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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。
Objective To explore the risk factors of adult burns. METHODS: Twenty-two burn inpatients were interviewed using a qualitative study, and Haddon’s model was used to analyze the data based on the Klatzian phenomenological method. The results of human factors: before the safety awareness of light; occurred when the psychological shock caused a panic response; after the wound management is not appropriate. Material factors: the equipment before the occurrence of many hidden dangers and less protective equipment; fire extinguishing equipment occurred when the neglect and forgetting; the lack of first aid after the occurrence of grassroots. Physical environment: multiple seasons in high temperature; the environment is confined and narrow when it occurs; stay away from special hospitals after occurrence. Social Environment: There were many loopholes in safety education prior to the incident; the order of the fire in the event of a disorder occurred; Conclusions The Haddon model was used to systematically analyze the risk factors of burn from the four dimensions of human, material, environment and time, and provide a scientific basis for the development of a feasible burn prevention and response measures. It provided new ideas for the epidemiological study of burn in China.