Practice and effect of fall prevention and management in inpatients based on SHEL model
基于SHEL模式的住院患者跌倒预防与管理实践及效果

摘要

目的 研究分析将SHEL模式用于住院患者跌倒预防管理中的效果及价值。方法 本次研究选取2个时间段，分别为2022年、2023年，分别于以上时间段随机选取130例住院患者作为研究对象，总共260例，同时分别实施常规管理模式、SHEL模式，并对比实施SHEL模式前、后住院患者的跌倒发生率以及患者对预防跌倒知识的知信行评分。结果 据统计数据显示，实施前、实施后的跌倒发生率分别为9.62%、1.53%，实施后的跌倒发生率显著低于实施前（P＜0.05）；并且经评估，实施SHEL模式后，患者预防跌倒知识的知信行评分均高于实施前（P＜0.05）。结论 对住院患者实施基于SHEL模式，有助于提高跌倒预防效果，还可提升患者的相关认知深度，应用价值极高。

Abstract

Objective To study and analyze the effect and value of SHEL model in the fall prevention and management of hospitalized patients.
Methods This study selected two time periods, namely 2022 and 2023, in which 130 inpatients were randomly selected as the research objects, a total of 260 cases. At the same time, the conventional management mode and SHEL mode were respectively implemented. The incidence of falls in hospitalized patients before and after the implementation of SHEL model and the scores of patients' knowledge and practice on the prevention of falls were compared.
Results According to the statistical data, the incidence of falls before and after implementation was 9.62% and 1.53%, respectively, and the incidence of falls after implementation was significantly lower than before implementation (P < 0.05). After the implementation of SHEL model, the scores of patients' knowledge and practice of fall prevention were higher than those before the implementation (P < 0.05).
Conclusion   The implementation of SHEL model in inpatients can help to improve the effect of fall prevention and improve the depth of related cognition of patients, which is of high application value.