慢性肝病患者院内感染的临床分析以及对因护理措施

Clinical analysis of nosocomial infection in patients with chronic liver disease and its counterpart nursing

目的探讨慢性肝病患者院内感染的类型及原因,并分析对因护理后感染率的变化。方法选取本院2011年2月—2012年2月收治的400例慢性肝病患者为研究对象,对其感染类型和原因进行分析。另选取本院2012年3月—2013年3月收治的400例慢性肝病患者为研究对象,对其实施对因护理和合理用药指导,比较2组患者的感染率。结果慢性肝病患者院内感染的发生率较高,为33.8%;年龄、住院时间和侵袭性操作都是院内感染的危险因素;对因护理后慢性肝炎、乙肝肝硬化和酒精肝的院内感染的发生率均显著低于护理前(P<0.05),患者的满意度及生活质量评分则显著高于护理前(P<0.05)。结论慢性肝病患者的感染发生率较高,会影响治疗效果和转归,对因护理和用药指导有利于减少感染的发生。

Objective To explore the category and causes of nosocomial infection in pa- tients with chronic liver disease, and to analyze the variation of infection rate after counterpart nursing. Methods A total of 400 chronic liver disease patients treated in our hospital from February of 2011 to February of 2012 were analyzed to find out the causes and category of infection. In addition, another 400 chronic liver disease patients from March of 2012 to March of 2013 were ex- erted counterpart nursing and given correct guidance for drug administration. Afterwards, the in- fection rate of two groups was compared. Results Patients with chronic liver disease in a higher incidence of infection was 33.8 %. age, length of hospital stay and invasive operation were the risk factors of nosocomial infection. The incident rate of nosocomial infection in patients with chronic liver disease was as high as 33.8 %. The risk factors of nosocomial infection were age, hospitaliza- tion time and attractive operations. The incident rate of nosocomial infection after nursing such as chronic hepatitis, hepatitis B induced cirrhosis as well as alcoholic liver is remarkably lower than that before nursing（P 〈 0.05 ）, and the score for patients＇ satisfaction and life quality is higher than that before nursing. （P 〈 0.05）. Conclusion The incident of infection in patients with chronic liver disease is high, which will impact the therapeutic effect and the outcome, therefore, countermeasures of nursing as well as the guidance of drug administration could conductive to the decrease of the infection.