血液病化疗患者医院内感染高危人群的筛查与护理干预研究  

Screening and nursing intervention for high-risk population with nosocomial infection in patients with hematopathy with chemotherapy

作　　者：金银花[1] 金京姬[1] 孙巍[1] 

机构地区：[1]延边大学附属医院,吉林延吉133000

出　　处：《延边大学医学学报》2015年第3期204-206,共3页Journal of Medical Science Yanbian University

摘　　要：[目的]研究血液病化疗患者医院内感染高危人群的筛查方法并观察护理干预效果.[方法]回顾性分析1 624例血液病化疗患者的临床资料,观察医院内感染各危险因素,确定血液病化疗患者医院内感染高危人群筛查的判别阈值.应用判别阈值对血液病化疗患者进行筛查,并对医院内感染高危人群进行护理干预.[结果]以累计分值57为判别阈值时约登指数最大,灵敏度为95.7%,特异度为58.2%;干预组医院内感染发生率较对照组显著下降(分别为34.66%和48.12%,χ2=17.632,P=0.000).[结论]血液病化疗患者医院内感染高危人群的筛查和护理干预可降低血液病化疗患者医院内感染的发生率.OBJECTIVE To study the screening and nursing intervention for high-risk population with nosocomial infection in patients with hematopathy with chemotherapy.METHODS Various risk factors of nosocomial infection were retrospectively analyzed in clinical data of 1 624 cases of hematopathy with chemotherapy,and it was determined that the discriminant threshold of screening of high-risk population with nosocomial infection in patients with hematopathy with chemotherapy.The patients with hematopathy with chemotherapy were screened by using the determined discriminant threshold,and the high-risk population with nosocomial infection was carried out with nursing intervention.RESULTS When the cumulative score was 57 as discriminant threshold,the Youden index was the largest,and the sensitivity and specificity was 95.7% and 58.2%,respectively,and the incidence of nosocomial infection was significantly reduced in intervention group than in the control group（34.66% and 48.12%,respectively,χ2=17.632,P=0.000）.CONCLUSION Screening and nursing intervention for high-risk population with nosocomial infection in patients with hematopathy with chemotherapy can significantly reduce the incidence of nosocomial infection.

关 键 词：血液病 化疗 医院内感染 护理干预 

分 类 号：R473.5[医药卫生—护理学]