Randmaa Maria, Mårtensson Gunilla, Swenne Christine Leo, Engström Maria
J Perianesth Nurs. 2015 Apr;30(2):105-15. doi: 10.1016/j.jopan.2014.01.012. Epub 2015 Jan 20.
The aim was to examine the handover process in the postanesthesia care unit, how much the receiver remembered, and what factors influenced memory.
An observational study with a descriptive and correlational design.
A total of 73 handovers were investigated, and data were collected using observation, audiotape recordings of the handovers, and the patient's anesthetic record.
Interruptions occurred at 56 (77%) handovers and the sender expressed unclear information at 51 (70%) handovers. The mean of the verbally given information remembered by the receivers was 47%; the items mostly likely not to be remembered were the drugs used during anesthesia. A linear generalized estimating equation was used and identified variables that were significantly associated with receivers' retention of information were structure and handover duration.
Lack of structure and long duration of the verbal handover decrease how much the receiver will remember.
旨在研究麻醉后护理单元的交接班过程、接收者的记忆程度以及影响记忆的因素。
一项采用描述性和相关性设计的观察性研究。
共调查了73次交接班，并通过观察、交接班的录音以及患者的麻醉记录收集数据。
56次（77%）交接班出现了中断，51次（70%）交接班时交班者传达的信息不清晰。接收者记住的口头信息平均为47%；最有可能记不住的项目是麻醉期间使用的药物。使用线性广义估计方程，确定与接收者信息留存显著相关的变量为结构和交接班时长。
口头交接班缺乏结构且时长较长会降低接收者的记忆程度。
