我院妇产科2160例患者感染相关危险因素分析与护理对策探讨  

Analysis infection factors and nursing strategy in 2160 cases patients of obstetrics and gynecology care in our hospital

作　　者：占丽芳[1] 卢春芬[1] 叶彩眉[2] 

机构地区：[1]浙江省丽水市中医院妇产科,浙江丽水323000 [2]浙江大学医学院附属妇产科医院,浙江杭州310006

出　　处：《中国现代医生》2014年第28期75-77,共3页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2011KYA103)

摘　　要：目的分析我院妇产科住院患者护理中的感染因素,提出相应的护理对策,提高护理质量。方法回顾性分析2160例妇产科住院患者的临床资料,统计感染发生率和感染部位,对相关危险因素采用单因素χ2分析和多因素Logistic回归分析。结果发生医院感染64例,感染率为2.96%。感染部位分布为呼吸道感染22例,占34.4%,胃肠道感染14例,占21.9%,泌尿道感染12例,占18.7%,切口感染11例,占17.2%,宫腔感染5例,占7.8%。医院感染的独立危险因素为年龄、侵袭性操作、住院时间、接受化疗、营养状况差、合并其他并发症、接受手术治疗、无指征预防性使用抗菌药物、用药护理、病房定期通风、严格执行消毒隔离制度和陪护人员数量(P<0.05)。结论妇产科住院患者医院感染率相对较高,并且与多种因素有关,应对各种可控因素进行针对性干预,提高高危人群的基础护理水平。Objective To analyze the infectious factors of inpatients in department of obstetrics and gynecology, in order to put forward the corresponding nursing countermeasures and improve the quality of nursing. Methods The clinical data of 2160 cases were reviewed. The incidence of infection and the infectious sites were evaluated, and the related factors were analyzed by single factor chi-square analysis and multiple factors Logistic regression analysis. Results The hospital infection was found in 64 cases, and the infectious rate was 2.96%. The infectious distribution were as follows： 22 cases of respiratory tract infection, 14 cases of infection, gastrointestinal tract, 12 cases of urinary tract in- fection, infection of incision, 11 cases of incision, and 5 cases of intrauterine infection, accounted for 34.4%, 21.9%, 18.7%, 17.2%, and 7.8%, respectively. The independent risk factors of hospital infection concluded age, invasive oper- ation, length of hospital stay, chemotherapy, poor nutrition, merging other complications, surgical treatment, no indica- tions of preventive use of antibacterial drugs, medication, ward regularly ventilation, strict disinfection and isolation system and escort personnel number （P〈0.05）. Conclusion The hospital infection rate is relatively high in the inpatients from obstetrics and gynecology department, and it is associated with a variety of factors. We should deal with all kinds of controUable factors targeted intervention and improve the primary care level in patients with high-risk factors.

关 键 词：妇产科 医院感染 护理 危险因素 

分 类 号：R473.71[医药卫生—护理学]