CAJ | 학술논문

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、合并慢性支气管炎、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.
목적 탐토노년치태병인원내감염적위험인소,위제정상응적호리책략제공의거.방법 채용1∶1배대병례대조연구,진행단인소화다인소조건Logistic회귀분석원내감염적위험인소.결과 노년치태환자원내감염발생솔위23.8％.Logistic조건단인소분석현시고령、합병당뇨병、음식무법자리、중도치태、합병외상、괄약기공능장애、합병만성지기관염、장기와상시노년치태주원기간원내감염적위험인소.다인소분석현시합병당뇨병、만성지기관염、중도치태、음식무법자리화괄약기공능장애시원내감염발생적독립위험인소.결론 침대노년치태병인발생원내감염적위험인소제정상응적호리책략,가이명현감소원내감염적발생솔.
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.