摘要
目的分析重症药疹患者医院感染的危险因素，以期在将来的护理工作中采取相应的护理措施，降低医院感染的发生率。方法选取2012年1月—2014年3川温州医科大学附属第一医院皮肤科收治的重症药疹患158例，对其基本资料、临床治疗情况和医院感染情况进行回顾，并进行统计学分析。结果本组158例患者共发生医院感染18例，感染率为11．4％。重症药疹患者的白蛋白水平、是否存在皮肤黏膜溃疡、是否进行过侵入性操作、是否合并糖尿病对患者医院感染发生率具有明显的影响（P〈0．05）。而患者的年龄、性别、血红蛋白水平对其是否发生医院感染影响不大（P〉0．05）。经Logistic回归分析，白蛋白水平≤30g／L、皮肤或者黏膜有溃疡、患者在住院期间进行有侵入性操作、合并糖尿病为发生医院感染的独立危险因素（P〈0．01）。结论重症药疹患者发生医院感染的危险因素多样，在临床工作中应给予针对性的护理干预措施，以减少医院感染发生率。
Objective To analyze risk factors related, to nosocomial infection in severe drug rash patients, in order to take nursing countermeasures to reduce the incidence of nosocomial infection in the future during nursing work. Methods A total of 158 severe drug rash patients hospitalized in Dermatological Department the First Affiliated Hospital of Wenzhou Medical University from January 2012 to March 2014 and were selected for the retrospection of general information, clinical treatments condition and analyzed with statistical methods. Results A total 18 of 158 severe drug rash patients were infected during hospitalized with infection rate of 11.4%. Albumin levels, ulcer of skin mucous membrane, invasive operation, and diabetes were related risk factors to cause hospital infection （ P 〈 0.05 ） , but age, gender and hemoglobin levels were not （P 〉 0. 05 ）. With logistic regression analysis, albumin levels less than 30g/L, ulcer of skin mucous membrane, invasive operation, and diabetes were severe drug rash patients＇ independent risk factors to hospital infection （ P 〈 0.01 ）. Conclusions Severe drug rash patients have multiple risk factors to hospital infection, so the countermeasures should be taking in clinical in order to decline the incidence of hospital infections
出处
《中华现代护理杂志》
2015年第27期3261-3263,共3页
Chinese Journal of Modern Nursing
关键词
医院感染
危险因素
护理
重症药疹
Hospital infection
Risk factor
Nursing
Severe drug rash
