老年股骨颈骨折医院感染的原因分析及护理干预

目的分析老年股骨颈骨折医院感染原因,并探讨临床护理干预措施。方法回顾性分析我院2010年12月至2012年8月行收治老年股骨颈骨折患者317例临床资料。结果本次研究317例老年股骨颈骨折患者中发生医院感染41例,医院感染发生率为12.9%;而我院同期平均医院感染率为3.5%;老年股骨颈骨折患者医院感染发生率明显高于平均医院感染率,组间比较差异显著(P>0.05);呼吸系统感染均于医院感染首位,占总数36.6%;老年股骨颈骨折患者医院感染发生与年龄、住院时间、合并基础疾病、侵入性操作及抗生素预防应用密切相关。医院感染主要病原菌种类为革兰阴性菌,占总数53.8%。结论年龄、住院时间、合并基础疾病、侵入性操作及抗生素预防应用是导致老年股骨颈骨折患者医院感染主要危险因素;临床护理人员应当重视围手术期无菌操作,实施科学系统护理干预,以有效降低医院感染发生风险。

Causes Analysis of Hospital Infection of Elderly Patients with Femoral Neck Fracture and Nursing Intervention

Objective To analyze the causes of hospital infection of elderly patients with femoral neck fracture and investigate the nursing intervention measures.Methods The clinical data of 317 elderly patients with femoral neck fracture were retrospectively analyzed in the period from December 2010 to August 2012 in our hospital.Results The hospital infection happened to 41 out of 317 elderly patients with femoral neck fracture in this study and the incidence of hospital infection is 12.9%;It is significantly higher than the same period of the average hospital infection rates in our hospital（P0.05）.The main infetion site was respiratory system for 36.6% in all.The hospital infection occurrence of patients with femoral neck fracture has closed relationship with age,hospitalization duration,combined underlying disease,invasive procedures and antibiotic prophylaxis.The main kinds of pathogens was gram-negative bacteria for 36.6% in all.Conclusion The main risk factor of hospital infection of elderly patients with femoral neck fracture includes age,hospitalization duration,combined underlying disease,invasive procedures and antibiotic prophylaxis;Clinical nurses should emphasis on aseptic perioperative with scientific and systematic nursing intervention to reduce the risk of hospital infection.