精神病科住院患者医院获得性感染的相关危险因素分析及干预策略研究  

Analysis on risk factors associated with hospital-acquired infections in psychiatric inpatients and study of intervention strategies

作　　者：邓素卿 DENG Suqing(Department of Hospital Infection,Third Hospital of Longyan,Fujian,Longyan 364000,China)

机构地区：[1]福建省龙岩市第三医院院感科,福建龙岩364000

出　　处：《中国医药科学》2021年第23期227-230,共4页China Medicine And Pharmacy

摘　　要：目的探究精神病科住院患者医院获得性感染情况,分析相关危险因素,并探讨应对的干预策略。方法选取2017年12月至2020年12月于龙岩市第三医院精神病科接受住院治疗的1345例患者作为研究对象并进行回顾性分析,收集研究对象完整的临床资料,主要包括患者的年龄、所患疾病病程、住院时间、所患精神疾病类型、是否服用抗精神药物或抗菌药物、是否接受留置导尿管等侵入性操作、是否合并糖尿病或高血压等基础疾病;统计1345例研究对象中出现获得性医院感染的例数以及感染部位,对其危险因素进行统计和分析。结果在1345例研究对象中有120例患者发生医院获得性感染,医院获得性感染的发生率为8.92%,经过单因素分析显示精神病科住院患者医院获得性感染与患者的年龄、病程时间、住院时间、服用抗精神药物、服用抗菌药物以及是否有侵入性操作和合并基础疾病的因素相关(P<0.05);logistic多因素分析结果显示,年龄>60岁(OR=1.836)、住院时间≥80 d(OR=1.673)、抗精神药物的服用(OR=1.172)以及侵入性操作(OR=1.520)为影响精神病科住院患者医院获得性感染的危险因素(P<0.05)。结论在精神病科中患者的年龄较大、住院时间长、服用抗精神药物以及接受侵入性操作均为影响住院患者医院获得性感染的危险因素,因此在临床中对于具有相关因素的患者应多给予关注,改善相应的干预措施,预防获得性医院感染的发生。Objective To explore hospital-acquired infections(HAIs)in psychiatric inpatients,analyze the associated risk factors,and investigate the targeted intervention strategies.Methods A total of 1345 patients who received inpatient treatment in the Department of Psychiatry of the Third Hospital of Longyan from December 2017 to December 2020 were selected as the subjects of this study and retrospectively analyzed.The complete clinical data of the study subjects were collected,including patients'age,disease duration,hospital stay,type of mental illness,whether they were taking antipsychotic or antibacterial drugs,whether they received invasive operations such as indwelling urinary catheters,and whether they had concomitant underlying diseases such as diabetes mellitus or hypertension.The number of cases that developed HAIs among 1345 study subjects and the site of infection were counted,and the associated risk factors were statistically analyzed.Results There were 120 patients in 1345 study subjects developed HAIs,with an incidence of 8.92%.The univar iate analysis showed that the occurrence of HAIs was associated with patients'age,disease duration,hospital stay,administration of antipsychotic and antibacterial drugs,as well as the presence of invasive operations and concomitant underlying diseases(P<0.05).The single factors with significant differences were further adopted as variables for logistic multivariate analysis,and the results showed that age>60 years(OR=1.836),hospital stay≥80 days(OR=1.673),administration of antipsychotic drugs(OR=1.172),and the presence of invasive operations(OR=1.520)were the key factors influencing the occurrence of HAIs in psychiatric inpatients(P<0.05).Conclusion Older age,long hospital stay,administration of antipsychotic drugs,and the presence of invasive operations are key factors influencing the occurrence of HAIs in psychiatric inpatients,so more attention should be paid to patients with these factors in clinical practice,and targeted interventions should be improved to prevent th

关 键 词：精神疾病 医院感染 危险因素 干预策略 logistic多因素分析 

分 类 号：R473.74[医药卫生—护理学]