Ⅳ期压疮感染患者危险因素分析与干预措施  

Risk factors for infections in patients with stageⅣ pressure ulcers and intervention measures

作　　者：董秀丽[1] 杜可爱[2] 施晓勤[3] 

机构地区：[1]余姚市人民医院护理部,浙江余姚315400 [2]余姚市人民医院外科,浙江余姚315400 [3]余姚市人民医院眼科,浙江余姚315400

出　　处：《中华医院感染学杂志》2015年第9期2106-2107,2125,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科学研究基金资助项目(2009A122)

摘　　要：目的研究Ⅳ期压疮(FSPU)感染危险因素分析及干预对策,为临床治疗该类患者提供相应的处理方案。方法选择2009年8月-2013年8月医院收治的Ⅳ期压疮患者91例作为研究对象,根据患者是否发生感染分成感染组41例和未感染组50例,分别通过单因素分析及多因素logistic回归分析寻找导致FSPU感染的危险因素,并分析FSPU感染的干预对策。结果 91例FSPU患者中压疮感染41例,感染率高达45.05%;单因素分析结果显示,年龄≥60岁、卧床时间≥15d、营养不良与FSPU感染具有相关性(P<0.05);进一步行多因素logistic回归分析显示,年龄≥60岁、卧床时间≥15d、营养不良为FSPU感染的独立危险因素(P<0.05)。结论 FSPU感染与年龄、卧床时间、营养不良等因素有关,应针对危险因素,采取相应的干预措施,从而控制和降低FSPU感染的发生。OBJECTIVE To explore the risk factors for infections in the patients with stage Ⅳ pressure ulcers and put forward the intervention measures so as to provide guidance for clinical treatment of the patients with the dis‐ease .METHODS A total of 91 patients with stage Ⅳ pressure ulcers who were treated in the hospital from Aug 2009 to Aug 2013 were recruited as the study objects and divided into the infection group with 41 cases and the non‐infection group with 50 cases according to the status of infections .The univariate analysis and multivariate lo‐gistic regression analysis were performed to find out the risk factors for the infections in the patients with stage Ⅳpressure ulcers ,and the interventions to the infections were put forward .RESULTS The infections occurred in 41 of 91 patients with stage Ⅳ pressure ulcers ,with the infection rate of 45 .05% .The univariate analysis indicated that the infections in the patients with stage Ⅳ pressure ulcers were associated with the no less than 60 years of age ,bed ridden time no less than 15 days ,and malnutrition （P〈0 .05）;the multivariate logistic regression analy‐sis further revealed that the no less than 60 years of age ,bed ridden time no less than 15 days ,and malnutrition were the independent risk factors for the infections in the patients with stage Ⅳ pressure ulcers （P〈0 .05） . CONCLUSION The infections in the patients with stage Ⅳ pressure ulcers are associated with the age ,bed ridden time ,and malnutrition .It is necessary to take targeted interventions according to the risk factors so as to reduce the incidence of infections in the patients with stage Ⅳ pressure ulcers .

关 键 词：Ⅳ期压疮 感染 危险因素 干预对策 

分 类 号：R181.32[医药卫生—流行病学]