Application effect of SBAR standardized communication mode combined with integrated medical-nursing care intervention in digestive endoscopy diagnosis and treatment

Xia Mingxia; Li Feng; Chen Yanan; Qiang Ting; Jiang Xiumei; Zhao Jing; Wang Yunxiang; Cao Youhong; Zhang Bin

doi:10.11986/j.issn.1673-873X.2025.07.20

Abstract：Objective To explore the application effect of the SBAR(Situation-Background-Assessment-Recommendation)standardized communication mode combined with integrated medical-nursing care intervention during digestive endoscopy diag-nosis and treatment,so as to provide a reference for clinical practice.Methods From August 2023 to December 2024,180 pa-tients undergoing level-4 digestive endoscopic procedures at Nanjing Gaochun People's Hospital were enrolled.Using a random number table,patients were assigned to an observation group(n=90)and a control group(n=90).The control group re-ceived routine care;the observation group received routine care plus an intervention combining the SBAR standardized commu-nication mode with integrated medical-nursing care.Intraoperative respiratory rate(RR),peripheral oxygen saturation(SpO2),heart rate(HR),and mean arterial pressure(BP)were compared between the two groups.Visual Analogue Scale(VAS)at 1 and 4 hours,Hospital Anxiety and Depression Scale(HADS)scores at the time of surgical booking and 2 hours pre-operation,incidence of intra-to-postoperative complications,and patient satisfaction with the endoscopic diagnostic/treat-ment process were also compared.Results Compared with the control group,the observation group had lower intraoperative RR,HR,and BP,with differences reaching statistical significance(P＜0.05).The observation group's VAS scores at 1 and 4 hours postoperatively were significantly lower than those of the control group(P＜0.05).Two hours before surgery,HADS scores in the observation group were significantly lower than those in the control group(P＜0.05).The incidence of complica-tions from intra-to postoperative periods in the observation group was significantly lower than that in the control group(P＜0.05).Overall patient satisfaction in the observation group was significantly higher than that in the control group(P＜0.05).Conclusion The SBAR standardized communication mode combined with integrated medical-nursing care intervention during digestive endoscopy diagnosis and treatment can stabilize patients' respiration,heart rate,and blood pressure,relieve preopera-tive anxiety and postoperative pain,reduce complication rates,and increase patients' degree of satisfaction with nursing,while also strengthening cooperation among medical staff;it therefore has clinical application value.