内科住院患者院内感染分析及其护理对策探究

目的本文旨在分析内科住院患者发生院内感染的情况，从而为制定有效的护理干预措施提供合适的依据。方法随机选择自2010年7月至2012年7月这一时期我院内科住院患者的感染情况进行回顾性总结分析，对发生感染的患者的感染情况以及感染率、感染因素、感染部位等进行总结，进而提出较好的护理干预对策。结果这一时期内科住院患者共1600例，而发生医院感染的例数共有32例，感染发生率为2％，对于感染患者进行分析发现：上呼吸道感染20例（62．5％），下呼吸道感染6例（18．75％），El腔感染2例（6．25％），胃肠道感染3例（9．375％），泌尿道感染1例（3．125％）。院内感染的因素主要是患者年龄、长期的基础疾病、抗生素使用、住院时间等。结论本次研究的结果显示，内科住院患者大多是老年患者，其机体免疫力差，加上内科住院患者发生院内感染的相关危险因素较多，临床必需有针对性的加强管理，采取必要的护理对策进行干预，从而降低内科住院患者的院内感染发生率。

Aan analysis of nosocomial infection in hosptalized patients in the department of internal medicine and the relevant nursing strategy

Objective To analyze nosocomial infection in hosptalized patients in the department of internal medicine, which provides proper support for establishement of effective nursing interventions. Methods The data on the patients who had occurred infections during the period of July 2010 to July 2012 were retrospectively analyzed. The severity of infections, rate of infections, factors for infections, and infection sites were studied in order to establish better nursing intervention strategy. Results Of hospitalzied 1,600 patients, 32 developed nosocomial infection, with a rate of 2%, 20 of the patients with nosocomial infection （62.5%） suffered upper respiratory tract infections, 6 （18.75%） suffered lower respiratory tract infections, 2 （6.25%） suffered oral infections, 3 （9.375%） suffered gastrointestinal tract infections, and one suffered urinary tract infection. Age, long-term underlying diseases, antibiotic uses, and length of hospital stay were the main factors of nosocomial infection. Conclusions Most of the patients are elderly people with poor immunity. There are more risk factors for nosocomial infections in hospitalized patients. Strengthened management should be established and necessary care intervention should be taken to reduce the incidence of nosocomial infection in hospitalized patients.