Yang Qing, Liu Ningning, Xie Wanyang
Department of Obstetrics, Women's Hospital School of Medicine Zhejiang University, Hangzhou, China.
Z Geburtshilfe Neonatol. 2025 Jun;229(3):201-207. doi: 10.1055/a-2467-8774. Epub 2024 Dec 3.
The research for this paper was conducted to unveil the effect of comprehensive nursing combined with the Identification-Situation-Background-Assessment-Recommendation (ISBAR) handover approach in the nursing of patients with placental abruption.
The 40 cases of placental abruption patients admitted to the Women's Hospital School of Medicine Zhejiang University from May 2021 to May 2022 were subjected to conventional basic nursing combined with traditional handover tool intervention, which was recorded as the control group; the 40 cases of placental abruption patients admitted to the Women's Hospital School of Medicine Zhejiang University from June 2022 to June 2023 were subjected to comprehensive nursing combined with ISBAR handover tool intervention, which was recorded as the observation group. Maternal and infant outcomes, the quality of nurse handover, and the psychological burden [State Anxiety Inventory (S-AI), Trait Anxiety Inventory (T-AI), Distress Thermometer (DT), and General Self-Efficacy Scale (GSES)] were observed in the two groups, and the satisfaction with nursing was also assessed by using a self-administered satisfaction scale in the two groups.
The rate of normal delivery of patients in the observation group was higher and the rate of cesarean section and the total incidence of complications were lower than that of the control group. The 1- and 5-min Apgar scores of the newborns in the observation group were higher and the total complication rate was lower than that in the control group. Nurses in the observation group had higher scores for nurses' shift handover quality. S-AI, T-AI, and DT scores were lower in both groups after the intervention and were lowest in the observation group; GSES scores were higher and were highest in the observation group. Satisfaction with nursing was higher in the observation group than in the control group.
Comprehensive nursing combined with the ISBAR handover approach applied to the clinical care of patients with placenta abruption can effectively improve the outcomes of mothers and infants, enhance the quality of nurses' shift handovers, reduce the psychological burden of patients and increase nursing satisfaction.
本文开展研究以揭示综合护理联合身份 - 现状 - 背景 - 评估 - 建议（ISBAR）交接方法在胎盘早剥患者护理中的效果。
选取2021年5月至2022年5月在浙江大学医学院附属妇产科医院收治的40例胎盘早剥患者，采用常规基础护理联合传统交接工具干预，记为对照组；选取2022年6月至2023年6月在浙江大学医学院附属妇产科医院收治的40例胎盘早剥患者，采用综合护理联合ISBAR交接工具干预，记为观察组。观察两组母婴结局、护士交接质量以及心理负担[状态焦虑量表（S - AI）、特质焦虑量表（T - AI）、痛苦温度计（DT）和一般自我效能感量表（GSES）]，并采用自制满意度量表评估两组患者对护理的满意度。
观察组患者顺产率较高，剖宫产率及并发症总发生率低于对照组。观察组新生儿1分钟和5分钟Apgar评分较高，并发症总发生率低于对照组。观察组护士的交接班质量得分更高。干预后两组的S - AI、T - AI和DT得分均降低，且观察组最低；GSES得分升高，且观察组最高。观察组对护理的满意度高于对照组。
综合护理联合ISBAR交接方法应用于胎盘早剥患者的临床护理，可有效改善母婴结局，提高护士交接班质量，减轻患者心理负担，提高护理满意度。
