摘要
目的探讨血液系统疾病患者发生医院感染的相关因素及护理对策。方法选取血液系统疾病患者1200例,回顾性分析其临床资料,尤其是针对发生医院感染的患者,对其医院感染的相关因素进行分析。结果 1200例血液系统疾病住院患者中发生医院感染159例,发生率为13.25%;感染172例次,其中感染1次116例,感染2次25例,感染3次2例;恶性血液系统疾病患者医院感染率约为13.25%,其中急性白血病感染率最高,达21.13%,其次是骨髓异常增生综合征,感染率为17.97%,其余依次为恶性淋巴瘤、慢性白血病以及多发性骨髓瘤;医院感染以呼吸道感染为主占58.72%,其次是血液型感染占15.70%;年龄、住院时间、是否使用化疗药物以及是否进行侵入性治疗与血液系统疾病患者发生感染的危险性有关,年龄越大、住院时间越长、使用化疗药物及进行侵入性治疗者感染率均明显升高,且差异有统计学意义(P<0.05)。结论血液系统疾病患者发生医院感染与多种因素有关,在护理过程中应注意多方面采取措施,降低感染概率。
OBJECTIVE To investigate the related factors and nursing strategies for nosocomial infections in the patients with blood system disease.METHODS A total of 1200 patients with blood system diseases were chosen,the clinical data,especially for patients with nosocomial infections,as well as the hospital infection-related factors were retrospectively analyzed in detail.RESULTS Of 1200 patients with blood system disease,nosocomial infections occurred in 159 patients with the incidence rate of 13.25%;there were 172 case-times,and the infections in 1 time was with 116 cases,25 cases of infections were with 2 times,and 2 cases were infected with 3 times.The rate of malignant blood diseases in patients with nosocomial infections was about 13.25%.The highest infection rate of acute leukemia was up to 21.13%,followed by myelodysplastic syndrome（17.97%）,malignant lymphoma and chronic leukemia and multiple myeloma;respiratory tract infections accounted for 58.72%,followed by blood infections（15.70%）;the age,hospital stay,use of chemotherapy drugs and invasive treatment were the risk factors for nosocomial infections in the patients with blood system diseases,the incidence of nosocomial infections increased as the patients were older with longer hospital stay,use of chemotherapy drugs and invasive treatment,the differences were statistically significant（P0.05）.CONCLUSION Nosocomial infections in the patients with blood system diseases are associated with multiple factors so that it is necessary to focus on taking comprehensive measures so as to reduce infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第14期3048-3050,共3页
Chinese Journal of Nosocomiology
关键词
血液系统疾病
医院感染
因素
Blood system diseases
Nosocomial infections
Factors
