护理缺失所致新生儿院内感染原因分析及对策

Cause Analysis and Countermeasures of Nosocomial Infection of Newborns Caused by Lack of Nursing

目的探讨因为护理缺失导致新生儿呈现出院内感染系列原因并观察给予全面护理干预后获得临床效果。方法将该院2017年5月—2020年1月收治的100例新生儿依据是否出现院内感染进行分组;感染组(20例):新生儿表现出院内感染情况;非感染组(80例):新生儿未表现出院内感染现象;临床就感染组表现出院内感染类型进行分析,并且就护理缺失因素展开对应分析,同非感染组之间展开比较。并采取有效措施展开护理干预,以对新生儿安全性做出充分保证。结果对于该次研究收治的100例新生儿,20例表现出新生儿感染情况,感染率为20.00%;就新生儿院内感染类型进行分析,7例呈现出胃肠感染现象,8例呈现出呼吸系统感染现象,3例呈现出皮肤感染现象,2例呈现出其他感染现象;就新生儿感染护理缺失相关因素进行分析,主要集中于住院时长、日龄、有创操作记录、病毒消毒时间间隔以及抗生素预防使用方面;感染组新生儿病毒消毒时间间隔(3.91±0.25)d、住院时长(20.33±3.59)d均长于非感染组病毒消毒时间间隔(2.33±0.11)d、住院时长(12.89±4.27)d明显,日龄(10.57±3.69)d小于非感染组(17.89±4.22)d明显,抗生素预防使用比例(25.00%)低于非感染组抗生素预防使用比例(61.25%)明显(P<0.05)。结论对于因为护理缺失导致新生儿呈现出院内感染系列原因进行分析,主要集中于住院时长、日龄、有创操作、病毒消毒时间间隔以及抗生素预防使用方面;对此需要采取针对性措施展开护理干预,对安全性以及高效性做出保证,最终对于新生儿院内感染出现最大限度避免。

Objective To explore the series of causes of infection in the newborn due to lack of nursing care and observe the clinical results obtained after comprehensive nursing intervention.Methods 100 neonates admitted to our hospital from May 2017 to January 2020 were divided into groups according to whether there were nosocomial infections;infection group(20 cases):neonates showing discharge in hospital;non-infected group(80 cases):newborns did not show nosocomial infections;clinical analysis of the types of hospitalized infections in the infected group was carried out,and corresponding analysis was carried out on the missing factors of nursing care,and compared with the non-infected group.And take effective measures to carry out nursing intervention to fully guarantee the safety of newborns.Results Of the 100 neonates admitted in this study,20 showed neonatal infections,and the infection rate was 20.00%.According to the analysis of the types of neonatal hospital infections,7 showed gastrointestinal infections and 8 showed respiratory system infections,3 cases showed skin infections,2 cases showed other infections;analysis of factors related to the lack of nursing care for neonatal infections,mainly focusing on length of hospital stay,age,invasive operation records,virus disinfection interval as well as the preventive use of antibiotics;the virus disinfection interval(3.91±0.25)d and the length of hospitalization(20.33±3.59)d for the infected group were obviously longer than the virus disinfection interval(2.33±0.11)d and the length of hospitalization(12.89±4.27)d,the age(10.57±3.69)d was shorter than the non-infected group(17.89±4.22)d,and the proportion of antibiotic prophylaxis(25.00%)was lower than those of the non-infected group′s use rate(61.25%)significantly(P<0.05).Conclusion The analysis of the series of reasons for the neonatal infections during discharge due to lack of nursing is mainly focused on the length of hospitalization,age,invasive operation,virus disinfection interval,and the preventive use of antibiotics;this requires targeted measures to carry out nursing care Intervention guarantees safety and efficiency,and ultimately avoids the occurrence of nosocomial infections in newborns.