2型糖尿病患者医院感染的调查及健康教育管理

Investigation of nosocomial infections in type 2 diabetes mellitus patients and health training management

目的收集医院2型糖尿病患者的临床资料,探讨针对性的健康管理措施,以期为健康教育管理与感染的预防治疗提供参考。方法采用回顾性调查的方法分析医院2011年1月-2012年1月86例2型糖尿病患者的临床资料,统计感染率及病原菌分布,实施针对性的健康管理。结果 86例2型糖尿病患者中,发生感染39例、54例次,感染率为45.3%、例次感染率为62.8%;检出主要病原菌为肺炎克雷伯菌、大肠埃希菌及变形菌属,分别占28.6%、22.9%及17.1%。结论加强健康教育管理是预防感染的重要措施,因此必须提高认识,健全管理机制,加强监测,开展好健康教育等工作。

OBJECTIVE To collect the clinical data of type 2 diabetes mellitus patients and explore the targeted health management so as to provide reference for the clinical prevention of infections and the health training management. METHODS The clinical data of 86 type 2 diabetes mellitus patients who enrolled hospital from Jan 2011 to Jan 2012 were respectively investigated, then the statistical analysis of the infection rate and the distribution of pathogens was performed, the targeted health management was implemented. RESULTS Of 86 type 2 diabetes mellitus patients investigated, the infections occurred in 39 patients （54 case-times ） with the infection rate of 45.3% and the case-time infection rate of 62. 8%Klebsiella pneumoniae, Escherichia coli and Proteobacteria were the main species of pathogens, accounting for 28. 6%, 22. 9%, and 17. 1%, respectively. CONCLUSION It is important to intensify the health education management to prevent nosocomial infections, therefore, it is necessary to improve the awareness, perfect the management mechanism, strengthen the monitoring and conduct the health education.