/j.issn1008-9969. 2021. 24.026.
[26] 郭美英,王莎,黄辉,等.基于SBAR沟通模式危急重症患者交班软件的开发与应用[J].中国护理管理,2020,20(3):428-431.DOI:10.3969/j.issn.1672-1756.2020.03.022.
[27] Noh GO,Kim M.Effectiveness of assertiveness training, SBAR, and combined SBAR and assertiveness training for nursing students undergoing clinical training: a quasi-experimental study[J].Nurse Educ Today,2021,103:104958.DOI:10.1016/j.nedt.2021.104958.
[28] 余田,马红波,喻斌.SBAR沟通模式指导的情景模拟演练对提高实习护士交接班质量的作用[J].中华医学教育探索杂志,2021,20(4):471-474.DOI:10.3760/cma.j.cn116021- 20200217-00468.
[29] Casher GA,Sutton B,Roosevelt G,et al.Evaluation of an integrated psychology service in a pediatric emergency department and urgent care[J].Pediatr Emerg Care,2022,38(2):e697-e702.DOI:10.1097/PEC.0000000000002328.
[30] 王晓洁,高红梅.SBAR标准沟通模式在我国护理工作中应用效果的Meta分析[J].护理研究,2018,32(13):2040-2047.DOI:10.12102/j.issn.1009-6493.2018.13.014.