“三无”精神病患者皮肤感染情况及对策

To investigate the influence factors of skin infection in psychiatric patients with "three nothingness" and their countermeasures

目的探讨精神科"三无"精神病患者皮肤感染情况,并提出相应的护理对策。方法将2018年1月~2018年12月150例在我院接受治疗的三无精神病患者纳入研究对象,对所有患者一般资料进行分析,观察患者皮肤感染具体情况,总结诱发患者皮肤感染的主要因素,并提出皮肤感染的处理对策。结果 150例患者中有35例存在皮肤感染,占23.33%,其中以疥疮感染占比最高,为45.71%(16/35),其次为疖、脓疮,占比28.57%(10/35);三无精神病患者皮肤感染与患者年龄以及季节密切相关,且患者发生皮肤感染有自身的因素,也与医院管理、工作人员护理操作等有关,对患者给予体格检查、原发病治疗等,能够有效防治皮肤感染问题。结论三无精神病患者易发生皮肤感染,应加强医院感染管理监控,对患者实施体格检查,明确患者皮肤感染风险,积极治疗原发病。

Objective To observe the main factors of skin infection in psychiatric patients with "three nothingness" and put forward corresponding nursing countermeasures. Methods 150 cases of "three nothingness" patients treated in our hospital from January 2018 to December 2018 were included in the study. The general data of all patients were analyzed,the specific situation of skin infection was observed,the main factors inducing skin infection were summarized,and the treatment strategies of skin infection were put forward. Results Among 150 patients,35 cases had skin infection,accounting for 23.33%. Scabies accounted for 45.71%(16/35),followed by furuncles and abscesses,accounting for 28.57%(10/35). Skin infection in "three nothingness" patients was closely related to age and season of patients,and the occurrence of skin infection in patients had its own factors,as well as hospital management and staff nursing operation. The physical examination and treatment of primary diseases can effectively prevent and treat skin infections. Conclusion The "three nothingness" patients had high risk to get skin infections. It is necessary to strengthen the management and monitoring of nosocomial infections,carry out physical examinations,identify the risk of skin infections,actively treat the primary diseases.