基于Haddon模型的成人烧伤危险因素研究

发布时间：2018-06-08 06:08

本文选题：烧伤 + 危险因素　；参考：《中华疾病控制杂志》2017年11期

【摘要】：目的探讨成人烧伤的危险因素。方法采用质性研究方法,对22名烧伤住院患者进行访谈,在克莱茨现象学研究法基础上应用Haddon模型进行资料分析。结果人为因素:发生前安全意识淡薄;发生时心理冲击强烈导致慌张应对;发生后对创面管理不当。物质因素:发生前物品设备隐患多而防护用具少;发生时灭火用具的忽视与遗忘;发生后基层急救用品匮乏。物理环境:高温季节多发;发生时环境密闭而狭小;发生后远离专科医院。社会环境:发生前安全教育漏洞多;发生时救火秩序乱;发生后转运次数多。结论应用Haddon模型,从人、物、环境、时间4个维度系统分析烧伤的危险因素,为制定切实可行的烧伤预防、应对措施提供科学依据,为国内烧伤流行病学研究提供新思路。
[Abstract]:Objective to explore the risk factors of burn in adults. Methods A qualitative study was conducted on 22 burn inpatients, and Haddon model was used to analyze the data on the basis of Klitz's phenomenological study. Results Human factors: safety consciousness was weak before occurrence, psychological shock caused panic response, and wound management was improper after occurrence. Material factors: there are many hidden dangers of articles and equipments and less protective appliances before occurrence; neglect and forgetting of fire extinguishing appliances; shortage of first aid supplies at the base level after occurrence. Physical environment: frequent high temperature season; close and narrow environment when occurring; away from specialized hospital after occurrence. Social environment: there are many loopholes in safety education before occurrence; disorder of fire-fighting order; more times of transshipment after occurrence. Conclusion the Haddon model is used to systematically analyze the risk factors of burn from human, material, environment and time dimensions, which provides a scientific basis for the formulation of practical burn prevention and countermeasures, and provides a new idea for the epidemiological study of burns in China.
【作者单位】：福建医科大学附属协和医院烧伤科;福建医科大学附属协和医院护理部;福建医科大学协和临床医学院护理教研室;
【基金】：国家临床重点专科建设项目(国卫办医函[2013]544号);国家临床重点专科建设项目(卫办医正函[2012]649号) 福建省卫生计生委青年科研课题(2014-1-44)
【分类号】：R644

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