本文選題：經(jīng)腹子宮切除術(shù)　切入點(diǎn)：醫(yī)院感染　出處：《中華醫(yī)院感染學(xué)雜志》2014年17期 　論文類型：期刊論文

【摘要】：目的探討經(jīng)腹子宮切除術(shù)后患者醫(yī)院感染的相關(guān)因素,以降低醫(yī)院感染率。方法選取婦科2011年6月-2012年5月接受經(jīng)腹子宮切除術(shù)治療的患者487例,根據(jù)術(shù)后是否發(fā)生醫(yī)院感染分為感染組與未感染組,對比兩組患者術(shù)后醫(yī)院感染的相關(guān)因素進(jìn)行l(wèi)ogistic回歸分析。結(jié)果最終判定為術(shù)后醫(yī)院感染患者24例,感染率為4.9%;患者年齡、合并疾病、麻醉方式、手術(shù)范圍、手術(shù)時(shí)間、術(shù)后臥床時(shí)間、切口疼痛程度、陪護(hù)人數(shù)、患者對健康教育依從性以及術(shù)后抗菌藥物使用時(shí)間等是醫(yī)院感染相關(guān)因素(P0.05);logistic回歸分析顯示,患者年齡大、有合并疾病、全麻、手術(shù)范圍大、手術(shù)時(shí)間長、術(shù)后臥床時(shí)間長、術(shù)后切口疼痛強(qiáng)烈、陪護(hù)≥2人、患者對健康教育依從性差以及術(shù)后抗菌藥物使用時(shí)間短等因素為經(jīng)腹子宮切除術(shù)后醫(yī)院感染的危險(xiǎn)因素(P0.05)。結(jié)論經(jīng)腹子宮切除術(shù)后醫(yī)院感染危險(xiǎn)因素較多,臨床實(shí)際工作中應(yīng)給予足夠重視,對于具備上述危險(xiǎn)因素患者加強(qiáng)護(hù)理管理,以降低醫(yī)院感染率。
[Abstract]:Objective to investigate the related factors of nosocomial infection after abdominal hysterectomy in order to reduce the nosocomial infection rate. Methods 487 cases of gynecological patients undergoing abdominal hysterectomy from June 2011 to May 2012 were selected. According to whether nosocomial infection occurred after operation, the patients were divided into infected group and uninfected group. The factors related to postoperative nosocomial infection were analyzed by logistic regression analysis. Results 24 cases of postoperative nosocomial infection were determined, the infection rate was 4.9%. Complicated diseases, anaesthesia, operation scope, operation time, postoperative bed rest time, incision pain degree, number of patients, The patients' compliance to health education and the time of use of antibiotics after operation were related factors of nosocomial infection. Logistic regression analysis showed that the patients were old, complicated with diseases, general anesthesia, wide scope of operation, long operation time and long stay in bed after operation. Postoperative incision pain was intense, accompanied by more than 2 people, The risk factors of nosocomial infection after abdominal hysterectomy were poor compliance to health education and short time of use of antibiotics. Conclusion there are more risk factors of nosocomial infection after transabdominal hysterectomy. In order to reduce the nosocomial infection rate, we should pay enough attention to the clinical practice and strengthen the nursing management for the patients with the above risk factors.
【作者單位】： 聊城市人民醫(yī)院婦產(chǎn)科;
【基金】：山東省聊城市科技局基金資助項(xiàng)目(JB2010衛(wèi)-3A-60-2)
【分類號】：R181.32
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本文編號：1566373