手术患者导管相关性感染危险因素分析与预防对策

发布时间：2019-05-27 16:19

【摘要】：目的探讨手术患者导管相关性感染发生的危险因素,为预防感染提供依据。方法选择2013年1月-2015年7月于手术室行中心静脉置管的583例手术患者临床资料,分析导管相关性感染发生率,调查其发生的危险因素并提出预防对策,数据采用SPSS 17.0统计软件进行处理,危险因素分析采用非条件多因素logistic回归分析。结果 583例患者发生导管相关性感染34例,感染率为5.83%;感染部位以导管出口部位为主,占64.71%;患者年龄、置管方式、严重创伤性疾病、连台手术、置管操作护士年资、病房责任护士年资、导管留置时间与发生导管相关性感染有关,差异有统计学意义(P0.05);非条件多因素logistic回归分析显示,置管方式、连台手术、置管操作护士年资、病房责任护士年资、导管留置时间是患者发生导管相关性感的独立危险因素(P0.05)。结论经股静脉导管置管、连台手术、置管操作护士年资10年、病房责任护士年资10年、导管留置时间≥3d是引起导管相关性感染发生的危险因素,选择适宜置管方式、提高置管人员操作及护理技术、缩短导管留置时间是预防导管相关性感染的主要措施。
[Abstract]:Objective to investigate the risk factors of catheter-related infection in surgical patients and to provide evidence for the prevention of infection. Methods the clinical data of 583 patients undergoing central venous catheterization in the operating room from January 2013 to July 2015 were selected. The incidence of catheter-related infection was analyzed, the risk factors were investigated and the preventive measures were put forward. The data were processed by SPSS 17.0 statistical software, and the risk factors were analyzed by non-conditional multivariate logistic regression analysis. Results there were 34 cases of catheter-related infection in 583 patients, the infection rate was 5.83%, and the main infection site was catheter outlet site, accounting for 64.71%. The age, catheterization mode, severe traumatic disease, continuous operation, nursing seniority, ward responsible nurse seniority, catheter indwelling time were related to the occurrence of catheter-related infection, the difference was statistically significant (P 0.05). Non-conditional multivariate logistic regression analysis showed that catheterization, continuous operation, nursing seniority, ward responsible nurse seniority, catheter indwelling time were independent risk factors for catheter related sexiness (P 0.05). Conclusion Transcatheter catheterization, continuous operation, nursing service for 10 years, ward responsible nurse for 10 years, catheter indwelling time 鈮，

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