妇科院内感染的危险因素与护理对策

目的：调查和分析妇科院内感染发生状况，以制定相应的护理措施来控制和降低医院感染的发生率。方法：采用回顾性调查方法，对2007年1-12月3820例妇科出院患者进行院内感染的调查、统计和分析。结果：发生院内感染114例，感染发生率为2.98％，其中高龄患者、化疗患者是医院感染的高危人群；此外，住院时间越长，感染发生率越高。常见感染部位依次为呼吸道、泌尿道、胃肠道等。结论：严格执行无菌操作，加强病房管理、基础护理和健康教育，缩短留置尿管时间和住院时间，可以降低院内感染发生率。

Risk Factors and Nursing Strategies for Nosocomial Infections in Obstetrics Wards

Objective:To investigate the nosocomial infection in the obstetrics wards and to propose nursing strategies to reduce the incidence of infection. Methods:Nosocomial infection rates were investigated retrospectively in 3 820 patients discharged from the obstetrics wards of our hospital between Jan 2007 and Dec 2007. Results:Hospital infection occurred in 114 cases in gynecology ward(114/3820, 2.98%). The elder patients and chemotherapy patients had higher risk to get the nosocomial infection.The longer of hospital stay, the higher risk of nosocomial infection.The common sites of nosocomial infection were respiratory tract, urinary tract and gastrointestinal tract respectively. Conclusion:The possible measures to reduce nosocomial infection include reinforcing disinfection and sterilization, strengthening hospital management, basic nursing and health education, and shortening the time of catheter and hospitalization.