标准化沟通模式联合眼外伤评分系统在野战医疗所救治眼战伤中的应用

张欣; 权巍; 李燕; 冯慧萍

doi:10.3969/j.issn.2095-5227.2022.10.017

标准化沟通模式联合眼外伤评分系统在野战医疗所救治眼战伤中的应用

Application of SBAR communication mode combined with OTS scoring system in treatment of eye combat injury in field medical station

摘要

摘要:
背景战场上眼战伤发生率较高，复杂眼战伤应给予准确评估并及时处置，为下一步后送治疗提供准确信息和手术依据，因此探索眼战伤的紧急救治对于提升部队作战能力有重要意义。
目的探讨标准化沟通模式SBARSituation(现状) - Background(背景) - Assessment(评估) - Recommendation(建议)联合眼创伤评分系统(ocular trauma score，OTS)建立的标准化模板，在野战医疗所对眼战伤进行标准化分级，是否能给救治过程提供客观准确的信息，指导制定更为合理的救治和后送方案。
方法我院野战医疗所在驻训演练过程中联合应用SBAR沟通模式和OTS评分系统，设计适合我院野战医疗所检伤救治流程规范的模板，通过检伤组自评和救治组互评的方式，对比模板应用前后救治主动性、救治时效性、救治准确性、交接流畅性、信息完整性、工作满意度等情况。
结果应用SBAR眼外伤检伤标准模板后检伤分类组自评救治主动性(84.53 ± 4.52 vs 78.87 ± 5.00)、救治时效性(86.80 ± 4.089 vs 82.00 ± 4.068)、救治准确性(87.60 ± 4.215 vs 83.37 ± 4.311)、病历信息与收容救治组交接时的流畅性(89.20 ± 4.06 vs 83.97 ± 4.77)、信息完整性(90.00 ± 4.39 vs 83.23 ± 4.61)、工作满意度(91.50 ± 3.93 vs 85.90 ± 4.41)均优于使用前，差异有统计学意义(P均＜0.05)。
结论 SBAR沟通模式联合OTS评分应用于野战医疗所眼部损伤的伤员救治，能够优化救治流程，提高医护人员满意度，值得推广。

Abstract:
Background There is a high incidence rate of eye combat injury on the battlefield, and accurate assessment and timely treatment of complex eye combat injury are required to provide accurate information and a surgical basis for subsequent evacuation and treatment. Therefore, exploring the emergency treatment of eye combat injury is of great significance to improve the combat capabilities of troops.
Objective To establish a standardized grading system for eye combat injury in field medical stations based on the Situation-Background-Assessment-Recommendation (SBAR) communication mode and the ocular trauma score (OTS) scoring system, and provide objective and accurate information for the treatment process and the formulation of reasonable rescue and evacuation regimens.
Methods Combining with the application of SBAR and OTS in the training exercise of the field medical institute of our hospital, a template suitable for the standardization of the treatment process of the field medical institute of our hospital was designed, and the initiative of treatment, the timeliness of treatment, the accuracy of treatment, the fluency of handover, the completeness of information, and the satisfaction of work were compared before and after the application through the self-evaluation of the injury detection team and the mutual evaluation of the treatment group.
Results After the application of the standard SBAR template for eye trauma examination, the injury examination group had significantly better initiative of treatment (84.53±4.52 vs 78.87±5.00), timeliness of treatment (86.80±4.09 vs 82.00±4.07), accuracy of treatment (87.60±4.22 vs 83.37±4.31), fluency of handover of medical records to the treatment group (89.20±4.06 vs 83.97±4.77), completeness of information (90.00±4.39 vs 83.23±4.61), and degree of satisfaction with work (91.50±3.93 vs 85.90±4.41), and the differences were statistically significant (all P＜0.05).
Conclusion In the treatment of wounded soldiers with eye trauma, the application of the SBAR communication mode and the OTS scoring system can optimize the treatment process and improve the degree of satisfaction with medical staff in field medical stations, and therefore, it holds promise for clinical application.

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