基于ISBAR模式构建结构化交接链提高儿童急诊科危重患者转运交接质量的效果评价
Evaluation of the Effectiveness of Constructing a Structured Handover Chain Based on the ISBAR Model to Improve the Quality of Transfer Handover for Critically Ill Children in the Emergency Department
摘要: 目的：评价基于ISBAR模式构建结构化交接链在提高儿科急诊危重患者院内转运交接质量中的应用效果。方法：采用前瞻性前后对照研究设计，选取2026年1月7日至1月13日儿科急诊转运至PICU/NICU的30例危重患者为改善前组，实施结构化交接链干预后，选取2026年4月8日至4月14日转运的30例危重患者为改善后组。比较干预前后交接完整执行率、各维度执行率及家属满意度等指标。本研究经曲靖市妇幼保健院伦理审查委员会批准，批准文号：QJFY-2026-001，所有患儿家属均签署知情同意书。结果：干预后，总交接完整执行率由75.00%提升至93.75% (P < 0.001)；A评估 + R建议执行率由20.00%提升至90.00% (P < 0.001)；风险标识执行率由25.00%提升至88.00% (P < 0.001)；家属沟通执行率由40.00%提升至92.00% (P < 0.001)。目标达成率为125.00%，进步率为25.00%。结论：基于ISBAR模式构建结构化交接链可显著提高儿科急诊危重患者院内转运交接质量，具有良好的临床推广应用价值。
Abstract: Objective: To evaluate the application effect of constructing a structured handover chain based on the ISBAR model in improving the quality of in-hospital transfer handover for critically ill pediatric emergency patients. The method employed a prospective before-and-after control study design. Thirty critically ill patients transferred to PICU/NICU via pediatric emergency department from January 7 to January 13, 2026, were selected as the pre-improvement group. After implementing the structured handover chain intervention, another 30 critically ill patients transferred from April 8 to April 14, 2026, were selected as the post-improvement group. Indicators such as the complete execution rate of handover, the execution rate of each dimension, and family satisfaction were compared before and after the intervention. This study was approved by the Ethics Review Committee of Qujing Maternity and Child Healthcare Hospital, with approval number QJFY-2026-001. All parents of the children involved signed the informed consent form. Result after the intervention. The overall handover completion rate increased from 75.00% to 93.75% (P < 0.001); the implementation rate of A assessment + R suggestion rose from 20.00% to 90.00% (P < 0.001); the implementation rate of risk identification climbed from 25.00% to 88.00% (P < 0.001); and the implementation rate of family communication improved from 40.00% to 92.00% (P < 0.001). The target achievement rate was 125.00%, and the improvement rate was 25.00%. The conclusion is that constructing a structured handover chain based on the ISBAR model can significantly improve the quality of intra-hospital transfer handover for critically ill pediatric emergency patients, and has good clinical application value for promotion.
文章引用：吕叶, 武乔芬, 祝新锐. 基于ISBAR模式构建结构化交接链提高儿童急诊科危重患者转运交接质量的效果评价[J]. 护理学, 2026, 15(6): 1-7. https://doi.org/10.12677/ns.2026.156171

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