SBAR沟通模式在急诊胸痛患者中的应用与思考
Application and Reflection on the SBAR Communication Model in Emergency Chest Pain Patients
摘要: 急性胸痛是急诊科常见症状,具有发病快、致死率高的特点,快速准确的沟通有助于医护人员快速掌握患者病情,进行及时救治。SBAR标准化沟通模式(Situation-Background-Assessment-Recommendation, SBAR)作为一种区别于传统经验式口头汇报的结构化、标准化的沟通工具,已被广泛应用于患者转运交接、病情汇报等场景,其在提高患者救治效率、提升医疗服务质量等方面展现了显著优势。本文从SBAR沟通模式在急诊胸痛患者中的应用现状、应用效果、局限性及应对策略等方面进行综述,旨在为SBAR沟通模式在急诊胸痛患者中的应用提供理论参考。
Abstract: Acute chest pain is a prevalent symptom in the emergency department, characterized by rapid onset and high lethality. Effective and timely communication enables healthcare personnel to swiftly assess the patient’s condition and deliver appropriate treatment. The SBAR (Situation-Background-Assessment-Recommendation) communication model, a structured and standardized alternative to traditional experience-dependent verbal reporting, has been extensively implemented in scenarios such as patient transfer, handover, and medical condition reporting. This model has shown considerable advantages in enhancing the efficiency of patient treatment and improving the quality of medical services. This paper reviews the current status, application outcomes, limitations, and countermeasures of the SBAR communication model in managing emergency chest pain patients, aiming to provide a theoretical reference for its application in this context.
文章引用:王雯, 乐婷, 王淇, 职训杰, 曹姗姗, 王仙丽, 张诚诚, 孙金霞, 张茜. SBAR沟通模式在急诊胸痛患者中的应用与思考[J]. 护理学, 2026, 15(9): 140-148. https://doi.org/10.12677/ns.2026.159298

参考文献

[1] 钟莹莹, 牟敏, 周丹. 电子信息化改良SBAR交接班模式对提高血管外科护理交接班质量的作用[J]. 卫生职业教育, 2023, 41(24): 118-121.
[2] 吴彪, 管健, 郭旭昌. 急诊胸痛综合风险评估量表在急诊高危胸痛患者诊治中的应用价值[J]. 中国现代药物应用, 2021, 15(10): 83-85.
[3] De Meester, K., Verspuy, M., Monsieurs, K.G. and Van Bogaert, P. (2013) SBAR Improves Nurse-Physician Communication and Reduces Unexpected Death: A Pre and Post Intervention Study. Resuscitation, 84, 1192-1196.
https://doi.org/10.1016/j.resuscitation.2013.03.016
[4] Renz, S.M., Boltz, M.P., Wagner, L.M., Capezuti, E.A. and Lawrence, T.E. (2013) Examining the Feasibility and Utility of an SBAR Protocol in Long-Term Care. Geriatric Nursing, 34, 295-301.
https://doi.org/10.1016/j.gerinurse.2013.04.010
[5] Li, W., Wang, J., Liang, X., Wang, Q., Chen, T., Song, Y., et al. (2023) Comparison of the Feasibility and Safety between Distal Transradial Access and Conventional Transradial Access in Patients with Acute Chest Pain: A Single-Center Cohort Study Using Propensity Score Matching. BMC Geriatrics, 23, Article No. 348.
https://doi.org/10.1186/s12877-023-04058-y
[6] Long, Z., Liu, W., Zhao, Z., Tong, S., Wang, L., Zhou, M., et al. (2022) Case Fatality Rate of Patients with Acute Myocardial Infarction in 253 Chest Pain Centers—China, 2019-2020. China CDC Weekly, 4, 518-521.
https://doi.org/10.46234/ccdcw2022.026
[7] Xia, W., Shi, X., Chen, Q. and Yang, R. (2024) Optimizing Processes of Care and Time to Diagnosis in Acute Aortic Dissection Patients in a Chest Pain Center by Implementing a Multidisciplinary Cooperative First Aid Mode—A Quality Improvement Report. Intensive and Critical Care Nursing, 84, Article 103765.
https://doi.org/10.1016/j.iccn.2024.103765
[8] 倪兆霞, 郜根娣. SBAR标准化沟通模式在急性胸痛患者预检分诊中的应用[J]. 实用临床护理学电子杂志, 2017, 2(43): 163-164.
[9] 劳飞爱, 卢艳飞, 李敏, 等. SBAR模式在急诊预检分诊中的应用研究[J]. 蛇志, 2022, 34(2): 249-252+261.
[10] 罗晓玲, 刘春燕, 陈艺丹, 等. 风险SBAR标准化沟通模式在急性心肌梗死患者预检分诊中的应用[J]. 中国临床研究, 2022, 35(8): 1181-1185.
[11] Wu, Z.C., Zhou, N.N., Li, Y.X., et al. (2022) Application of the SBAR Communication Model in the Early Triage of Acute Myocardial Infarction. The American Journal of Emergency Medicine, 54, 320-322.
https://doi.org/10.1016/j.ajem.2021.05.055
[12] Scolari, E., Soncini, L., Ramelet, A.S. and Schneider, A.G. (2022) Quality of the Situation-Background-Assessment‐Recommendation Tool during Nurse‐Physician Calls in the ICU: An Observational Study. Nursing in Critical Care, 27, 796-803.
https://doi.org/10.1111/nicc.12743
[13] 庞秀清. SBAR沟通模式在急诊PCI术后患者病情汇报中的应用[J]. 中西医结合心血管病电子杂志, 2019, 7(12): 138-139.
[14] 符丽娜, 张玉梅. SBAR交流模式在临床病情汇报中的应用效果[J]. 实用临床护理学电子杂志, 2019, 4(32): 81.
[15] 翁叶虹, 陈红云, 张永梅, 等. 反式SBAR模式病情汇报在提高护生评判性思维中的应用[J]. 中国医药导报, 2020, 17(23): 160-162.
[16] 杜凤燕, 王东丽, 李敏. SBAR沟通模式在ICU护士病情汇报中的应用[J]. 实用临床护理学电子杂志, 2019, 4(43): 25.
[17] 沈国英, 傅蓉, 黄赣英, 等. 标准化沟通模式(SBAR)在急诊科病情汇报中的应用分析[J]. 中国高等医学教育, 2020(11): 131-133.
[18] 魏丽, 陈乙瑞. SBAR沟通模式在新入职护士病情汇报中的应用[J]. 中国继续医学教育, 2021, 13(35): 62-66.
[19] 王晓洁, 高红梅. SBAR沟通模式在患者转运交接中的研究现状[J]. 护理实践与研究, 2018, 15(14): 18-21.
[20] 彭颖, 李燕, 张燕. SBAR沟通联合改良早期预警评分在CCU患者转运交接中的应用[J]. 中国医学创新, 2025, 22(32): 99-103.
[21] 余玲, 颜琼, 霍雪琴. 基于SBAR沟通模式的标准化床边交接在心脏介入诊疗患者转运中的应用效果[J]. 中国当代医药, 2021, 28(19): 78-81.
[22] 秦小玲. SBAR式交接单在院前急救患者转运交接中的应用[J]. 黑龙江中医药, 2023, 52(2): 1-2.
[23] 罗明民, 姜艳, 白雪. MEWS联合SBAR沟通模式在急诊患者住院转运交接中的应用研究[J]. 中国继续医学教育, 2020, 12(21): 81-83.
[24] 田春梅, 张敏, 谢忠琼, 等. SBAR沟通模式联合清单式管理在转科患者转运中应用[J]. 中国典型病例大全, 2026, 20(2): 1468-1472.
[25] 陈娜, 罗列. SBAR沟通模式在急诊病区护理交接班中的应用研究进展[J]. 当代护士(中旬刊), 2025, 32(2): 1-3.
[26] 郑正. 改良MEWS评分联合SBAR标准沟通模式在急诊留观室交接班中的应用[J]. 当代护士(下旬刊), 2023, 30(4): 109-113.
[27] 姚艳, 丁正艳, 徐银月, 等. 改良SBAR交接班在高危患者外出检查交接护理工作中的应用[J]. 齐鲁护理杂志, 2024, 30(12): 128-130.
[28] Toghian Chaharsoughi, N., Nasr-Esfahani, M., Alikhah, S. and Moghimian, M. (2025) Investigating the Impact of Implementing Structured Patient Handover through the SBAR Model on Clinical Errors of Nurses in the Emergency Department. Journal of Education and Health Promotion, 14, 451-450.
https://doi.org/10.4103/jehp.jehp_693_24
[29] Zhu, H. and Ding, D. (2025) Effects of Optimizing Emergency Nursing Care Process on Success Rate of Rescue and Incidence of Adverse Reactions in Patients with Acute Chest Pain. Frontiers in Medicine, 12, Article 1727151.
https://doi.org/10.3389/fmed.2025.1727151
[30] 谭露, 张雨, 王思乐, 等. SBAR模式下医护一体化在骨科护士培训中的应用[J]. 继续医学教育, 2024, 38(6): 102-105.
[31] 卢妙娟, 石宏英, 陈丽君. 思维导图联合SBAR标准沟通模式在降低急诊科护士交接班缺陷率中的应用[J]. 齐鲁护理杂志, 2021, 27(5): 165-167.
[32] Li, X., Zhao, J. and Fu, S. (2022) SBAR Standard and Mind Map Combined Communication Mode Used in Emergency Department to Reduce the Value of Handover Defects and Adverse Events. Journal of Healthcare Engineering, 2022, 1-6.
https://doi.org/10.1155/2022/8475322
[33] 成艳琴, 李丹丹, 王沙沙. 基于现状-背景-评估-建议的心理干预联合健康教育对中晚期肺癌化疗患者负性情绪及生活质量的影响[J]. 癌症进展, 2025, 23(4): 468-471.
[34] 张莉, 邢媛媛, 霍进进, 等. 基于SBAR模式的心理干预在鼻咽癌放化疗患者中的应用效果[J]. 癌症进展, 2023, 21(19): 2186-2189.
[35] 刘红霞, 胡虹, 李梦颖, 等. 以SBAR模式为导向的心理干预对淋巴瘤化疗患者的影响[J]. 医疗装备, 2025, 38(24): 145-147.
[36] 晏敏, 陈赟, 李慧玲, 等. 基于SBAR模式的心理护理结合康复训练对脑梗死(塞)后遗症患者心理状态及生存质量的影响[C]//广东省肿瘤康复学会. 2021年南方肿瘤精准医学与护理高峰论坛学术宣读论文集. 广州: 广东省肿瘤康复学会, 2021: 41-44.
[37] Alizadeh-Risani, A., Mohammadkhah, F., Pourhabib, A., Fotokian, Z. and Khatooni, M. (2024) Comparison of the SBAR Method and Modified Handover Model on Handover Quality and Nurse Perception in the Emergency Department: A Quasi-Experimental Study. BMC Nursing, 23, Article No. 585.
https://doi.org/10.1186/s12912-024-02266-4
[38] Rasiya, A. and Raheem, U.A. (2026) Shift Transition Communication among Nurses: A Systematic Review of ISBAR and SBAR-Based Structured Handover Tools. Nursing Open, 13, e70655.
https://doi.org/10.1002/nop2.70655
[39] McCarthy, S., Motala, A., Lawson, E. and Shekelle, P.G. (2025) Use of Structured Handoff Protocols for Within-Hospital Unit Transitions: A Systematic Review from Making Healthcare Safer IV. BMJ Quality & Safety, 34, 680-690.
https://doi.org/10.1136/bmjqs-2024-018385
[40] 于涛. 微信结合SBAR沟通方式应用于临床护理管理中的效果观察[C]//四川省国际医学交流促进会. 医学护理创新学术交流会论文集(智慧医学篇). 成都: 四川省国际医学交流促进会, 2024: 1302-1304.
[41] 赵丹. 基于结构-过程-结果模型的SBAR交接班流程对重症监护病房不良事件及护理质量的影响[J]. 现代养生, 2025, 25(22): 1711-1741.
[42] Haliq, S.A. and AlShammari, T. (2025) Communication Handover Barriers among Nurses and Paramedics in Emergency Care Settings. BMC Nursing, 24, Article No. 634.
https://doi.org/10.1186/s12912-025-03286-4
[43] Davis, B.P., Mitchell, S.A., Weston, J., Dragon, C., Luthra, M., Kim, J., et al. (2021) SBAR-LA: SBAR Brief Assessment Rubric for Learner Assessment. MedEdPORTAL, 2021, 1-7.
https://doi.org/10.15766/mep_2374-8265.11184
[44] Agwu, H. (2026) Improving Benzodiazepine Refill Workflow and Communication via Telehealth Using a Standardized SBAR Protocol. Arkansas State University.
[45] Noh, G.O. and Park, M.J. (2022) Effectiveness of Incorporating Situation-Background-Assessment-Recommendation (SBAR) Methods into Simulation-Based Education for Nursing Students: A Quasi-Experimental Study. Nurse Education Today, 109, Article 105252.
https://doi.org/10.1016/j.nedt.2021.105252