發(fā)布時(shí)間：2019-05-27 16:19

【摘要】：目的探討手術(shù)患者導(dǎo)管相關(guān)性感染發(fā)生的危險(xiǎn)因素,為預(yù)防感染提供依據(jù)。方法選擇2013年1月-2015年7月于手術(shù)室行中心靜脈置管的583例手術(shù)患者臨床資料,分析導(dǎo)管相關(guān)性感染發(fā)生率,調(diào)查其發(fā)生的危險(xiǎn)因素并提出預(yù)防對(duì)策,數(shù)據(jù)采用SPSS 17.0統(tǒng)計(jì)軟件進(jìn)行處理,危險(xiǎn)因素分析采用非條件多因素logistic回歸分析。結(jié)果 583例患者發(fā)生導(dǎo)管相關(guān)性感染34例,感染率為5.83%;感染部位以導(dǎo)管出口部位為主,占64.71%;患者年齡、置管方式、嚴(yán)重創(chuàng)傷性疾病、連臺(tái)手術(shù)、置管操作護(hù)士年資、病房責(zé)任護(hù)士年資、導(dǎo)管留置時(shí)間與發(fā)生導(dǎo)管相關(guān)性感染有關(guān),差異有統(tǒng)計(jì)學(xué)意義(P0.05);非條件多因素logistic回歸分析顯示,置管方式、連臺(tái)手術(shù)、置管操作護(hù)士年資、病房責(zé)任護(hù)士年資、導(dǎo)管留置時(shí)間是患者發(fā)生導(dǎo)管相關(guān)性感的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論經(jīng)股靜脈導(dǎo)管置管、連臺(tái)手術(shù)、置管操作護(hù)士年資10年、病房責(zé)任護(hù)士年資10年、導(dǎo)管留置時(shí)間≥3d是引起導(dǎo)管相關(guān)性感染發(fā)生的危險(xiǎn)因素,選擇適宜置管方式、提高置管人員操作及護(hù)理技術(shù)、縮短導(dǎo)管留置時(shí)間是預(yù)防導(dǎo)管相關(guān)性感染的主要措施。
[Abstract]:Objective to investigate the risk factors of catheter-related infection in surgical patients and to provide evidence for the prevention of infection. Methods the clinical data of 583 patients undergoing central venous catheterization in the operating room from January 2013 to July 2015 were selected. The incidence of catheter-related infection was analyzed, the risk factors were investigated and the preventive measures were put forward. The data were processed by SPSS 17.0 statistical software, and the risk factors were analyzed by non-conditional multivariate logistic regression analysis. Results there were 34 cases of catheter-related infection in 583 patients, the infection rate was 5.83%, and the main infection site was catheter outlet site, accounting for 64.71%. The age, catheterization mode, severe traumatic disease, continuous operation, nursing seniority, ward responsible nurse seniority, catheter indwelling time were related to the occurrence of catheter-related infection, the difference was statistically significant (P 0.05). Non-conditional multivariate logistic regression analysis showed that catheterization, continuous operation, nursing seniority, ward responsible nurse seniority, catheter indwelling time were independent risk factors for catheter related sexiness (P 0.05). Conclusion Transcatheter catheterization, continuous operation, nursing service for 10 years, ward responsible nurse for 10 years, catheter indwelling time 鈮，

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