SHEL模式对急诊危重患者院内安全转运管理中规范行为及不良事件的影响  

Influence of SHEL model on standardized behaviors and adverse events in safe in-hospital transfer management of critically ill patients of emergency treatment

作　　者：袁荣 万意[2] 

机构地区：[1]张家港市江苏省张家港市第三人民医院急诊科,215611 [2]苏州九龙医院神经外科

出　　处：《护理实践与研究》2017年第19期122-124,共3页Nursing Practice and Research

基　　金：江苏省基础研究计划(自然科学基金)面上研究项目(BK2011341)

摘　　要：目的:探讨SHEL模式对急诊危重患者院内安全转运管理中规范行为和不良事件的影响。方法:选择2014年10月~2015年10月我院收治的急诊危重患者129例作为对照组,实施常规院内安全转运管理;选择2015年11月~2016年11月我院收治的急诊危重患者132例作为观察组,采用SHEL模式进行院内安全转运管理。对比分析两组患者转运行为规范性、转运意外发生情况和护理满意度情况。结果:观察组患者物品准备不完善、未通知目的科室、未约束患者、转运方式不合理和转运交接不清楚比例均低于对照组,差异均有统计学意义(P<0.05)。观察组患者呼吸困难、输液管脱落、供氧中断和设备仪器故障发生率均低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:SHEL模式应用于急诊危重患者院内安全转运管理中具有较高的临床应用价值,能够明显改善转运行为规范性,降低转运意外发生率,提高护理满意度。Objective： To explore the effect of SHEL model on standardized behaviors and adverse events in safe in-hospital transfer management of critically ill patients of emergency treatment. Methods： Selected 129 cases of critically ill patients of emergency treatment admitted to our hospital in the period from October 2014 to October 2015,and they were taken as control group,to receive routine in-hospital safe transfer management; selected 132 cases of critically ill patients of emergency treatment admitted to our hospital in the period from November 2015 to November 2016,and they were taken as observation group,to receive in-hospital safe transfer management of SHEL model. The patients from two groups were comparatively analyzed for transfer behavior standardization,transfer accident occurrence,and nursing satisfaction conditions. Results： The observation group was inferior to the control group in proportions of insufficient preparation of patient’s articles,failure to notify the target department,failure to restrain the patients,unreasonable transfer mode,and unclear transfer handover,and the difference was statistical significance（ P 〈 0. 05）. The observation group was significantly inferior to the control group in patient’s expiratory dyspnea,infusion tube falling off,oxygen supply disconnection,equipment fault occurrence rates,and the difference was statistical significance（ P 〈 0. 05）. The patients from the observation group had a higher nursing satisfaction than those from the control group,and the difference was statistical significance（ P 〈 0. 05）. Conclusion： SHEL model applied in safe in-hospital transfer management of critically ill patients of emergency treatment had a higher value of clinical application,and it could significantly improve the standardization of transfer behaviors,reduce the transfer accident occurrence rate,and improve the nursing satisfaction.

关 键 词：SHEL模式 急诊 危重患者 院内安全转运管理 规范行为 不良事件 

分 类 号：R473[医药卫生—护理学]