SHEL模式在预防精神科护理不良事件中的应用效果观察

Clinical observation on the effect of SHEL mode in preventing nursing adverse events in the Department of Psychiatry

目的探讨SHEL模式在降低精神科护理不良事件中的效果。方法对精神科2010年的4731例患者进行常规护理,对2011年的5827例患者则采用SHEL模式为指导进行护理。然后将两年的护理不良事件发生率进行比较。结果 2010年共发生45起护理不良事件,发生率为0.95%,2011年发生22起,发生率为0.38%,两者比较,差异有统计学意义,P<0.05。结论 SHEL模式在预防精神科护理不良事件中的应用效果较好,可显著降低不良事件发生率,有效保障精神科患者的安全。

Objective To study the effect of SHEL mode in preventing nursing adverse events in the Depart- ment of Psychiatry. Methods 4 731 patients in the Department of Psychiatry in 2010 were taken care with routine nursing, and 5 827 patients in the Department of Psychiatry in 2011 were taken care with the nursing under the guid- ance of SHEL mode. Then the rates of nursing adverse events were compared between the two years. Results The in- cidence of nursing adverse events was 0.95% （45 cases） in 2010 and 0.38% （22 eases） in 2011, showing statistically significant difference （P〈0.05）. Conclusion The effect of SHEL mode in preventing nursing adverse events in the Department of Psychiatry is favorable, which can significantly decrease the incidence of nursing adverse events and ensure the safety of patients.