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玉环地区医院门诊患者潜在医院感染的危险因素分析
引用本文:张海燕,厉雪芬,梁世芬,杨郁文.玉环地区医院门诊患者潜在医院感染的危险因素分析[J].中国现代医生,2014(5):21-22,25.
作者姓名:张海燕  厉雪芬  梁世芬  杨郁文
作者单位:[1]浙江省玉环县人民医院感染科,浙江玉环317600 [2]浙江省中医院护理部,浙江杭州315000
基金项目:浙江省中医单病种诊疗规范计划(2007GA007)
摘    要:目的探讨玉环地区医院门诊患者潜在医院感染的危险因素,提高临床对门诊感染的认识,降低门诊感染风险。方法选取门诊接诊初诊患者11 947例,对其临床资料进行回顾分析,根据是否发生医院感染分为感染组和非感染组,比较两组患者的个体因素及医疗因素,总结门诊患者潜在医院感染的风险因素。结果经Logistic回归分析,患者的年龄较小或者高龄、就诊儿科或者急诊、有侵入性操作、合并糖尿病是门诊患者发生医院感染的独立危险因素。结论在门诊患者治疗过程中,应对个体情况及治疗方案进行分析,综合评价患者发生医院感染的风险程度,采取针对性的医疗措施,有效降低医院感染率,提高临床治疗水平。

关 键 词:门诊  医院感染  危险因素

Analysis of potential risk factor of hospital infection in outpatients in Yuhuan area
Authors:ZHANG Haiyan  LI Xuefen  LIANG Shifen  YANG Yuwen
Institution:1.Department of Infectious Diseases, Yuhuan County People's Hospital in Zhejiang Province ,Yuhuan 317600,China; 2.Nursing Departmnt, the Traditional Chinese Medicine Hospital of Zhejiang, Hangzhou 315000, China
Abstract:Objective To observe the risk factors of potential hospital infection for outpatients in Yuhuan district hos- pital. Methods A total of 11 947 outpatients with preliminary diagnosis were selected, and the clinical data was ana- lyzed retrospectively. Results The Logistic regression analysis indicated that low age or advanced age, pediatric doctor or emergency, invasive procedure and gestational diabetes mellitus were independent risk factors for hospital infection of outpatients. Conclusion Implementimg specific nursing through evidence-based approach not only can effectively re- duce the hospital infection rate, but also can improve the nurse-patient relationship.
Keywords:Outpatient  Hospital infection  Risk factor
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