精神科住院患者获得性感染的危险因素分析及护理策略

Risk factors of hospital acquired infection in patients of psychiatry department and nursing strategy.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(2)
作者
作者单位

西安市精神卫生中心 ;

摘要
目的 探讨精神病科住院患者医院获得性感染的相关因素及护理策略。 方法 选取2013年1月至2015年7月在我院精神病科住院患者541例为研究对象,按照住院期间是否医院获得性感染分为两组:感染组(n=51例)和非感染组(n=490例),比较两组患者一般临床资料、实验室检查指标及相关治疗情况的差异,并利用Logistic回归分析探讨影响精神病科住院患者医院获得性感染发生的危险因素,并制定相关护理策略。结果 541例住院患者中有51例发生医院获得性感染(发生率9.4%);单因素分析提示两组患者在年龄、病程、糖尿病、住院天数、药物不良反应、血清白蛋白<35 g/L、侵入性操作方面存在统计学差异(P <0.05);多因素Logistic回归分析最终筛选出年龄、病程、糖尿病、药物不良反应、血清白蛋白<35 g/L、侵入性操作是患者发生医院获得性感染的独立危险因素。 结论 精神病科住院患者医院获得性感染受到多种因素的影响,临床中应当重视此类高危因素。
Abstract
Objective Toinvestigateriskfactorsofhospitalacquiredinfectioninpatientsofpsychiatrydepartment To investigate risk factors of hospital acquired infection in patients of psychiatry departmentand nursing strategy. Methods Between January 2013 and July 2015 in our hospital 541 cases of hospitalized patientswith psychiatric department as the research object,accordingtowhetherhospitalizationhospital acquiredinfectioncan ,accordingtowhetherhospitalizationhospital acquiredinfectioncan according to whether hospitalization hospital acquired infection canbe divided into two groups:infectiongroup( :infectiongroup( infection group(n=51 cases)andtheinfectiongroup( )andtheinfectiongroup( and the infection group(n=490),comparedtwogroupsof ),comparedtwogroupsof compared two groups ofpatients with general clinical data,laboratoryexaminationindexesandrelevant differencesintreatment,andLogis- ,laboratoryexaminationindexesandrelevant differencesintreatment,andLogis- laboratory examination indexes and relevant differences in treatment,andLogis- ,andLogis- and Logis-tic regression analysis was used to study effects of psychiatric inpatients hospital acquired infection risk factors,and ,and andformulate relevant nursing strategy. Results The541casesof hospitalizedpatientswith51casesof hospital acquired The 541 cases of hospitalized patients with 51 cases of hospital acquiredinfection incidence(9.4%);Singlefactoranalysissuggeststwogroupsinage,courseof thedisease,patientswith (9.4%);Singlefactoranalysissuggeststwogroupsinage,courseof thedisease,patientswith 9.4%);Singlefactoranalysissuggeststwogroupsinage,courseof thedisease,patientswith %);Singlefactoranalysissuggeststwogroupsinage,courseof thedisease,patientswith Single factor analysis suggests two groups in age,courseof thedisease,patientswith ,courseof thedisease,patientswith course of the disease,patientswith ,patientswith patients withdiabetes,hospitalizationdays,adversedrugreactions,serumalbumin<35g/L,invasiveoperation,thereisasta- ,hospitalizationdays,adversedrugreactions,serumalbumin<35g/L,invasiveoperation,thereisasta- hospitalization days,adversedrugreactions,serumalbumin<35g/L,invasiveoperation,thereisasta- ,adversedrugreactions,serumalbumin<35g/L,invasiveoperation,thereisasta- adverse drug reactions,serumalbumin<35g/L,invasiveoperation,thereisasta- ,serumalbumin<35g/L,invasiveoperation,thereisasta- serum albumin <35 g/L,invasiveoperation,thereisasta- ,invasiveoperation,thereisasta- invasive operation,thereisasta- ,thereisasta- there is a sta-tistically significant(P < 0.05);MultiariableLogisticregressionanalysisoffinallyselectedage,courseofthedisease, );MultiariableLogisticregressionanalysisoffinallyselectedage,courseofthedisease, Multiariable Logistic regression analysis of finally selected age,courseofthedisease, ,courseofthedisease, course of the disease,diabetes,adversedrugreactions,serumalbumin<35g/L,invasiveoperationsareindependent riskfactorsof hospi- ,adversedrugreactions,serumalbumin<35g/L,invasiveoperationsareindependent riskfactorsof hospi- adverse drug reactions,serumalbumin<35g/L,invasiveoperationsareindependent riskfactorsof hospi- ,serumalbumin<35g/L,invasiveoperationsareindependent riskfactorsof hospi- serum albumin < 35 g/L,invasiveoperationsareindependent riskfactorsof hospi- ,invasiveoperationsareindependent riskfactorsof hospi- invasive operations are independent risk factors of hospi-tal acquired infection in patients with. Conclusion Psychiatricinpatientshospital acquiredinfectionaffectedbymany Psychiatric inpatients hospital acquired infection affected by manyfactors,suchshouldbepaidgreat attentiontointheclinical riskfactors,shouldactivelydevelopnursingintervention ,suchshouldbepaidgreat attentiontointheclinical riskfactors,shouldactivelydevelopnursingintervention such should be paid great attention to in the clinical risk factors,shouldactivelydevelopnursingintervention ,shouldactivelydevelopnursingintervention should actively develop nursing interventionstrategies related to the incidence of hospital infection.
关键词
精神病科;住院患者;医院获得性感染;危险因素;护理
KeyWord
Psychiatry;Hospitalized patients;Hospital acquired infection;Risk factors;Nursing
基金项目
页码 328-330
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焦宁波*,亢晓燕,李 琨,肖 凡,尚文娟,马晓燕. 精神科住院患者获得性感染的危险因素分析及护理策略 [J]. 国际精神病学杂志. 2016; 43; (2). 328 - 330.

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