骨科脊柱老年手术患者医院感染的相关因素及护理对策分析  

Analysis on related factors and nursing strategies for nosocomial infection in elderly patients undergoing orthopedic spinal surgery

作　　者：陈丽华[1] 陈卫诊 曹正霖[2] 黄素珍[1] 高泽伟[1] 钟皇娇[1] 刘凡[2] CHEN Lihua;CHEN Weizhen;CAO Zhenglin;HUANG Suzhen;GAO Zewei;ZHONG Huangjiao;LIU Fan(Operating Room,Foshan Hospital of Traditional Chinese Medicine,Guangdong,Foshan 528000,China;First Department of Orthopedics,Foshan Hospital of Traditional Chinese Medicine,Guangdong,Foshan 528000,China)

机构地区：[1]广东省佛山市中医院手术室,广东佛山528000 [2]广东省佛山市中医院骨一科,广东佛山528000

出　　处：《中国医药科学》2019年第23期170-173,共4页China Medicine And Pharmacy

摘　　要：目的分析骨科脊柱老年手术患者医院感染的相关因素,探讨预防医院感染发生的护理对策。方法选取2014年2月~2016年10月我院骨科收治的1652例脊柱老年手术患者设为对照组,对其临床资料进行回顾性调查;同时选取2017年2月~2018年10月收治的426例老年脊柱手术患者设为观察组,通过护理对策进行医院感染的预防控制。结果对照组1652例老年手术患者的医院感染率为3.03%,下呼吸道感染19例(38.00%)、泌尿系感染13例(26.00%)、骨牵引眼感染12例(24.00%)、其他部位感染6例(12.00%);单因素分析显示年龄、基础疾病、住院时间、侵袭性操作为骨科脊柱老年手术患者医院感染的危险因素(P <0.05);Logistic回归分析显示高龄、合并基础疾病、住院时间长、施行侵袭性操作为骨科脊柱老年手术患者医院感染的独立危险因素(P <0.05)。根据对照组患者医院感染发生的危险因素制定护理对策,用于观察组医院感染控制的护理当中,最终数据显示观察组医院感染发生率为0.94%,明显低于对照组的3.03%(P <0.05)。结论年龄、基础疾病、住院时间、侵袭性操作是骨科脊柱老年手术患者医院感染的影响因素,加强护理对策,有助于控制、减少医院感染的发生。Objective To analyze related factors of nosocomial infection in elderly patients undergoing orthopedic spinal surgery and to explore the nursing countermeasures to prevent nosocomial infection. Methods 1652 elderly patients who were admitted and underwent spinal surgery in the orthopedic department from February 2014 to October 2016 were selected as the control group.Their clinical data were retrospectively investigated.At the same time,426 elderly patients who were admitted and underwent spinal surgery from February 2017 to October 2018 were selected as the observation group.Prevention and control of nosocomial infections was implemented through nursing measures. Results The nosocomial infection rate of 1652 elderly patients in the control group was 3.03%.There were 19(38.00%)cases of lower respiratory tract infection,13 cases(26.00%)of urinary tract infection,12 cases(24.00%)of bone traction eye infection in and 6 cases(12.00%)of infections in other parts.Univariate analysis showed that age,underlying disease,hospital stay and invasive operations were risk factors for nosocomial infection in elderly patients with orthopedic spinal surgery(P < 0.05).Logistic regression analysis showed that old age,combination with underlying disease,long hospital stay and invasive operations were independent risk factors for nosocomial infection in elderly patients with orthopedic spinal surgery(P < 0.05).According to the risk factors of nosocomial infection in the control group,the nursing countermeasures were formulated,which were used in the nursing of nosocomial infection control in the observation group.The final data showed that the incidence of nosocomial infection in the observation group was 0.94%,which was significantly lower than 3.03% in the control group(P < 0.05). Conclusion Age,underlying disease,length of hospital stay and invasive operations are the influencing factors of nosocomial infection in patients with orthopedic spinal surgery.Strengthening nursing strategies will help control and reduce the incidence of

关 键 词：骨科脊柱手术 医院感染 危险因素 泌尿系统感染 下呼吸道感染 

分 类 号：R473.6[医药卫生—护理学]