妇产科住院患者院内感染的影响因素及护理对策

Influencing factors and nursing strategies of nosocomial infection in obstetrics and gynecology hospitalized patients

目的探讨妇产科住院患者院内感染的影响因素及护理对策。方法对我院妇产科收治的患者487例的临床资料进行回顾性分析,采用Logistic回归分析妇产科住院患者院内感染的影响因素,并提出护理对策。结果本研究487例妇产科住院患者中,27例发生院内感染,院内感染发生率为5.54%。单因素分析结果显示,不同年龄、合并基础疾病、化疗病史、住院时间及留置导尿管情况患者的院内感染发生率比较,差异具有统计学意义(P<0.05)。多因素Logistic分析显示,年龄≥60岁、存在化疗史、住院时间≥7 d是妇产科住院患者院内感染的独立危险因素(P<0.05)。结论妇产科住院患者院内感染危险因素较多,应根据患者的实际情况采取相应的护理措施,从而预防并降低妇产科病房院内感染的发生率。

Objective To investigate the influencing factors and nursing strategies of nosocomial infection in obstetrics and gynecology hospitalized patients.Methods The clinical data of 487 hospitalized patients in obstetrics and gynecology in our hospital were retrospectively analyzed.Logistic regression analysis was used to analyze the influencing factors of nosocomial infection in obstetrics and gynecology hospitalized patients,and nursing strategies were put forward.Results Among the 487 hospitalized patients in obstetrics and gynecology,there were 27 cases with nosocomial infection,and the nosocomial infection rate was 5.54%.The univariate analysis showed that there were significant differences in nosocomial infection rate with different age,combination of basic diseases,history of chemotherapy,time of hospitalization and indwelling catheter(P<0.05).The Logistic multivariate analysis showed that age≥60 years,existing chemotherapy history and hospitalization time≥7 days were the independent risk factors of nosocomial infection in obstetrics and gynecology hospitalized patients(P<0.05).Conclusion There are many risk factors of nosocomial infection in obstetrics and gynecology hospitalized patients,and the corresponding nursing strategies should be taken according to the actual situation of the patients,so as to prevent and reduce the incidence of nosocomial infection in obstetrics and gynecology ward.