成人白血病患者严重感染性腹泻高危因素的调查分析  

Investigation and analysis of high risk factors of severe infectious diarrhea in adult leukemia patients

作　　者：历文 LI Wen

机构地区：[1]齐鲁医院感染病科,济南市250000

出　　处：《护理实践与研究》2020年第22期10-12,共3页Nursing Practice and Research

摘　　要：目的探讨成人白血病患者严重感染性腹泻的高危因素,分析总结护理应对策略。方法选择2015年2月到2020年2月88例成人白血病患者作为研究对象,其中,30例发生严重感染性腹泻,58例无严重感染性腹泻。采用多因素logistic回归分析,确定成人白血病患者严重感染性腹泻高危因素。结果经多因素logistic回归分析显示,年龄、WBC、化疗疗程、中性粒细胞、病原菌分布株数均是成人白血病患者严重感染性腹泻的独立高危因素(P<0.05)。结论年龄>40岁、WBC>100×10^9/L、中性粒细胞过低等均是成人白血病患者严重感染性腹泻高危因素。护理人员应熟悉以上风险因素,密切观察病情变化,加强防护,降低其发生概率。Objective To explore the high-risk factors of severe infectious diarrhea in adult leukemia patients,analyze and summarize the nursing strategies.Methods We selected 88 cases of adult leukemia patients from February 2015 to February 2020 as the study subjects.Among them,30 cases had severe infectious diarrhea and 58 cases had no severe infectious diarrhea.Multivariate logistic regression analysis was used to determine the high-risk factors for severe infectious diarrhea in adult leukemia patients.Results Multivariate logistic regression analysis showed that the age,WBC,course of chemotherapy,neutrophils,and the strains of distribution of pathogenic bacteria were all independent high-risk factors for severe infectious diarrhea in adult leukemia patients(P<0.05).Conclusion The age>40 years old,WBC>100×10^9/L,and low neutrophils,ect.were all high-risk factors for severe infectious diarrhea in adult leukemia patients.Nursing staff should be familiar with the above risk factors,closely observe changes in the condition,and strengthen protection to reduce the probability of occurrence.

关 键 词：成人白血病 严重感染性腹泻 高危因素 

分 类 号：R47[医药卫生—护理学]