Nursing Research
Application of physician - nurse - rehabilitation therapist integrated management model based on SBAR in early rehabilitation of stroke patients
Chen Manhua, Lin Zhuang, Huang Linchun, Lin Chun, Cai Yingying, Zhou Yufen, Huang Xiaodan, Li Yijun, Jiang Nan
Published 2023-07-01
Cite as IMHGN, 2023, 29(13): 1899-1904. DOI: 10.3760/cma.j.issn.1007-1245.2023.13.029
Abstract
ObjectiveTo explore the application effect of physician - nurse - rehabilitation therapist integrated management model based on SBAR (Situation, Background, Assessment, and Recommendation) in promoting early rehabilitation of stroke patients.
MethodsUsing a pre-post control study method with different cases, 30 stroke patients admitted to Jieyang People's Hospital from June 2020 to February 2021 were selected as a control group, including 11 males and 19 females, with an age of (63.77±13.26) years old, who received traditional physician - nurse - rehabilitation therapist integrated management model; 30 stroke patients admitted to Jieyang People's Hospital from March 2021 to December 2021 were as selected an observation group, including 21 males and 9 females, with an age of (59.20±17.20) years old, who received SBAR-based physician - nurse - rehabilitation therapist integrated management model. The modified Barthel index scores (activities of daily living) and simple three-level balance assessment results before and after intervention, and patient satisfaction with nursing services were compared between the two groups. t test and χ2 test were used.
ResultsThe modified Barthel index score of the observation group was significantly higher than that of the control group at discharge [(50.23±28.63) points vs. (31.63±23.31) points], with a statistically significant difference (P<0.01). The sitting and standing balance assessment results of the observation group were better than those of the control group at 2 weeks of hospitalization and discharge, with statistically significant differences (all P<0.05). There were 7 dimensions of patient nursing service satisfaction, among which the scores of perceived quality and patient complaint were (42.70±3.76) and (4.47±0.68) points in the control group, and (45.53±0.73) and (4.80±0.41) points in the observation group, respectively, with statistically significant differences (both P<0.05); the scores of hospital brand, disease pressure, patient satisfaction, and patient loyalty were (4.47±0.57), (4.63±0.56), (9.37±1.03), and (9.20±1.00) points in the control group, and (4.90±0.31), (4.93±0.25), (9.97±0.18), and (9.87±0.35) points in the observation group, respectively, with statistically significant differences (all P<0.01); the patient expectation score of the control group was (14.40±1.33) points, and that of the observation group was (14.87±0.35) points, with no statistically significant difference (P>0.05).
ConclusionThe physician - nurse - rehabilitation therapist integrated management model based on SBAR can improve the activities of daily living of stroke patients, improve the limb function, and improve the satisfaction of nursing services, which has high clinical promotion value.
Key words:
Stroke; Rehabilitation nursing; Quality of life; SBAR theory
Contributor Information
Chen Manhua
Neurosurgery District II, Jieyang People's Hospital, Jieyang 522000, China
Lin Zhuang
Operating Room, Jieyang People's Hospital, Jieyang 522000, China
Huang Linchun
Neurosurgery District II, Jieyang People's Hospital, Jieyang 522000, China
Lin Chun
Neurosurgery District II, Jieyang People's Hospital, Jieyang 522000, China
Cai Yingying
Nursing Department, Jieyang People's Hospital, Jieyang 522000, China
Zhou Yufen
Neurosurgery District II, Jieyang People's Hospital, Jieyang 522000, China
Huang Xiaodan
Neurosurgery District II, Jieyang People's Hospital, Jieyang 522000, China
Li Yijun
Neurosurgery District II, Jieyang People's Hospital, Jieyang 522000, China
Jiang Nan
Neurosurgery District II, Jieyang People's Hospital, Jieyang 522000, China