产妇发生医院内呼吸道感染的易患因素观察及对策  

Predisposing factors of hospital-associated respiratory tract infections in parturient and the countermeasures

作　　者：张卫红 

机构地区：[1]杭州市滨江区妇幼保健院护理部,浙江杭州310052

出　　处：《中华医院感染学杂志》2013年第12期2910-2912,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨产妇发生医院内呼吸道感染相关因素及其护理对策,为临床降低产妇发生医院内呼吸道感染提供依据。方法对2010年6月-2012年6月321例合并呼吸道感染的产妇临床资料进行了回顾性分析,对产妇发生医院内呼吸道感染的因素采用logistic回归分析进行统计分析。结果季节(OR=2.634,95%CI:0.453～5.323)、生育高峰期(OR=2.432,95%CI:0.343～4.564)、住院时间(OR=3.453,95%CI:0.644～5.343)是产妇发生上呼吸道感染的危险因素,而室内每天通风(OR=4.453,95%CI:0.563～5.345)是产妇发生上呼吸道感染的保护性因素。结论应当保持病室内空气流通、减少探视人员、减少产妇住院时间是降低产妇发生呼吸道感染的必要措施。OBJECTIVE To investigate the risk factors of hospital-associated respiratory tract infections in the parturient and explore the nursing countermeasures so as to reduce the incidence of the respiratory tract infections in the parturient. METHODS A total of 321 parturient complicated with respiratory tract infections, who were treated from Jun 2010 to Jun 2012, were enrolled in the study, the clinical data were retrospectively analyzed, then the logistic regression analysis was carried out for the risk factors of respiratory tract infections. RESULTS The season （OR=2. 634, 95%CI：0. 453~5. 323 ）, baby boom （OR=2. 432, 95%CI：0. 343~4. 564 ）, and length of hospital stay （OR=3. 453, 95%CI：0. 644~5. 343 ） were the risk factors of the upper respiratory tract infections in the parturient, and the daily indoor ventilation （OR= 4. 453, 95 %CI：0. 563~ 5. 345 ） was the protective factor of the onset of upper respiratory tract infections in the parturient. CONCLUSION To keep the indoor air circula- ted, reduce the visitors, and reduce the length of hospital stay is effective to reduce the incidence of respiratory tract infections in the parturient.

关 键 词：产妇 呼吸道感染 危险因素 

分 类 号：R562[医药卫生—呼吸系统]