静脉注射致相关性感染的危险因素分析和护理研究

Risk factors analysis and nursing research on the infection of venous injection

目的：分析患者在静脉注射过程中发生相关性感染的危险因素,加强静脉注射过程的护理。方法：回顾性分析2014年1月-2015年1月来我院进行静脉注射的90例患者为研究对象,根据静脉注射相关性感染诊断标准分成注射相关性感染组（感染组）和无注射相关性感染组（无感染组）,每组45例。两组患者静脉注射后均行血液检查测定血清白蛋白（ALB）和血糖（GLU）。回顾性分析两组患者自身免疫机能、静脉注射次数及护士操作经验及住院时间等临床资料。结果：感染组静脉注射后血液检查ALB的值明显低于无感染组（P〈0.05）;感染组静脉注射后血液检查GLU的值明显高于无感染组（P〈0.05）;感染组静脉注射后住院时间明显长于无感染组（P〈0.05）。感染组自身免疫机能明显低于无感染组（P〈0.05）,静脉注射次数多于无感染组（P〈0.05）,感染组护士操作经验显著少于无感染组（P〈0.05）。以静脉注射相关性感染为应变量,自身免疫机能、静脉注射次数及护士操作经验作为自变量赋值后进行Logistic回归分析,得出OR值分别为：3.43、2.87、2.32,差异有统计学意义。结论：静脉注射相关性感染的危险因素主要有患者ALB的降低、GLU的增加、住院时间长、患者自身免疫机能降低、注射次数多、护士操作经验少等,通过加强静脉注射过程的护理,可有效控制静脉注射相关性感染,使治疗效果得到提高。

Objective： to analyze the risk factors of infection in patients with venous injection,and to strengthen the nursing of intravenous injection. Methods： a retrospective analysis of 2014 January to 2015 January in our hospital intravenous injection of 90 patients as the research object,according to the intravenous catheter-related infection diagnostic criteria into injection associated infection group（infection group）and the group without injection associated infection（infection group）,each group of 45 cases of patients with. Blood tests were performed after intravenous injection of two groups of patients with serum albumin（ALB） and blood glucose（GLU）. The clinical data of two groups of patients were retrospectively analyzed,such as their own immune function,the number of intravenous injection,the experience of nursing operation and the time of hospitalization. Results： after infection group were treated with intravenous injection of Alb in blood check values were significantly lower than those in non infection group（P 0.05）; infection group were treated with intravenous injection of checking blood glucose value was significantly higher than that in non infection group（P 0.05）; after the infection group were treated with intravenous injection of hospitalization time was significantly longer than that in the non infection group（P 0.05）. Infection group with their own immune function were significantly lower than those in non infection group（P 0.05）,the number of intravenous injection of more than no infection group（P 0.05）,infection group experience of nurses significantly less than non infection group（P 0.05）. Related to the intravenous injection of the infection as the dependent variable and its immune function,intravenous injection times and experience of nurses as independent variable assignment after logistic regression analysis,it is concluded that the or value were： 3.43, 2.87, 2.32, with statistical significance. Conclusion： intravenous infection related risk factors are decreased,the increase of Glu,hospitalization for a long time,the patient＇s own immune function is reduced,injection of multiple times,experience of nurses less,by strengthening the nursing of intravenous injection can effectively control the infection related to the incidence of,and improve the effect of treatment in patients with ALB in patients with.