CAJ | 학술논문

目的：探讨SHEL模型在血液科护理不良事件中的应用价值。方法：选择笔者所在医院血液科2011年1月-2013年12月收治的3532例住院患者，2011年1-12月实施常规护理998例，2012年1月-2013年12月实施SHEL模型指导护理2534例，分析血液科发生护理不良事件情况。结果：2011年发生护理不良事件21例，发生率为2.10%；2012年发生护理不良事件11例，发生率为0.89%；2013年发生护理不良事件13例，发生率为1.00%，2012年、2013年的护理不良事件发生率均明显低于2011年，差异均有统计学意义(字2=5.74， P=0.02；字2=4.72，P=0.03)。SHEL模型分析显示软件及临床环境因素为导致发生护理不良事件的主要原因。结论：采用SHEL模型分析和预防血液科护理不良事件具有重要临床价值。
목적：탐토SHEL모형재혈액과호리불량사건중적응용개치。방법：선택필자소재의원혈액과2011년1월-2013년12월수치적3532례주원환자，2011년1-12월실시상규호리998례，2012년1월-2013년12월실시SHEL모형지도호리2534례，분석혈액과발생호리불량사건정황。결과：2011년발생호리불량사건21례，발생솔위2.10%；2012년발생호리불량사건11례，발생솔위0.89%；2013년발생호리불량사건13례，발생솔위1.00%，2012년、2013년적호리불량사건발생솔균명현저우2011년，차이균유통계학의의(자2=5.74， P=0.02；자2=4.72，P=0.03)。SHEL모형분석현시연건급림상배경인소위도치발생호리불량사건적주요원인。결론：채용SHEL모형분석화예방혈액과호리불량사건구유중요림상개치。
Objective:To investigate the application value of SHEL model in nursing adverse events in department of hematology.Method:A total of 3522 inpatients admitted to department of hematology in our hospital from January 2011 to December 2013 were selected.998 cases accepted usual care admitted from January 2011 to December 2011,and 2534 cases admitted from January 2012 to December 2013 were given SHEL model to guide nursing. The nursing adverse events in department of hematology were analyzed.Result:21 cases of nursing adverse events occurred in 2011,the incidence rate was 2.10%;11 cases of nursing adverse events occurred in 2012,the incidence rate was 0.89%;13 cases of nursing adverse events occurred in 2013, the incidence rate was 1.00%.The incidence of nursing adverse events in 2012 and 2013 were significantly lower than that in 2011,the differences were statistically significant(χ2=5.74,P=0.02;χ2=4.72,P=0.03).SHEL model analysis indicated that software and environmental agent were the mean reasons to induce nursing adverse events.Conclusion:It has an important clinical value by using the SHEL model to analysis and prevent the nursing adverse events in department of hematology.