中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2013年
5期
482-484
,共3页
阿尔茨海默病%医院感染%危险因素%护理
阿爾茨海默病%醫院感染%危險因素%護理
아이자해묵병%의원감염%위험인소%호리
Alzheimer's disease%hospital infection%risk factors%nursing
目的分析住院老年阿尔茨海默病患者医院感染的危险因素.方法回顾调查368例老年阿尔茨海默病住院患者资料和护士交班记录.使用SPSS 15.0统计软件进行条件Logistic回归分析.结果共发生医院感染95例(25.81%),116例次.日常生活能力差(OR=8.398,95%CI:5.343~12.098)、侵入性操作(OR=2.842,95%CI:1.445~3.365)、自知力差(OR=4.457,95%CI:2.789~8.853)、长期服用抗菌药(OR=3.348,95%CI:1.693~6.336)、长期卧床(OR=3.258,95%CI:1.583~6.154)、服用抗精神病药物(OR=2.243,95%CI:1.427~5.583)为医院感染的独立危险因素,定时开窗通风是独立保护因素(OR=0.546,95%CI:0.334~0.867).结论做好基础及生活护理,减少侵入性操作,合理规范抗生素的使用,密切观察抗精神病药物的副作用,加强消毒隔离措施,可减少老年阿尔茨海默病患者医院感染的发生.
目的分析住院老年阿爾茨海默病患者醫院感染的危險因素.方法迴顧調查368例老年阿爾茨海默病住院患者資料和護士交班記錄.使用SPSS 15.0統計軟件進行條件Logistic迴歸分析.結果共髮生醫院感染95例(25.81%),116例次.日常生活能力差(OR=8.398,95%CI:5.343~12.098)、侵入性操作(OR=2.842,95%CI:1.445~3.365)、自知力差(OR=4.457,95%CI:2.789~8.853)、長期服用抗菌藥(OR=3.348,95%CI:1.693~6.336)、長期臥床(OR=3.258,95%CI:1.583~6.154)、服用抗精神病藥物(OR=2.243,95%CI:1.427~5.583)為醫院感染的獨立危險因素,定時開窗通風是獨立保護因素(OR=0.546,95%CI:0.334~0.867).結論做好基礎及生活護理,減少侵入性操作,閤理規範抗生素的使用,密切觀察抗精神病藥物的副作用,加彊消毒隔離措施,可減少老年阿爾茨海默病患者醫院感染的髮生.
목적분석주원노년아이자해묵병환자의원감염적위험인소.방법회고조사368례노년아이자해묵병주원환자자료화호사교반기록.사용SPSS 15.0통계연건진행조건Logistic회귀분석.결과공발생의원감염95례(25.81%),116례차.일상생활능력차(OR=8.398,95%CI:5.343~12.098)、침입성조작(OR=2.842,95%CI:1.445~3.365)、자지력차(OR=4.457,95%CI:2.789~8.853)、장기복용항균약(OR=3.348,95%CI:1.693~6.336)、장기와상(OR=3.258,95%CI:1.583~6.154)、복용항정신병약물(OR=2.243,95%CI:1.427~5.583)위의원감염적독립위험인소,정시개창통풍시독립보호인소(OR=0.546,95%CI:0.334~0.867).결론주호기출급생활호리,감소침입성조작,합리규범항생소적사용,밀절관찰항정신병약물적부작용,가강소독격리조시,가감소노년아이자해묵병환자의원감염적발생.
Objective To investigate the factors associated with hospital infection in old inpatients with Alzheimer's disease. Methods 368 old inpatients with Alzheimer's disease were reviewed and analyzed with Logistic regression. Results There were 95 cases (25.81%) suf-fered in hospital infection to 116 case-times. As multivariate regression analysis, activities of daily living (OR=8.398, 95%CI: 5.343~12.098), invasive intervention (OR=2.842, 95%CI:1.445~3.365), no insight (OR=4.457, 95%CI:2.789~8.853), long-term use of antibiotics (OR=3.348, 95%CI: 1.693~6.336), chronic in bed (OR=3.258, 95%CI: 1.583~6.154), and antipsychotic drug (OR=2.243, 95%CI: 1.427~5.583) increased the risk of hospital infection independently, and ventilated timely (OR=0.546, 95%CI:0.334~0.867) reduced the risk. Con-clusion Good performance of basic and living nursing, less invasive intervention, reasonable use of antibiotics, antipsychotic monitoring, and intensive sterilization may reduce the incidence of hospital infection in inpatients with Alzheimer's disease.
