多发性骨髓瘤化疗患者医院感染的危险因素研究  

Risk factors of nosocomial infection in multiple myeloma patients undergoing che-motherapy

作　　者：谢玉娘[1] 廖林英[1] 韩小玉[1] Xie Yuniang;Liao Linying;Han Xiaoyu(Department of Hematology,Ganzhou People′s Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院血液内科,江西赣州341000

出　　处：《护理学杂志》2024年第14期100-102,共3页Journal of Nursing Science

摘　　要：目的分析多发性骨髓瘤患者发生医院感染的影响因素,为护理干预提供参考。方法将168例多发性骨髓瘤患者按治疗期间是否发生医院感染分为感染组(n=80)和未感染组(n=88)。分析多发性骨髓瘤患者医院感染发生情况和危险因素。结果168例多发性骨髓瘤患者在院期间接受化疗188例次,其中医院感染患者80例,发生感染96例次,主要为呼吸道感染及消化系统感染。年龄、糖尿病、国际分期体系分期、Durie-Salmon分期、住院时间是多发性骨髓瘤化疗患者发生医院感染的影响因素(均P<0.05)。结论多发性骨髓瘤患者发生医院感染率较高,影响因素较多,医护人员可针对影响因素进行干预,降低医院感染发生率,改善预后。Objective To analyze risk factors of nosocomial infection in multiple myeloma patients undergoing chemotherapy,and provide a reference for nursing.Methods A total of 168 patients with multiple myeloma were divided into an infected group(n=80)and an uninfected group(n=88)according to whether they suffered from nosocomial infection during treatment.To analyze the occurrence and risk factors of nosocomial infection in multiple myeloma patients.Results The participants totally received che-motherapy 188 times during hospitalization,the infected group experienced 96 times nosocomial infection,mainly in respiratory and digestive system.Age,diabetes mellitus,the International Staging System stage,the Durie-Salmon stage,and length of hospitalization were the influencing factors of nosocomial infection in multiple myeloma patients(all P<0.05).Conclusion The rate of nosocomial infection in multiple myeloma patients is high,and it is influenced by multiple factors,medical staff should take targeted interventions according to the influencing factors,so as to decrease the incidence of nosocomial infection,and improve prognosis.

关 键 词：多发性骨髓瘤 化疗 医院感染 危险因素 呼吸道感染 消化系统感染 糖尿病 护理对策 

分 类 号：R473.73[医药卫生—护理学]