CAJ | 학술논문

目的探究精神科患者医院感染的危险因素，为在治疗和护理中进行感染预防提供理论基础。方法对张家口市沙岭子医院2008年1月至2011年12月精神科发生院内感染的住院患者进行回顾分析，对其住院时间、发病季节、感染部位及原发疾病等临床资料进行对比，分析影响精神科患者医院感染的危险因素。结果1362例患者中共出现141例感染，占10．4％，146次感染，占10．7％，其中精神分裂症及器质性精神障碍感染率最高，分别为13．0％及14．9％；经多因素 COX 模型分析，原发疾病、住院时间及封闭式管理是影响精神科患者医院感染的独立危险因素（P＜0．05）。结论应加强精神科病房管理，采取积极有效的干预措施，控制医院感染的发生。
목적탐구정신과환자의원감염적위험인소，위재치료화호리중진행감염예방제공이론기출。방법대장가구시사령자의원2008년1월지2011년12월정신과발생원내감염적주원환자진행회고분석，대기주원시간、발병계절、감염부위급원발질병등림상자료진행대비，분석영향정신과환자의원감염적위험인소。결과1362례환자중공출현141례감염，점10．4％，146차감염，점10．7％，기중정신분렬증급기질성정신장애감염솔최고，분별위13．0％급14．9％；경다인소 COX 모형분석，원발질병、주원시간급봉폐식관리시영향정신과환자의원감염적독립위험인소（P＜0．05）。결론응가강정신과병방관리，채취적겁유효적간예조시，공제의원감염적발생。
Objective To explore the risk factors of hospital infection in psychiatric patients .Methods Clini-cal data ,including length of stay ,morbidity season ,infection site and primary diseases ,of patients with infectious dis-eases in Psychiatry Department of this hospital were retrospectively analyzed to indentify the risk factor of hospital infection in psychiatric patients .Results Among total 1 362 patients ,141 cases were diagnosed with infection ,ac-counting for 10 .4% ,and 146 times of infection ,accounting for 10 .7% ,and the percentages of schizophrenia and or-ganic mental disorders patients were highest ,respectively 13 .0% and 14 .9% .Multiple factors COX model analysis indicated that ,primary diseases ,length of stay and closed type management were the independent risk factors of hos-pital infection in psychiatric patients (P< 0 .05) .Conclusion Psychiatric ward management should be strengthened and effective measures should be applied to control the incidence of hospital infection .