摘要
目的 探究思维导图交班模式在普外科危重患者中的应用效果。方法 将我院 2021 年 1 月~2022 年
1 月 80 例普外科危重患者随机分为对照组(40 例)和实验组(40 例),对照组的护理交班采用传统模式,实验组
护理交班采用思维导图模式,根据实验结果对比两种模式的优劣。结果 实验组交班时间更短;交班过程中发现
的风险因素更多,交接遗漏项更少;护理满意度更高;不良事件的发生率更低,差异均具有统计学意义(P<0.05)。
结论 利用思维导图交班模式更利于维持普外科危重患者的护理连续性,对护士批判性思维能力有锻炼作用,同
时患者满意度更高。
关键词: 思维导图交班模式;危重患者;风险评估;交接班
Abstract
Objective To explore the application effect of mind map handover mode in critical patients in general
surgery. Methods 80 critically ill patients of general surgery in our hospital from January 2021 to January 2022 were
randomly divided into the control group (40 cases) and the experimental group (40 cases). The traditional mode was used
for nursing shift handover in the control group, and the mind map mode was used for nursing shift handover in the
experimental group. The advantages and disadvantages of the two modes were compared according to the experimental
results. Results The shift handover time of the experimental group was shorter; More risk factors are found during shift
handover, and fewer items are missed during shift handover; Higher nursing satisfaction; The incidence of adverse events
was lower, and the difference was statistically significant (P<0.05). Conclusion The use of mind map shift handover
mode is more conducive to maintaining the continuity of nursing care for critically ill patients in general surgery,
exercising nurses' critical thinking ability, and improving patient satisfaction.
Key words: Mind map handover mode; Critical patients; Risk assessment; change shifts
参考文献 References
[1] 赵钦,李永咏,董玉霞等.思维导图在胰岛素泵晨晚间床旁交接班中的应用效果[J].护理实践与研究,2021,18(24):3757-3760.
[2] 陈碧蓉.思维导图在危重患者护理交接班中的应用效果研究与分析[J].实用临床护理学电子杂志,2020,5(26):44.
[3] 张晴,厉春林,胡娜等.基于 SBAR 交班模式的 NICU 护士交接班思维导图设计与应用[J].齐鲁护理杂志,2020,26(10):50-53.
[4] 姚媛媛,赵振华,邢星敏等.危重患者护理交班清单的构建及应用[J].中国护理管理,2021,21(10):1518-1522.
[5] 黄梅,张莹,邓先锋.床边交接班思维导图对 EICU 低年资护士交接班效果的影响[J].当代护士(上旬刊),2021,28(03):163-165.
[6] 余秋凤 ICU 护士重症监护基本护理能力状况与影响因素浅析 . 临床医药文献电子杂志, 2019 ,6 (82) :118-119
[7] 叶艳 病情观察汇报和交接班指引单在 ICU 患者中的应用 . 临床医药文献电子杂志, 2019 ,6 (92) :179-180
[8] 张凡,张静萍 基于 Delphi-AHP 法多发伤患者 ICU 护理监测评估量表的构建 . 护理学报, 2019 ,26 (22) :11-15