心肌梗死患者经皮冠状动脉介入治疗后医院感染影响因素分析

Influencing factors for nosocomial infections in myocardial infarction patients after percutaneous coronary interventional therapy

目的探究并分析急性心肌梗死患者经皮冠状动脉介入治疗后医院感染影响因素,旨在为采取针对性的预防干预护理措施提供参考依据。方法收集2010年1月-2013年1月326例经皮冠状动脉介入治疗的急性心肌梗死患者临床资料,应用描述性统计和logistic回归分析法找出急性心肌梗死患者经皮冠状动脉介入治疗后医院感染影响因素,并制定针对性护理干预措施。结果急性心肌梗死患者经皮冠状动脉介入治疗后发生医院感染率为14.73%,以呼吸道感染为主,多因素logistic回归分析显示高龄(OR=1.97,P<0.01)和糖化血红蛋白异常(OR=5.78,P<0.01),是急性心肌梗死患者经皮冠状动脉介入治疗后发生医院感染的危险因素,执行PDCA循环管理(OR=0.38,P<0.01)是预防医院感染发生的保护因素。结论急性心肌梗死患者经皮冠状动脉介入治疗后医院感染发生率较高,且医院感染发生因素受到多方面的影响,通过针对性的护理干预措施,减少其医院感染发生率。

OBJECTIVE To explore the influencing factors after percutaneous coronary interventional therapy so for nosocomial infections in myocardial infarction patients as to put forward targeted prevention interventions. METHODS The clinical data of 326 cases of myocardial infarction patients who underwent percutaneous coronary interventional therapy from Jan 2010 to Jan 2013 were collected, then the descriptive statistical analysis and logistic regression analysis were performed to find out the influencing factors for the nosocomial infections, and the targeted nursing interventions were put forward. RESULTS The incidence of nosocomial infections in the myocardial infarction patients after percutaneous coronary interventional therapy was 14.73 %, the respiratory tract infections was predominant. The multivariate logistic regression analysis showed that the advanced age （OR = 1.97, P〈0.01） and abnormal glycosylated hemoglobin （OR=5.78, P〈0.01） were the risk factors for the nosocomial infections in the acute myocardial infarction patients after percutaneous coronary interventional therapy; while the implementation of PDCA （OR= 0. 38, P〈0.01） was the protective factor for the prevention of nosocomial infections. CONCLUSION The incidence rate of nosocomial infections is high in the acute myocardial infarction patients after percutaneous coronary interventional therapy, the incidence of nosocomial infections is affected by many factors; the implementation of targeted nursing interventions may reduce the incidence of nosocomial infections.