摘要
目的探讨老年痴呆病人院内感染的危险因素，为制定相应的护理策略提供依据。方法采用1：1配对病例对照研究，进行单因素和多因素条件Logistic回归分析院内感染的危险因素。结果老年痴呆患者院内感染发生率为23．8％。Logistic条件单因素分析显示高龄、合并糖尿病、饮食无法自理、重度痴呆、合并外伤、括约肌功能障碍、合并慢陛支气管炎、长期卧床是老年痴呆住院期间院内感染的危险因素。多因素分析显示合并糖尿病、慢性支气管炎、重度痴呆、饮食无法自理和括约肌功能障碍是院内感染发生的独立危险因素。结论针对老年痴呆病人发生院内感染的危险因素制定相应的护理策略，可以明显减少院内感染的发生率。
Objective To provide theoretical support for the development of nursing strategies by exploring the risk factors for nosocomial infections in Alzheimer＇s patients. Methods A 1：1 matched case-control study was conducted. The risk factors for nosocomial infection were determined by univariate and multivariate conditional logistic regression. Results The incidence of nosocomial infection was 23.8% in all the Alzheimer＇s patients. Logistic univariate analysis showed that advanced age, diabetes, diets that had to be assistant, severe dementia, injuries, sphincter dysfunction, chronic bronchitis, and prolonged bedrest were the risk factors of nosocomial infection in Alzheimer＇s patients. Multivariate analysis showed that diabetes mellitus, chronic bronchitis, severe dementia, diet that had to be assistant, and sphincter dysfunction were the independent risk factors of nosocomial infection. Conclusions Appropriate nursing strategies focusing on the risk factors of nosocomial infection in Alzheimer＇s patients can significantly reduce the incidence of nosocomial infection.
出处
《国际医药卫生导报》
2011年第23期2949-2952,共4页
International Medicine and Health Guidance News
关键词
老年
痴呆症
院内感染
危险因素
Advanced age
Dementia
Nosocomial Infection
Risk factors
