急诊患者感染风险调整模型指导下预防性护理的研究

Study on preventive nursing care under the guidance of risk adjustment model of emergency patients

目的通过分析患者感染风险因素,建立风险调整模型对急诊感染进行预防性护理。方法选取该院2016年10月~2017年10月急诊就诊的422例患者资料,调查选择20个感染危险因素为调整因素进行单因素分析,逐步Logistic回归模型建立风险调整模型,进行护理指导。结果疾病严重程度、侵入式操作是急诊患者感染的风险因素,差异有统计学意义(P<0.05),健康状况、感染前使用激素和预防性使用抗生素是急诊患者感染保护性因素,差异有统计学意义(均P<0.05),该模型风险调整模型拟合优度为0.82,期望感染率与实际感染率拟合优度为0.76。结论建立风险调整模型能够对急诊患者感染预防进行标准化预防,有利于提升急诊感染预防护理的服务质量。

Objective To analyze the risk factors of infection and establish a risk adjustment model for preventive care of emergency infection. Methods The data of 422 patients were selected in this hospital from October 2016 to October 2017, and 20 risk factors of infection were investigated by single factor analysis.The risk adjusted model was established by stepwise Logistic regression model, and nursing instruction was conducted. Results Severity of disease, invasive operation were risk factors of emergency patients, and the differences were statistically significant (P<0.05). Health status, preinfection hormone use and prophylactic antibiotic use were protective factors for infection in emergency patients, and the differences were statistically significant(P<0.05). The goodness of fit of risk adjustment model was 0.82, and the goodness of fit of expected infection rate and actual infection rate was 0.76. Conclusions The establishment of a risk adjustment model can be standardized for the prevention of infection in emergency patients, and it is beneficial to improve the quality of service for emergency infection prevention and care.