中国医院护士报告的病人医院感染调查研究  

Investigation on nosocomial infections in patients reported by nurses in Chinese hospitals

作　　者：胡化刚[1] 尤黎明[2] 郑晶[2] 刘可[2] 马晓璐[3] 方进博[4] 王瑶[5] 刘华平[6] 吕爱莉[7] 陆敏敏[8] 谢红[9] 朱晓雯[2] 张利峰[2] 卜秀青[2] 

机构地区：[1]苏州大学护理学院 [2]中山大学护理学院 [3]中国医科大学护理学院 [4]四川大学护理学院 [5]中南大学护理学院 [6]北京协和医学院护理学院 [7]西安交通大学护理学院 [8]复旦大学护理学院 [9]北京大学护理学院

出　　处：《护理研究（中旬版）》2013年第6期1683-1686,共4页Chinese Nursing Researsh

基　　金：美国中华医学基金会基金资助课题,编号:08-889;国家卫生部科研基金资助课题,编号:09-ZD06

摘　　要：[目的]了解中国医院护士报告的病人医院感染现状及其特点。[方法]2008年9月—2010年6月对我国181所医院的9 698名护士进行问卷调查,了解中国护士对外科伤口感染、尿路感染、中心静脉插管性血源感染和呼吸机相关性肺炎4种医院感染报告情况。[结果]报告外科伤口感染、尿路感染、中心静脉插管性血源感染和呼吸机相关性肺炎"曾经发生"的护士分别为48.2%、57.9%、27.7%和31.5%;多因素Logistic回归分析显示,东部医院比其他区域医院、三级医院比二级医院、直辖市医院比省会医院和其他城市医院护士报告的医院感染的发生几率高;重症监护病房(ICU)护士报告的各项医院感染的发生几率较内科、外科高。[结论]中国医院医院感染还有较大的下降空间;建议根据医院感染发生情况分布特征研究降低其发生率的方法。Abstract Objective：To know about status quo and characteristics of nosoco- mial infections in patients reported by nurses in Chinese hospitals. Methods： A total of 9698 cases of nurses in 181 hospitals in China from September in 2008 to June in 2010 were investigated by questionnaire,so as to know about the nurses＇ report on four kinds of nosocomial infections including surgical wound infections, urinary tract infections, central venous catheter blood in- fections and ventilator associated pneumonia. Results：The nurses who repor- ted surgical wound infection, urinary tract infection,central venous intubation- sexual blood source infection and breathing machine associated pneumonia as ＂have occurred in＂ respectively accounted for 48. 2% ,57. 9%,27. 7% and 31.5%; the multi - factor Logistic regression analysis showed that the incidence of reported nosocomial infections by nurses was higher in eastern part of hospi- tals compared with that in other regional hospitals, in three grade hospitals compared with in two grade hospitals, in municipalities directly under the central government compared with in the provincial capitals and other cities. The incidence of nosocomial infection reported by ICU nurses was higher than that reproted by medical and surgical nurses. Conclusion：There is a lar- ger decline in space in nosocomial infection in Chinese hospital ~ it proposed to study the methods to reduce the incidence of nosocomial infection according to distribution characteristics of nosocomial infection occurrence.

关 键 词：医院感染 中国护士 报告 外科伤口感染 尿路感染 中·心静脉插管性血源感染 呼吸机相关性肺炎 

分 类 号：R197.323[医药卫生—卫生事业管理]