精神科糖尿病患者医院感染相关因素分析与防范对策

Analysis of Related Factors and Preventive Measures of Nosocomial Infection in Psychiatric Patients with Diabetes

目的探讨精神科糖尿病患者医院感染相关因素,为制定相应的预防控制措施提供理论依据。方法选择2008年1月~2012年12月我院住院治疗的262例精神障碍合并糖尿病患者发生医院感染及其相关因素进行调查分析。结果本组发生医院感染51例,感染率为19.47%,感染部位依次为上呼吸道19例、下呼吸道12例、皮肤软组织11例、胃肠道5例及其它4例。构成比依次为37.25%、23.53%、21.57%、9.80%、7.84%。发生感染与患者的年龄、住院时间、血糖控制程度等有关。结论精神障碍合并糖尿病患者医院感染发病率高,应采取积极有效的预防与控制措施,减少医院感染的发生。

Objective To explore the related factors of nosocomial infection of psychiatric patients of diabetes,and provide a theoretical basis for the formulation of relevant prevention and control measures. Method To investigate and analyze nosocomial infection of 262 cases of psychiatric patients with diabetes stayed in the hospital for treatment from January 2008 to December 2012. Result 51 cases of nosocomial infection occurred in 262 psychiatric patients of diabetes,the infection rate is 19. 47%,including 19 cases of upper respiratory tract infection,12 cases of lower respiratory tract,11 case with skin and soft tissue,5 cases of gastrointestinal and other 4 cases,whose corresponding constituent ratio are 37. 25%,23. 53%,21. 57%,9. 80% and 7. 84%. The occurrences of infection are relevant to patient＇s age,duration of hospitalization,blood glucose level of control and so on. Conclusion Psychiatric patients with diabetes have a high nosocomial infection rate when they stay in hospital for treatment,therefore positive and effective prevention and control measures must be taken to reduce the occurrence of nosocomial infection.