粒细胞缺乏患者入住无菌病房医院感染危险因素分析及护理对策  

HOSPITAL INFECTION RISK FACTOR ANALYSIS AND CARE STRATEGIES OF THE PATIENTS WITH AGRANULOCYTOSIS IN ASEPTIC WARD

作　　者：李妮[1] 姚孟冬[1] 林冠文[1] 刘瑛[1] 

机构地区：[1]广东省第二人民医院,广东广州510317

出　　处：《现代医院》2012年第3期100-102,共3页Modern Hospitals

摘　　要：目的探讨粒细胞缺乏患者入住无菌病房行保护性隔离期间发生医院感染的环节、相关因素及护理对策方法采用前瞻性和回顾性调查的方法,对2010年1月～2011年7月我院血液科入住无菌病房的106例粒细胞缺乏患者入住无茵病房期间发生的医院感染的相关危险因素进行统计分析结果106例入住无菌病房的粒细胞缺乏患者发生院内感染77例次,医院感染发病率为72.6%,其中主要以呼吸道感染为主,占41.6%,入住无菌病房期间:患者自身免疫力低下、不同患者交叉感染、自我防护知识欠缺、未严格遵守无菌病房操作规范、医护人员手卫生不达标等是粒细胞缺乏患者院内感染的高危因素。结论粒细胞缺乏入住无菌病房的患者相关宣教效果及其遵医行为的养成、医护人员严格执行无菌操作、执行手卫生等在预防粒细胞缺乏患者入住无菌病房期间发生院内感染有重要作用。Obieetive To discuss the hospital infection points, related factors and care strategies of the patients with Agranulocytosis during their admission in aseptic ward. Methods The hospital infection related factors of 106 patients were analyzed prospectively and retrospectively during their admission in aseptic ward from January 2010 to July 2011. Results The number of hospital infection of the 106 patients with Agranulocytosis in aseptic ward was 77 and the ratio of hospital infection was 72. 6%. The dominant infection was respiratory one, 41.6%. During the admission in aseptic ward, high risk factors of hospital infection of the patients with Agranulocytosis were low immunity, cross - infection, poor knowledge of selfprotection, violating tile operation rules in aseptic ward and poor hand hygiene of the staff. Conclusion It is very important for preventing the hospital infection of the patients with Agranulocytosis in aseptic ward that the patients should be trained to follow the rules and the medical staff should perform the aseptic operation and hand hvziene strictly.

关 键 词：粒细胞缺乏无菌病房 医院感染危险因素护理对策 

分 类 号：R557.3[医药卫生—血液循环系统疾病]