老年患者院内感染多因素Logistic回归分析及护理对策

目的探讨干部病房老年患者院内感染的危险因素以及护理对策。方法采用回顾性调查的方式。以2009年1月-2010年4月干部病房老年院内感染患者35例为感染组,设同一时期住院的老年非院内感染患者40例为未感染组,分析老年患者院内感染的危险因素。结果老年患者院内感染中以呼吸道感染居首位,单因素分析显示住院期间侵入性操作、抗生素使用情况、住院天数、免疫抑制剂和激素的使用情况均是发生感染的危险因素。多因素Logistic回归分析显示住院期间侵入性操作、抗生素使用情况是老年患者发生院内感染的独立危险因素。结论老年患者院内感染是多种因素共同导致的结果;针对其危险因素制定综合的护理对策,才能有效控制院内感染。

Nursing and Multivariate Logistic Regression Analysis of Risk Factors for Hospital Acquired Infection of the Senile Patients

Objective To explore the risk factors and nursing of hospital acquired infection of the senile patients.Methods It is a retrospective surveys.To review the 35 senile patients with hospital acquired infection and the 40 senile patients with non-hospital acquired infection form 2009 Jan to 2010 Jun in cader ward,divided infection into and non-infection group.then risk factors were screened out with univarite analysis.Results the respiratory infections was the first place in hospital acquired infection of senile patients.The risk factors were invasive procedures during hospitalization,application of antibiotic,admission day,application of immunosuppressant and hormone.While multivariate Logistic regression analysis showed that the invasive procedures during hospitalization and application of antibiotic were the major risk factors of infection.Conclusion The occurrence of hospital acquired infection is related with multiple factors.Application of comprehensive prevention strategies in accordance with these risk factors can control hospital acquired infection.