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目的探讨呼吸内科住院患者合并医院感染的高危因素及护理对策。方法回顾性分析890例呼吸内科住院患者的临床资料,进行医院感染组与非医院感染组可能引起医院感染有关的因素进行比较。结果 890例呼吸内科住院患者发生医院感染50例,感染率为5.62%;以肺部感染(医院内获得性肺炎)居首位,为30例,占60.00%,其次为消化道及泌尿道感染,占20.00%、12.00%;高龄、合并慢性基础疾病、季节、创伤性诊疗操作、预防应用抗菌药物、抑酸剂及激素比例高、住院时间长(P<0.05),是医院感染的高危因素。结论呼吸内科住院患者医院感染率较高,护理干预的策重点在于尽可能减少和避免上述危险因素。
Objective To explore the risk factors and nursing strategies of nosocomial infections in respiratory medicine inpatients. Methods The clinical data of 890 inpatients with respiratory medicine were retrospectively analyzed. The factors that may cause nosocomial infection in hospital infection group and non-hospital infection group were compared. Results Among the 890 inpatients with respiratory medicine, 50 cases were hospitalized and the infection rate was 5.62%. Thirty patients (60.00%) were pulmonary infection (hospital acquired pneumonia), followed by gastrointestinal and urinary tract infections , Accounting for 20.00% and 12.00% respectively. The elderly patients with chronic basic diseases, seasons, traumatic diagnosis and treatment, prevention and treatment of antimicrobial agents, high acid-suppressing agents and hormones, long hospital stay (P <0.05) . Conclusion Inpatients with respiratory medicine hospital infection rate is higher, nursing intervention policy focus is to minimize and avoid the above risk factors.