摘要
目的对儿童医院住院患儿的医院感染因素进行分析,并探讨健康教育的预防效果,以期为临床治疗提供参考。方法选择207例住院患儿作为研究对象,采用logistic多因素回归分析,筛选出医院感染的危险因素;并针对相关危险因素提出相应的健康教育,考察健康教育对医院感染的预防效果。结果 207例患儿发生医院感染24例,感染率为11.59%;其中内科7例、外科5例、呼吸科5例、ICU 3例、其他科室4例;多因素logistic回归分析结果显示,抗菌药使用时间(β=-3.531,OR=0.029)、住院时间(β=2.917,OR=6.752)、机械通气(β=1.389,OR=5.387)及基础疾病(β=2.283,OR=9.816)对医院感染有较大影响;经过健康教育后,观察组感染率为6.54%,对照组医院感染率为17.00%,观察组显著低于对照组,两组相比差异有统计学意义(P<0.05)。结论对住院患儿医院感染的高危因素进行有针对性的健康教育,不仅可有效预防患儿医院感染的发生率,还能提高患儿家长的满意度和信任度,改善医患关系,值得临床推广应用。
OBJECTIVE To analyze the risk factors for the nosocomial infections in hospitalized children and explore the preventive effect of health education so as to guide the clinical treatment. METHODS A total of 207 hospitalized children were selected as the research objects, then the multivariate logistic regression analysis was performed to screen out the risk factors for nosocomial infections, the correlated health education was conducted, and the effect of the health education on prevention of nosocomial infections was observed. RESULTS Of totally 207 children investigated,the nosocomial infections occurred in 24 cases with the infection rate of 11.59 %, among which there were 7 cases in the internal medicine department, 5 cases in the surgery department, 5 cases in the respiratory department, 3 cases in ICU, and 4 cases in other departments. The multivariate logistic regression analysis showed that the time of use of antibiotics（β=-3. 531,OR=0. 029）, length of hospitalization （β=2. 917,0R= 6. 752）, mechanical ventilation duration （β= 1. 389, OR = 5. 387）, and underlying diseases （β= 2. 283, OR = 9. 816） were the risk factors for the nosocomial infections. After the health education, the infection rate of the observation group was 6.54 %, significantly lower than 17.00 % of the control group, the difference between the two groups was significant （P〈0.05）. CONCLUSION The health education aiming at the risk factors for nosocomial infections can not only prevent the nosocomial infections effectively but also improve the parents＇ satisfaction and trust as well as improve the doctor-patient relationship, it is worthy to be promoted in the hospital.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第18期4452-4453,4468,共3页
Chinese Journal of Nosocomiology
基金
重庆市卫生局医学科研计划项目(07-2-049)
关键词
儿童医院
医院感染
危险因素
健康教育
Children＇s hospital
Nosocomial infection
Risk factor
Health education
