綜合性医院妇产科医院感染危险因素分析与护理对策.docVIP

综合性医院妇产科医院感染危险因素分析与护理对策 倪颖 王良凤 上海交通大学医学院附属瑞金医院妇产科(200025) 摘要 目的：调查和分析综合性医院妇产科医院感染发生状况并制定相应的护理措施来控制和降低医院感染的发生率。方法：采用回顾性调查方法，对2005年1月－12月3150例妇产科出院病人(妇科1910；产科1240)进行院内感染的调查、统计和分析。结果：妇科发生院内感染57例，感染率为2.98％；妇科病房中高龄患者、化疗患者是医院感染的高危人群，住院时间越长感染率越高，常见感染部位依次为呼吸道，泌尿道，胃肠道等。产科发生院内感染10例，感染率为0.81％，妊娠合并并发症的患者是高危人群，常见感染部位依次为呼吸道，泌尿道，宫腔等。结论：严格执行无菌操作，加强病房管理、基础护理和健康教育，缩短留置尿管时间和住院天数，以降低妇产科的医院感染。 关键词 综合性医院；妇产科；医院感染；护理对策 Analysis of risk factors of Nosocomial Infections In Obstetrics and Gynecology Ward in polyclinic and its Nursing Strategy Niying (Ruijin Hospital, Shanghai Jiaotong Medical University, Shanghai 200025, China) Abstract: Objective To investigate the nosocomial infection status in our obstetrics and gynecology ward and propose nursing strategy, to reduce the incidence of infection of the hospital. Method Nosocomial infection rates were investigated retrospectively in 3,150 patients discharged from the obstetrics and gynecology ward of our hospital between Jan 2005 and Dec 2005. Results Hospital infection occurred in 57 cases in gynecology ward (2.98% 57/1910),the elder patients, chemotherapy patients have high risk to get the nosocomial infection, the longer who hospitalized the higher he would get. The common sites of nosocomial infection were respiratory tract, urinary tract gastrointestinal tract respectively. Hospital infection occurred in 10 cases in obstetrics ward (0.81% 10/1240), the syndrome gestations have high risk to get the nosocomial infection,the common sites of nosocomial infection were respiratory tract, urinary tract uterine lacuna respectively. Conclusions The possible measures of reducing nosocomial infection were to reinforce disinfection and sterilization, strengthen hospital management、basic nursing and health education, shorten the time of ureter and hospitalization . Key words polyclinic;obstetrics and gynecology;nosocomial infection; nursing strategy 随着医学发展和技术的进步，医院感染的控制、预防和管理研究工作亦越来越引起重视。对于妇产科这一特殊科室，做好医院感染管理及预防工作尤为重要。我院是一所三级甲等综合性医院，收治的病