风湿科医院感染危险因素分析  

Analysis of the risk factors and nursing measures of hospital infections in the department of rheumatism

作　　者：董春玲[1] 曹现娥[2] 刘红辉 

机构地区：[1]临沂市人民医院北医疗区风湿免疫科,山东临沂276001 [2]临沂市人民医院北医疗区老年病科,山东临沂276001 [3]东至第二人民医院门诊部,安徽东至247200

出　　处：《中华医院感染学杂志》2014年第15期3747-3748,3775,共3页Chinese Journal of Nosocomiology

基　　金：临沂市科技局研究基金项目(2012-LY007)

摘　　要：目的探讨风湿科患者发生医院感染的危险因素,并分析预防和控制医院感染的对策,指导医护人员控制风湿科患者的医院感染。方法回顾性分析2010-2012年医院风湿科患者医院感染的状况,分析发生医院感染的危险因素,探讨控制医院感染的护理对策,数据采用SPSS 13.0统计软件分析。结果医院风湿科住院患者969例,发生医院感染76例,医院感染率为7.84%;感染部位主要以呼吸系统和消化系统感染为主,分别占31.58、21.05%;医院感染的危险因素主要有:患者的年龄大、住院时间长、合并其他重大疾病等,差异有统计学意义(P<0.05)。结论风湿科医院感染的发生率高,应加强对易感人群的护理、缩短患者的住院时间、患者预防性应用抗菌药物等措施控制风湿科患者医院感染的发生。OBJECTIVE To analyze the risk factors of hospital infections in the department of rheumatism, and to explore nursing measures and prevent the occurrence of infections. METHODS The status of hospital infection in the department of rheumatism in our hospital in the year 2010 to 2012 were retrospective analyzed, risk factors of hospital infection were analyzed via comparison between infected and uninfected patients. And the nursing measures were explored. Data were analyzed by SPSS 13.0 software. RESULTS 76 patients （7.84%） were infected in the 969 patients in the department of rheumatism in our hospital between the year 2010 and 2012. The main infected sites were respiratory system （31.58%） and digestive system （21.05%）. The risk factors of hospital infection in the department of rheumatism in our hospital included advanced age of patients, long duration of hospitalization, and complication with other major diseases, with statistically difference （P〈0.05）. CONCLUSION As the occurrence rate of infections in the department of rheumatism in our hospital is high, the medical staff should strengthen the nursing care for the susceptible population, shorten the hospitalization time, and administrate prophylactic antibiotics to patients to control the occurrence of hospital infection in the department of rheumatism.

关 键 词：风湿科 感染 危险因素 护理对策 

分 类 号：R181.32[医药卫生—流行病学]