某三甲综合性医院康复医学科上呼吸道感染现状及干预效果评价  

Current situation and intervention effect evaluation of upper respiratory tract infection in Rehabilitation Medicine department of a grade-3 A general hospital

作　　者：丁明丽[1] 林小芳 胡涛[1] DING Mingli;LIN Xiaofang;HU Tao(Department of Infection Management Division,Ganzhou People's Hospital,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣州市人民医院感染管理科,江西赣州341000

出　　处：《当代医学》2024年第34期155-158,共4页Contemporary Medicine

基　　金：赣州市科技局指导性科技计划项目(GZ2022ZSF157)。

摘　　要：目的调查赣州市人民医院康复医学科上呼吸道感染(upper respiratory tract infection,URTI)现状并评价干预效果,为减少URTI的发生提供依据。方法回顾性分析2016年1月至2020年12月赣州市人民医院康复医学科住院的5388例患者的临床资料,分析不同年份、性别、年龄及住院时间患者URTI发生率。另选取2020年10月至2021年3月康复医学科住院的771例患者作为对照组,2021年10月至2022年3月784例住院患者作为干预组,对照组采用常规感控措施,干预组采用多维度综合性感控干预措施,比较两组URTI发生率。结果5388例康复医学科住院患者发生URTI 758例,URTI发生率为14.07%;不同年份URTI发生率比较差异有统计学意义(P<0.05),其中2018年URTI发生率最高(18.29%),2020年最低(10.32%)。男性患者URTI发生率为14.44%,女性为13.35%,不同性别URTI发生率比较差异无统计学意义。不同年龄段患者URTI发生率比较差异有统计学意义(P<0.05);>1~3岁患儿URTI发生率最高(35.32%),>10岁患者URTI发生率较低(1.22%)。不同住院时间患者URTI发生率比较差异有统计学意义(P<0.05),住院时间>21~28 d的患者URTI发生率最高(18.68%),住院时间>28 d、1~3 d的患者URTI发生率较低(5.66%、5.19%)。干预组URTI发生率为2.04%,低于对照组的9.86%,差异有统计学意义(P<0.05)。结论康复医学科住院患者易发生URTI,且发生率较高,给予多维度综合性感控干预措施,有助于减少URTI的发生。Objective To investigate the current situation of upper respiratory tract infection(URTI)in Rehabilitation Medicine department of Ganzhou People's Hospital and evaluate the effect of intervention,so as to provide basis for reducing the occurrence of URTI.Methods Clinical data of 5388 patients who were hospitalized in Rehabilitation Medicine department of Ganzhou People's Hospital from January 2016 to December 2020 were retrospectively analyzed,and the incidence of URTI among patients with different years,gender,age and length of stay were analyzed.In addition,771 patients hospitalized in the department of Rehabilitation Medicine from October 2020 to March 2021 were selected as the control group and 784 patients who were hospitalized from October 2021 to March 2022 were selected as the intervention group,the control group adopted routine sense-control measures,and the intervention group adopted multidimensional comprehensive sense-control intervention measures,the incidence of URTI was compared between the two groups.Results There were 758 cases of URTI in 5388 inpatients in the department of Rehabilitation Medicine,and the incidence of URTI was 14.07%;there were statistically significant differences in the incidence of URTI in different years(P<0.05),and the incidence of URTI was the highest in 2018(18.29%)and the lowest in 2020(10.32%).The incidence of URTI in male patients was 14.44%,and that in female patients was 13.35%,there was no significant difference in the incidence of URTI between different genders.There were significant differences in the incidence of URTI among patients of different ages(P<0.05),the incidence of URTI in children>1-3 years old was the highest(35.32%),while the incidence of URTI in patients>10 years old was lower(1.22%).There were significant differences in the incidence of URTI among patients with different hospital stays(P<0.05);the incidence of URTI in patients with hospital stays>21-28 d was the highest(18.68%),the incidence of URTI in patients with hospital stays>28 d and 1-3 d we

关 键 词：康复医学科 多维度综合性干预 住院患者 上呼吸道感染 感控措施 

分 类 号：R47[医药卫生—护理学]