采用SHEL模式对精神科与综合科护理不良事件的对照研究

SHEL Model Comparison Study Of Psychiatric Care And General Department Of Adverse Events

目的探讨采用SHEL模式在精神科与综合科护理不良事件中的临床效果和应用价值。方法随机选取2009—2014年间该院精神科和综合科收治的患者10 000例作为研究对象,以2012年为界,前后各5 000例,分别行常规护理和SHEL模式指导下的综合性护理,对两组患者护理期间的不良事件发生率进行比较。统计在SHEL模式指导下,引起精神科与综合科护理不良事件的发生原因、各自不良事件发生率排序等。结果观察组和对照组护理不良事件发生率分别为3.12%和0.70%,观察组显著优于对照组,比较差异有统计学意义(P<0.05)。分析观察组不良事件发生的原因,护理人员综合素质、医疗场所、事件相关人员和临床环境等问题分别占82.86%、45.71%、45.71%、42.86%。结论在精神科和综合科的护理过程中采用SHEL模式有利于不良事件发生率的降低。

Objective To evaluate the clinical effect SHEL model and application in psychiatric nursing and general department of adverse events.Methods 2009-2014 randomly selected patients in our hospital between psychiatric and comprehensive department treated 10,000 cases for the study, with 2012 as the boundary, before and after 5000 cases were routine care and comprehensive care SHEL model under the guidance of two adverse event incidence during patient care were compared. Under the guidance of statistical SHEL mode, causing the causes of psychiatric care and general department of adverse events, the incidence of adverse events in each ranking.Results Nursing observation group and the control group incidence of adverse events was 3.12% and0.70%, the observation group was significantly better than the control group,were significantly different（P〈0.05）. Cause analysis of adverse events observed, the overall quality of nursing staff, medical facilities, staff and clinical events related environmental issues accounted for 82.86%, 45.71%, 45.71%, 42.86%.Conclusion SHEL model in the use of psychiatric and comprehensive department of nursing process helps reduce the incidence of adverse events.