摘要
目的探讨精神病患者医院感染危险因素和干预对策。方法对2003年1月-2004年12月(干预前)的255例住院精神病患者医院感染进行回顾性调查,并与同期非医院感染患者进行对照;分析医院感染危险因素,采取前瞻性的干预措施,并与2007年1月-2008年12月(干预后)进行对比研究。结果干预前住院精神病患者医院感染组病例的发病年龄、住院时间与同期非医院感染组比较,差异有统计学意义(P<0.01);各科室间医院感染率差异有统计学意义(P<0.01);干预前医院感染发生率为4.52%,干预后为3.63%,两者比较,差异有统计学意义(P<0.01)。结论精神病患者医院感染与患者的年龄、住院时间、治疗环境等密切相关,前瞻性干预措施能有效降低精神病患者医院感染发病率。
OBJECTIVE To investigate the risk factors and interventions on nosocomial infections of inpatients with mental illness.METHODS Two hundred and fifty-five inpatients with mental illness having nosocomial infections before intervention from Jan 2003 to Dec 2004 were studied retrospectively which were compared with,homochronous inpatients without nosocomial infections;the risk factors for nosocomial infections were analyzed;prospective interventions measures were taken and the results before and after intervention were compared.RESULTS There were significance in age and the length of stay in hospital among patients with nosocomial infections before interventions,compared with the homochronous ones without it(P0.001);There were differences in nosocomial infections among different divisions(P0.01);the incidence of nosocomial infection before intervention was 4.52%,and 3.63% after intervention,the difference was statistically significant(P0.01).CONCLUSION The nosocomial infections are intimately correlated with inpatients with mental illness whose age,length of stay and therapeutic environment.Practice interventions as early as possible can realize the primary prevention of nosocomial infections in patients with metal illness.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第19期4051-4053,共3页
Chinese Journal of Nosocomiology
关键词
精神病患者
医院感染
危险因素
干预对策
Inpatients with mental illness
Nosocomial infections
Risk factor
Interventions countermeasures