冠心病监护病房医院感染的高危因素和护理干预措施  

High risk factors and preventive measures for nosocomial infection in patients in coronary care unit

作　　者：邱梅[1] 

机构地区：[1]广东医学院附属医院,湛江52400

出　　处：《齐齐哈尔医学院学报》2011年第22期3714-3715,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨冠心病监护病房医院感染的高危因素和护理干预措施。方法回顾性分析120例冠心病患者(年龄50～86岁)的临床资料,根据有无发生医院感染将患者分为感染组和非感染组,比较两组相关参数异同;同时分析感染组感染部位及病原菌类型。结果感染组患者年龄、住院天数、糖尿病人员比例、有创检查和治疗人员比例、抗菌药联合人员比例显著高于非感染组(P<0.05)而患者性别两组之间无显著性差异(P>0.05),感染发生的部位主要为呼吸道(39.1%,9/23)和泌尿系统(34.8%,8/23);主要的病原菌为革兰阴性菌株(45%,9/20)。结论冠心病患者发生医院感染与患者年龄、住院天数、糖尿病人员比例、有创检查和治疗人员比例、抗菌药联合应用有关;采取相应干预措施及控制危险因素可降低医院感染发生率。Objective To investigate the high risk factors and preventive measures of nosocomial infection in patients in coronary care unit.Methods 120 patients in coronary care unit（Age 50~86years） were analyzed retrospectively.All patients were divided into infection and non-infection group.The results were compared between the groups.Meanwhile,we also analyzed main infection sites and pathogenic bacteria in infection group.Results Age,hospitalized days,diabetes,invasive treatment procedures,application of antibiotics were different significantly in infection group compared to those of non-infection group（P0.05）.However,there was no significant difference in gender in infection compared to non-infection group（P0.05）.Furthermore,respiratory and urinary system was main infection sites,and gram-negative bacteria were main pathogens.Conclusions The risk factors of nosocomial infection includes： Age,hospitalized days,diabetes,invasive treatment procedures,application of antibiotics.Preventing and controlling the risk factors can reduce the rate of nosocomial infection among the patients in coronary care unit.

关 键 词：冠心病 医院感染 危险因素 干预措施 

分 类 号：R473.5[医药卫生—护理学]