护理学报2025，Vol.32Issue(9)：7-14,8.DOI:10.16460/j.issn2097-6569.2025.09.007
医护标准化沟通下缺血性脑卒中介入术后患者镇痛镇静评估流程的临床应用研究
Effectiveness of analgesia and sedation assessment process following endovascular treatment for ischemic stroke under standardized communication between healthcare professionals
摘要
Abstract
Objective To investigate the effectiveness of analgesia and sedation assessment process following endovascular treatment for ischemic stroke under structured healthcare professional communication.Methods Using convenience sampling,72 patients with ischemic stroke from the neurological intensive care unit of a tertiary grade-A hospital in Guangzhou were selected.Thirty-seven patients admitted between June and October,2024 were assigned to the observation group,while thirty-five patients admitted from February to May,2024 to the control group.Standardized communication-based analgesia and sedation assessment process was implemented in the observation group,while routine procedure in the control group.Analgesic/sedative medication usage rate and healthcare team collaboration score before and after the implementation of the process were compared.Results All the patients complete the intervention.There was significantly lower analgesic/sedative medication usage rate in the observation group,indicating statistical significance(57％VS 80％,x2=4.470,P＜0.05).After implementing the analgesia and sedation assessment process,collaboration among healthcare professionals improved significantly.The scores in all three dimensions-information exchange,shared decision-making,and nurse-doctor relationship-showed statistically significant differences(t=4.549～9.339,P＜0.05).Conclusion The implemented process effectively optimizes clinical utilization of analgesic/sedative medication and enhances interdisciplinary collaboration among healthcare professionals.关键词
缺血性脑卒中/介入术/镇痛镇静评估/医护标准化沟通/评估流程/SBAR模式Key words
ischemic stroke/endovascular treatment/analgesia and sedation assessment/standardized medical-nursing communi-cation/assessment process/SBAR mode分类
医药卫生引用本文复制引用
程雷,项丽君,曹猛,颜明玉,赵鹏,廖琳,张晓梅..医护标准化沟通下缺血性脑卒中介入术后患者镇痛镇静评估流程的临床应用研究[J].护理学报,2025,32(9):7-14,8.基金项目
南方医科大学南方医院临床研究专项(2023CR026) （2023CR026）
