摘要
目的:探讨引起手术患者医院感染的相关因素,以降低手术患者医院感染发生率。方法:回顾性分析我院行普外科手术347例患者的临床资料,将发生医院感染患者设为医院感染组,未发生医院感染患者设为对照组。通过Logistic回归模型分析引起手术患者医院感染的危险因素。结果:347例患者中,发生医院感染28例,发生率为8.07%,医院感染组中呼吸系统感染率最高。单因素分析显示,切口类型(Ⅲ、Ⅳ类)、接台手术、侵入性操作、手术时间≥2 h、入ICU时间>3 d、术前使用抗生素与手术患者发生医院感染相关(P<0.05)。经Logistic多因素回归分析显示,切口类型(Ⅲ、Ⅳ类)、手术时间≥2 h、入ICU时间>3 d、术前使用抗生素是引起手术患者医院感染的危险因素(P<0.05)。结论:切口类型为Ⅲ、Ⅳ类、手术时间≥2 h、入ICU时间>3 d、术前使用抗生素是引起手术患者医院感染的独立危险因素。护理人员可通过采取针对性的手术室护理干预,从而进一步降低普外科手术患者医院感染的发生。
Objective：To explore relevant factors causing hospital infection on surgical patients so as to reduce incidence of patients＇ hospital infections. Methods ： Retrospectively analyzed clinical information of 347 patients in general surgery department of our hospital, set patients with hospital infection as hospital infection group and patients without hospital infection as control group. Analyzed risk factors causing hospital infections on surgical patients by Lo- gistic regression model. Results ： Among the 347 patients, there were 28 cases having hospital infection, the incidence rate was 8.07 %, and incidence of re- spiratory system in hospital infection group was the highest. The univariate analysis showed ： incision type （ type m, Iv ） , consecutive operation, invasive operation, time of operation ~〉2 h, time of living in ICU 〉 3 d, antibiotics using before operations were related to the occurrence of hospital infection of sur- gical patients （ P 〈 0.05 ）. The Logistic multivariate analysis showed that incision type （ type Ill, Iv ）, time of operation ~〉 2 h, time of living in ICU 〉 3 d, antibioties u^ing before operations were risk factors causing surgical patients＇ hospital infection （ P 〈 0.05 ）. Conclusion ： Incision type being type Ⅲ and Ⅳ, time of operation 〉12 h, time of living in ICU 〉 3 d, antibiotics using before operations were independent risk factors causing surgical patients＇ hospital infection. Nursing staff can further reduce the occurrence of hospital infection among surgical patients in general surgery department by adopting cor- responding nursing interventions in operation room.
出处
《护理实践与研究》
2016年第15期88-90,共3页
Nursing Practice and Research
关键词
外科手术
医院感染
相关因素
手术室护理
Surgery
Hospital infection
Relevant factors
Nursing in operation room
