精神科住院患者医院获得性感染危险因素分析  

Risk factors of nosocomial infection in psychiatric inpatients

作　　者：李文娟 孙玉玺[1] 张红云[1] LI Wenjuan;SUN Yuxi;ZHANG Hongyun(Department of Hospital Infection Management,the Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,Henan Province,China)

机构地区：[1]新乡医学院第二附属医院感控管理部,河南新乡453002

出　　处：《新乡医学院学报》2024年第8期788-792,共5页Journal of Xinxiang Medical University

摘　　要：目的分析住院精神障碍患者医院获得性感染相关危险因素。方法选择2023年1~12月新乡医学院第二附属医院收治的12861例患者为研究对象。收集患者的临床资料,通过单因素和多因素logistic回归分析医院获得性感染的相关危险因素。结果12861例住院精神障碍患者中发生医院获得性感染315例(2.45%),感染部位以呼吸道为主,占87.31%。单因素分析结果显示,性别、年龄、住院天数、精神疾病分类、自知力、治疗用药种类、患者管理方式和合并基础疾病与患者医院获得性感染的发生相关(P<0.05);住院季度、改良电抽搐治疗、保护性约束、侵入性操作与患者医院获得性感染的发生无关(P>0.05)。多因素logistic回归分析结果显示,住院天数>30 d、重型精神疾病患者、患者住院封闭管理方式、年龄≥60岁、男性和治疗用药种类>2种是精神科住院患者医院获得性感染的独立危险因素(P<0.05)。结论住院精神障碍患者医院获得性感染发生常见,住院天数>30 d、重型精神疾病患者、患者住院封闭管理方式、年龄≥60岁、男性和治疗用药种类>2种是精神科住院患者医院获得性感染的独立危险因素,应重点关注此类患者,开展定向目标监测,及时识别出高危感染病例,有的放矢地制定出有针对性防控措施,以降低住院精神障碍患者医院获得性感染的发生率。Objective To analyze the risk factors of nosocomial infection in inpatients with mental disorders.Methods A total of 12861 inpatients at the Second Affiliated Hospital of Xinxiang Medical University from January to December 2023 were selected as the research subjects.Clinical data of patients were collected,and related risk factors for nosocomial infection were analyzed through univariate and multivariate logistic regression analyses.Results Of 12861 inpatients with mental disorders,315(2.45%)had nosocomial infection.The main infection site was the respiratory tract,accounting for 87.31%.Univariate analysis showed that gender,age,length of hospital stay,classification of mental illness,self-awareness,type of drugs,patient management style,and comorbid underlying diseases were related to nosocomial infection(P<0.05);hospitalization quarter,modified electroconvulsive therapy,protective constraint,and invasive procedure were not related to nosocomial infection(P>0.05).Multivariate logistic regression analysis showed that length of hospital stay>30 days,severe mental illness,closed mana-gement,age≥60 years,male,and type of drugs>2 were independent risk factors for nosocomial infection in psychiatric inpatients(P<0.05).Conclusion Nosocomial infection is common in hospitalized patients with mental disorders.The length of hospital stay>30 days,severe mental illness,closed management,age≥60 years,male,and type of drugs>2 are independent risk factors for nosocomial infection in psychiatric inpatients,and special attention should be paid to such patients.Targeted monitoring should be carried out to identify high-risk infection cases timely,and targeted prevention and control measures should be formulated to reduce the incidence of nosocomial infection in hospitalized patients with mental disorders.

关 键 词：精神障碍 住院患者 医院获得性感染 危险因素 

分 类 号：R749.05[医药卫生—神经病学与精神病学]