消化内科患者发生院内感染的危险因素及护理对策分析

doi:10.3969/j.issn.1006-5253.2017.05.008

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Abstract Objective To explore the risk factors and the nursing strategy of hospitalized patients with hospital acquired infection (HAIs) in the department of gastroenterology. Methods Totally 600 hospitalized patients in the department of gastroenterology were selected as research objects. 42 cases were with HAIs and belonged to the infection group, and 558 cases were not with HAIs and belonged to the non-infection group. The common parts of infection was counted. Single factor analysis and logistic analysis were used to analyze the relations of 13 factors (age, diabetes, digestive tract tumors, digestive system surgical procedures, invasive procedure, hormonotherapy, combination use of antibiotics, length of stay, hypersensitive C-reactive protein (hs-CRP), serum albumin, hemoglobin, hyponatremia and hypokalemia) with HAIs, in order to identify risk factors. The nursing strategy was made according the risk factors. Results The total infection rate was 7%, including 24 cases in respiratory tract (57.14%), 7 cases in urinary system (16.67%), 6 cases in digestive tract (14.29%), 2 cases in blood (4.76%), 2 cases in skin and mucosa (4.76%), and 1 case in others (2.38%). Single factor analysis showed that hyponatremia and hypokalemia were irrelevant to HAIs (P>0.05). The logistic analysis showed that invasive procedure (OR:3.400), the level of serum albumin<40g/L (OR= 2.536), combination use of antibiotics (OR= 2.494), diabetes (OR= 2.427), digestive tract tumors (OR=2.300), age≥60 (OR= 2.176) and hs-CRP≥10mg/L (OR=2.014) were the risk factors of HAIs (P<0.05). Conclusion Inpatients in the department of gastroenterology have a low ratio of HAIs. The nursing strategy made according the risk factors can effectively reduce the ratio of HAIs.

Key words： hospital acquired infection department of gastroenterology risk factor nursing strategy

Received: 31 August 2017

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Xia Lili. Risk factors and nursing strategy of hospitalized patients with hospital acquired infection in the department of gastroenterology[J]. journal1, 2017, 24(5): 347-349.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2017.05.008 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2017/V24/I5/347

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