神经内科危重患者院内感染及护理

Infection and Nursing Care of Critically Ill Patients in the Department of Internal Medicine

目的对神经内科危重患者发生院内感染的危险因素进行分析,并总结护理措施。方法对2012年7月~2015年3月我院神经内科收治的危重患者246例的临床资料进行回顾性分析,分析发生院内感染的危险因素,总结相关护理措施。结果本组246例患者中,发生院内感染133例,发生率为54.07%;其中年龄≥60岁、住院时间≥15 d、有基础性疾病以及采用侵入性操作为主要的危险因素。结论神经内科危重患者发生院内感染的几率较大,对于高龄、住院时间长以及采用侵入性操作的患者要加强相应的护理措施,以减少院内感染的发生率,促进患者的康复。

Objective To analyze the risk factors of nosocomial infection in severe patients in the Department of internal medicine, and summarize the nursing measures. Methods A retrospective analysis was made on the clinical data of 246 cases of critical patients in our hospital from July 2012 ~ March 2015, and the risk factors of nosocomial infection were analyzed. Results 246 patients in this group, 133 cases of hospital infection occurred. The incidence rate for 54.07%; the age of more than 60 years, hospitalization time is greater than or equal to 15 days, have basic diseases and the use of invasive procedures for the main risk factors. Conclusion The incidence of nosocomial infection in patients with severe infection in the Department of internal medicine, and to reduce the incidence of nosocomial infection and promote the rehabilitation of patients with the elderly, long duration of hospitalization and the use of invasive operation.