目的:研究现状-背景-评估-建议(SBAR)沟通模式干预对心衰(HF)患者的影响.方法:依据干预方式,于我院治疗的 187 例 HF患者被分为常规干预组(96 例,常规治疗基础上接受常规干预)与SBAR组(91 例,常规治疗基础上接受 SBAR沟通模式干预),两组均干预 6 个月.比较两组一般临床资料、LVEF、左室舒张末期容积(LVEDV)、左室收缩末期容积(LVESV)、Morisky服药依从性量表评分、健康调查简易量表(SF-36)评分、患者满意度及随访 6 个月内主要不良心血管事件(MACE)的发生率.结果:与常规干预组比较,干预后,SBAR组LVEF[(53.44±2.11)%比(57.72±1.80)%]、Morisky药物依从性量表评分[(2.00±0.77)分比(3.63±1.07)分]、SF-36 评分[(68.83±7.62)分比(76.81±9.68)分]均显著升高,LVEDV[(132.63±5.59)ml 比(119.15±6.89)ml]、LVESV[(64.36±5.82)ml 比(56.62±4.21)ml]均显著降低,P 均= 0.001.SBAR组患者满意度显著高于常规干预组(89.01%比 73.96%,χ2=6.958,P=0.008),随访期间MACE发生率显著低于后者(5.49%比 15.63%,LogRankχ2=5.043,P=0.025).结论:SBAR沟通模式干预可显著改善心衰患者心功能,提高服药依从性及生活质量,患者满意度高.
Objective:To study influence of Status-Background-Assessment-Recommendation(SBAR)communi-cation mode intervention on patients with heart failure(HF).Methods:According to intervention method,a total of 187 HF patients treated in our hospital were divided into routine intervention group(n=96,received routine in-tervention based on routine treatment)and SBAR group(n=91,received SBAR communication mode intervention based on routine treatment).Both groups were intervened for six months.General clinical data,LVEF,left ven-tricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),scores of Morisky medi-cation compliance scale and the medical outcomes study 36-item short-form heath survey(SF-36),patients'satis-faction and incidence rate of major adverse cardiovascular events(MACE)within six-month follow-up were com-pared between two groups.Results:Compared with routine intervention group,after intervention,there were sig-nificant rise in LVEF[(53.44±2.11)%vs.(57.72±1.80)%],scores of Morisky medication compliance scale[(2.00±0.77)scores vs.(3.63±1.07)scores]and SF-36[(68.83±7.62)scores vs.(76.81±9.68)scores],and significant reductions in LVEDV[(132.63±5.59)ml vs.(119.15±6.89)ml]and LVESV[(64.36±5.82)ml vs.(56.62±4.21)ml]in SBAR group(P=0.001 all).Patients'satisfaction of SBAR group was significantly higher than that of routine intervention group(89.01%vs.73.96%,χ2=6.958,P=0.008),and incidence rate MACE during follow-up was significantly lower than the latter(5.49%vs.15.63%,LogRankχ2=5.043,P= 0.025).Conclusion:SBAR communication mode intervention can significantly improve heart function,medication compliance and quality of life in patients with heart failure,with high patients'satisfaction.