老年病区感染性疾病危险因素分析与护理对策

Analysis on hazardous factors of infectious diseases in elderly ward and nursing countermeasures

目的:探讨分析老年病区感染性疾病危险因素,针对危险因素制定相应的护理措施。方法:根据患者入院后是否并发感染为依据,将622例老年住院患者分为感染组60例和未感染组562例,回顾性分析两组患者性别构成、年龄、住院时间、基础疾病、侵入性操作、使用抗生素数量、使用激素和免疫制剂情况等数据资料,采用Logistic回归分析老年病区感染性疾病相关因素和独立危险因素。结果:住院时间过长、使用抗生素>2次、侵入性操作、使用激素和免疫制剂均是老年病区患者院内并发感染性疾病的相关性因素(P<0.05);而侵入性操作和使用抗生素>2次是老年病区患者并发感染性疾病的独立危险因素(P<0.05)。结论:老年病区感染性疾病护理策略的制定,应当从减少侵入性操作和抗生素使用次数入手,以降低感染率。

Objective ： To discuss the hazardous factors of infectious diseases in elderly ward and establish the corresponding nursing measures for the hazard- ous factors. Methods ： Based on whether the patients were complicated with infection after admission, 622 elderly patients in hospital were equally divided in- to 60 patients in the infectious group and 562 patients in the non - infection group, and a retrospective analysis was made on the sex constitution, age, length of stay, basic diseases, invasive operation, number of antibiotics used, use of hormone and immune agents etc. of patients in the two groups, Logis- tic regression was used to analyze the infectious disease related factors and independent hazardous factors in the elderly ward. Results：Too long length of stay, use of antibiotics more than twice, invasive operation, use of hormone and immune agents were all related factors of complicated infectious diseases of patients in the elderly ward （ P 〈 0.05 ） ; while the invasive operation and use of antibiotics more than twice were the independent hazardous factors of com- plicated infectious diseases in the elderly ward （P 〈 O. 05 ）. Conclusion：The nursing countermeasures for infectious diseases in the elderly ward should be established based on the propose of reducing invasive operation and frequency of use of antibiotics, so as to reduce the infection rate.