半开放式精神病院院内感染资料分析及护理对策

Analysis of infection information in mental hospital with half-open management and nursing countermeasures

目的 调查分析半开放式精神病院院内感染情况,以寻求降低院内感染率的措施。方法 查阅汕头大学精神卫生中心2 0 0 3年住院患者病案,按医院感染调查表格要求逐项登记,按全国医院感染统一标准确定为院内感染的资料进行分析。结果 半开放式精神病院院内感染率为8.5 % ,远低于封闭式精神病院的19.5 % ,与综合医院的8.0 %相近。其中呼吸道感染为6 8.1% ,胃肠道感染为14 .9% ,泌尿道感染为6 .4 % ,皮肤软组织感染为10 .6 %。结论 半开放式精神病院住院患者由于患病,生活自理差,导致入院初期院内感染率高。

Objective\ Investigate infections in mental hospital with half-open management to seek a method for reducing infection. Methods To consult medical record of patients being in hospital in 2003 in mental health center of Shan Tou university,and then fill in questionnaire of hospital infection, and make analysis according to National hospital infection standard . Results Infected rate in half-open management is (8.5%), much lower than 19.5% in closed management, near to 8.0% in combined hospital. Among mental hospital with half-open management, infected rate of respiratory tract is 68.1%, gastrointestinal tract is (14.9%),urinary tract is 6.4%, skin parenchyma is 10.6%. Conclusions High infected rate in mental hospital with half-open management during early days attributes to patients′ inability of life self care. Strengthen nursing and improve their ability of life self care are the key to drop down infected rate.