2023 年第 2 期 第 18 卷

标准化交班模式在射血分数降低型心力衰竭患者接受心脏康复训练中的应用价值

The application value of standardized communication mode in cardiac rehabilitation training for patients with heart failure with reduced ejection fraction

作者：魏金玲魏小红康云鹏刘文娴

英文作者：Wei Jinling Wei Xiaohong Kang Yunpeng Liu Wenxian

单位：首都医科大学附属北京安贞医院心内科，北京100029

英文单位：Department of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

关键词：射血分数降低型心力衰竭；心脏康复；SBAR沟通模式；患者满意度；参与率

英文关键词：Heartfailurewithreducedejectionfraction;Cardiacrehabilitation;SBARcommunicationmode;Patient′ssatisfaction;Participationrate

• 摘要：

• 目的 探讨标准化交班模式（SBAR沟通模式）在射血分数降低型心力衰竭（HFrEF）患者接受心脏康复训练中的应用价值。方法 选取2020年1—9月首都医科大学附属北京安贞医院心内科重症监护室收治的HFrEF患者60例。按照随机数字表法分为常规组和SBAR组，各30例。常规组采用常规护理交接方法进行心脏康复训练；SBAR组采用标准化交班模式进行心脏康复训练。对2组患者参与心脏康复训练的满意度及康复训练参与率进行比较。结果 SBAR组患者参加心脏康复训练的满意度高于常规组 ［98.0%（147/150）比92.0%（138/150）］，差异有统计学意义（χ2=5.684，P=0.031）。SBAR组患者心脏康复训练参与率高于常规组［96.7%（29/30）比73.3%（22/30）］，差异有统计学意义（χ2=6.405，P=0.026）。结论 SBAR沟通模式在HFrEF患者心脏康复训练过程中能够增强患者信心，增加患者积极参与康复训练的决心，并获得良好就医体验。

• Objective To explore the application value of standardized communication mode(SBAR communication mode) in cardiac rehabilitation training for patients with heart failure with reduced ejection fraction(HFrEF). Methods  A total of 60 patients with HFrEF were selected from Cardiovascular Care Unit, Beijing Anzhen Hospital, Capital Medical University from January to September 2020. They were divided into the conventional group and the SBAR group according to the random number table method, with 30 cases in each group. The conventional group received cardiac rehabilitation training with conventional nursing communication method; the SBAR group received cardiac rehabilitation training with standardized communication mode. The satisfaction and the participation rate of cardiac rehabilitation training were compared between the two groups. Results  The satisfaction in the SBAR group to participate in cardiac rehabilitation training was higher than that in the conventional group［98.0%(147/150) vs 92.0%(138/150)］（χ2=5.684, P=0.031）. The participation rate of cardiac rehabilitation training in the SBAR group was higher than that in the conventional group［96.7%(29/30) vs 73.3%(22/30)］（χ2=6.405, P=0.026）. Conclusion  SBAR communication mode can enhance patients′ confidence, increase patients′ determination to actively participate in rehabilitation training and improve patients′ medical experience during cardiac rehabilitation training for patients with HFrEF.