全科护理2026，Vol.24Issue(15)：2839-2844,6.DOI:10.12104/j.issn.1674-4748.2026.15.008
电子化护士直觉清单联合SBAR沟通模式在ICU病人早期病情恶化预警中的应用效果
Application effect of an electronic nurse intuition-based deterioration screening(e-NIPDS)checklist combined with the SBAR communication model in early warning of clinical deterioration among ICU patients
乐仙林 1蔡庆芸 1谭星星1
作者信息
- 1. 430030,华中科技大学同济医学院附属同济医院
- 折叠
摘要
Abstract
Objective:To investigate the application effect of an electronic nurse intuition-based deterioration screening(e-NIPDS)checklist combined with the SBAR communication model on the early warning of clinical deterioration in intensive care unit(ICU)patients.Methods:A total of 260 ICU patients from a tertiary Grade A hospital in Hubei province between March and August 2025 were selected and divided into a control group and an intervention group based on the time of admission.The control group received routine early warning care for clinical deterioration,while the intervention group received the e-NIPDS combined with SBAR intervention in addition to routine care.The time to identify clinical deterioration,the incidence of severe adverse events,the number of early warning calls made by nurses,the effective warning rate,and scores for evidence-based decision-making ability were compared between the two groups.Results:The time to identify clinical deterioration in the intervention group was approximately 188 minutes earlier than in the control group(P<0.05).The average number of early warning calls per patient increased significantly(P<0.05),while there was no statistically significant difference in the effective warning rate(P>0.05).Nurses'evidence-based decision-making ability improved significantly(P<0.05),and the incidence of severe adverse events among patients decreased significantly(P<0.05).Conclusion:The combination of e-NIPDS and the SBAR communication model can significantly improve the timeliness and accuracy of ICU nurses in identifying clinical deterioration,enhance their evidence-based decision-making ability,and reduce the incidence of adverse events in patients.关键词
重症监护病房/电子化护士直觉清单/早期预警系统/SBAR/病情恶化Key words
intensive care unit,ICU/electronic nurse intuition-based deterioration screening checklist/early warning system/SBAR/clinical deterioration引用本文复制引用
乐仙林,蔡庆芸,谭星星..电子化护士直觉清单联合SBAR沟通模式在ICU病人早期病情恶化预警中的应用效果[J].全科护理,2026,24(15):2839-2844,6.
