本文選題：ICU + 感染��； 參考：《中華醫(yī)院感染學(xué)雜志》2017年12期

【摘要】：目的分析ICU醫(yī)院感染危險(xiǎn)因素及護(hù)理措施與患者預(yù)后的關(guān)系,為改進(jìn)醫(yī)院感染預(yù)防控制措施提供有力依據(jù)。方法收集2013-2015年轉(zhuǎn)入ICU患者564例,發(fā)生醫(yī)院感染153例,分析其感染因素,采用多因素logistic回歸篩選出獨(dú)立危險(xiǎn)因素。結(jié)果 564例患者中共153例患者發(fā)生感染,感染率為27.13%;多因素分析顯示,APACHEⅡ評(píng)分≥20、中心靜脈插管、使用呼吸機(jī)、感染持續(xù)時(shí)間5d、手術(shù)持續(xù)時(shí)間4h、Ⅲ類手術(shù)切口、≥2種插管、呼吸系統(tǒng)感染、2種病原菌感染、ICU住院時(shí)間10d是發(fā)生感染的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論對(duì)應(yīng)獨(dú)立危險(xiǎn)因素做出預(yù)防對(duì)策;應(yīng)每日評(píng)估感染情況,加強(qiáng)患者感染防治教育,專門指定醫(yī)護(hù)人員管護(hù)中度和輕度殘疾患者,及時(shí)協(xié)助患者翻身和清理病床污物,提高綜合護(hù)理落實(shí)率。
[Abstract]:Objective to analyze the risk factors of nosocomial infection in ICU and the relationship between nursing measures and the prognosis of the patients, and to provide an effective basis for improving the prevention and control measures of nosocomial infection. Methods 564 patients transferred to ICU from 2013 to 2015 were collected and 153 cases of nosocomial infection were collected. The infection factors were analyzed and the independent risk factors were screened by multivariate logistic regression. Results the infection rate was 27.13% in 153 cases of 564 patients, and multivariate analysis showed that Apache 鈪，

本文編號(hào)：2081451