摘要
目的探讨精神科戒酒病房住院患者院内感染现状、特点及其相关危险因素,为采取有效的预防控制措施提供依据。方法回顾性对2014年1月—2015年12月住该院戒酒病房的571例患者院内感染状况进行调查,筛选危险因素,采用SPSS 18.0统计学软件对戒酒病房患者医院感染的相关因素进行单因素及多因素logistic回归分析。结果571例患者中发生院内感染56例,院内感染率为9.81%;感染部位以胃肠道感染居首(71.43%);单因素分析显示,住院天数、日饮酒量、入院时有戒断症状、震颤谵妄、惊厥发作、肝功异常、血色素降低、心电图异常、抗菌药物应用、合并基础疾病是戒酒患者院内感染的危险因素;而logistic回归分析得出,住院天数、饮酒时间、日饮酒量、入院时有戒断症状、震颤谵妄、惊厥发作、肝功异常、血色素降低、心电图异常、合并基础疾病是影响戒酒患者院内感染的独立危险因素。结论该院戒酒病房住院患者院内感染部位以胃肠道居多;住院天数、饮酒时间、日饮酒量、入院时有戒断症状、震颤谵妄、惊厥发作、肝功异常、血色素降低、心电图异常、合并基础疾病是影响戒酒患者院内感染的独立危险因素。
Objective To discuss the hospital infection status, features and related risk factors of inpatients in the temperance ward in the department of psychiatry and provide basis for adopting the effective prevention and control measures.Methods The hospital infection situation of 571 cases of patients in our hospital from January 2014 to December 2015 were selected and the risk factors were selected and the related factor of hospital infection of patients in the temperance ward was given the single-factor and multi-factor regression analysis by the SPSS 18.0 software. Results In the 571 cases of patients,there were 56 cases with hospital infection, and the hospital infection rate was 9.81%, and the infection of gastrointestinal was in the first place, accounting for 71.43%, and the single-factor analysis showed that the length of stay, daily alcohol amount, oenomania, convulsive attack, abnormal liver function, hemoglobin decrease, electrocardiographic abnormality, application of antibacterial and underlying diseases were the hospital infection risk factors of temperance patients, but the logistic regression analysis factors showed that these factors were the independent risk factors. Conclusion The hospital infection site of inpatients in the temperance ward is mostly in gastrointestinal tract and the single-factor analysis showed that the length of stay, daily alcohol amount, oenomania, convulsive attack, abnormal liver function, hemoglobin decrease, electrocardiographic abnormality, application of antibacterial and underlying diseases are the independent risk factors.
出处
《中外医疗》
2017年第6期4-6,10,共4页
China & Foreign Medical Treatment
