摘要
目的 探究手术室患者发生医院感染的病原菌特点、危险因素。方法 回顾性分析800例手术室患者均为我院2020年2月至2021年2月所收治,对所有研究对象一般资料进行收集,统计病原菌特点,对比发生医院感染的手术室患者一般资料差异情况,分析医院感染的影响因素,并给予针对性护理干预措施。结果 共有25例患者发生医院感染,发生率为3.13%,主要为呼吸系统(0.75%)、消化系统(1.00%),其中革兰阴性菌占比最高,达64.00%,是否发生医院感染的手术室患者在年龄、合并其他基础疾病、手术时间、术中出血量、手术切口长度上均有差异,P<0.05,Logistic回归方程表明上述情况均为手术室患者发生医院感染的影响因素。结论 呼吸系统和消化系统是医疗机构感染的主要部位,感染菌多为革兰阴性菌,年龄、合并其他基础疾病、手术时间、术中出血量、手术切口长度是导致手术室患者发生医院感染的因素,为减少医院感染发生率,需给予针对性护理干预。
Objective To explore the characteristics and risk factors of nosocomial infection in patients in operating room.Methods In a retrospective analysis,800 operating room patients were admitted from February 2020 to February 2021 of our hospital.The general data of all research subjects were collected,the characteristics of pathogens were counted,the differences in the general data of operating room patients with nosocomial infection were compared,the influencing factors of nosocomial infection were analyzed,and targeted nursing intervention measures were given.Results A total of 25 patients with nosocomial infection,the incidence of 3.13%,mainly for respiratory system(0.75%)and digestive system(1.00%),gram negative bacteria the highest proportion of 64.00%,whether nosocomial infection operating room patients in age,other basic diseases,operation time,intraoperative bleeding,surgical incision length are different,P<0.05,Logistic regression equation shows that the above are the factors of nosocomial infection in operating room patients.Conclusion The respiratory system and digestive system are the main parts of hospital infection,and the infectious bacteria are mostly gram-negative bacteria;age,other basic diseases,operation time,intraoperative bleeding amount and surgical incision length are the factors that lead to hospital infection in operating room patients.In order to reduce the incidence of hospital infection,targeted nursing intervention is needed.
作者
江媛
JIANG Yuan(Operating Room of the First Affiliated Hospital of Nanchang University,Nanchang 330006,Jiangxi Province,China)
出处
《罕少疾病杂志》
2025年第3期159-161,共3页
Journal of Rare and Uncommon Diseases
基金
江西省卫生健康委科技计划项目(202310419)。
关键词
医院感染
手术室患者
高危因素
护理干预
Hospital Infection
Operating Room Patients
High-risk Factors
Nursing Intervention
