CAJ | 학술논문

目的：采用SHEL模式分析ICU医院内获得性压疮发生的原因，以降低其发生率。方法采用SHEL模式分析ICU20例医院内获得性压疮病例并制订对策，比较采取控制措施前、后ICU压疮预防的效果。结果采取控制措施前ICU医院内获得性压疮发生率为6.25%，SHEL模式分析结果为与人1素质和能力有关(S)占30.0%，与硬件有关(H)占20.0%，与临床环境有关(E)占35.0%，与当事人及他人有关(L)占15.0%；采取控制措施后ICU医院内获得性压疮发生率为2.83%，显著低于采取措施前(P<0.05)，SHEL模式分析结果为15.4%与S有关、15.4%与H有关、30.8%与E有关、38.4%与L有关。结论应用SHEL模式分析ICU医院内获得性压疮发生的原因，制定有效的措施，对降低ICU医院内获得性压疮的发生率有着积极的意义。
목적：채용SHEL모식분석ICU의원내획득성압창발생적원인，이강저기발생솔。방법채용SHEL모식분석ICU20례의원내획득성압창병례병제정대책，비교채취공제조시전、후ICU압창예방적효과。결과채취공제조시전ICU의원내획득성압창발생솔위6.25%，SHEL모식분석결과위여인1소질화능력유관(S)점30.0%，여경건유관(H)점20.0%，여림상배경유관(E)점35.0%，여당사인급타인유관(L)점15.0%；채취공제조시후ICU의원내획득성압창발생솔위2.83%，현저저우채취조시전(P<0.05)，SHEL모식분석결과위15.4%여S유관、15.4%여H유관、30.8%여E유관、38.4%여L유관。결론응용SHEL모식분석ICU의원내획득성압창발생적원인，제정유효적조시，대강저ICU의원내획득성압창적발생솔유착적겁적의의。
Objective To explore the causes of hospital-acquired pressure ulcer in ICU by SHEL model, so as to reduce the incidence of hospital-acquired pressure ulcer in ICU. Methods 20 cases of hospital-acquired pressure ulcer in ICU were analyzed by SHEL model, and the measures were formulated. The effects of pressure ulcer prevention were compared before and after taking control measures. Results The incidence of hospital-acquired pressure ulcer in ICU was 6.25%;and the result of SHEL model showed that 30.0%related to soft, 20.0%related to hard, 35.0%related to environment and 15.0%related to litigant. After taking control measures, the incidence of hospital-acquired pressure ulcer in ICU was 2.83%, significantly lower than 6.25% (P <0.05), and SHEL model showed that 15.4% related to soft, 15.4%related to hard, 30.8%related to environment and 38.4%related to litigant. Conclusions SHEL model has positive significance in reducing the incidence of hospital-acquired pressure ulcer in ICU by cause analysis and formulation of effective measures.