精神科患者医院感染的危险因素分析

Analysis of risk factors of hospital infection in psychiatric patients

目的探究精神科患者医院感染的危险因素,为在治疗和护理中进行感染预防提供理论基础。方法对张家口市沙岭子医院2008年1月至2011年12月精神科发生院内感染的住院患者进行回顾分析,对其住院时间、发病季节、感染部位及原发疾病等临床资料进行对比,分析影响精神科患者医院感染的危险因素。结果 1362例患者中共出现141例感染,占10.4%,146次感染,占10.7%,其中精神分裂症及器质性精神障碍感染率最高,分别为13.0%及14.9%;经多因素COX模型分析,原发疾病、住院时间及封闭式管理是影响精神科患者医院感染的独立危险因素(P<0.05)。结论应加强精神科病房管理,采取积极有效的干预措施,控制医院感染的发生。

Objective To explore the risk factors of hospital infection in psychiatric patients. Methods Clini- cal data,including length of stay,morbidity season,infection site and primary diseases,of patients with infectious dis eases in Psychiatry Department of this hospital were retrospectively analyzed to indentify the risk factor of hospital infection in psychiatric patients. Results Among total 1 362 patients, 141 cases were diagnosed with infection,ac counting for 10.4 %,and 146 times of infection,accounting for 10.7%, and the percentages of schizophrenia and or ganic mental disorders patients were highest, respectively 13.0 % and 14.9 %. Multiple factors COX model analysis indicated that , primary diseases,length of stay and closed type management were the independent risk factors of hos- pital infection in psychiatric patients （P〈0.05）. Conclusion Psychiatric ward management should be strengthened and effective measures should be applied to control the incidence of hospital infection.