目标性干预在控制老年患者医院下呼吸道感染中的效果分析

发布时间：2018-08-07 08:11

【摘要】：目的研究目标性干预对控制老年患者医院下呼吸道感染的作用,达到有效降低下呼吸道感染率的目的。方法以2010年1月-2012年1月住院的1 296例老年患者为研究对象,将其分为干预前576例、干预后720例,干预前患者年龄60~91岁,干预后患者年龄60~93岁;采用前瞻性目标监测及回顾性调查两种方法,调查干预前后老年住院患者下呼吸道感染发生率。结果干预前调查576例,发生下呼吸道感染108例,感染率18.76%;干预后调查720例,发生下呼吸道感染68例,感染率9.44%;开展目标性干预后,老年患者医院下呼吸道感染率由18.76%下降至9.44%;气管切开/机械通气的患者由2.78%下降至2.08%;患有脑血管疾病、恶性肿瘤及呼吸道疾病的老年患者为易感人群。结论开展目标性干预对控制老年患者医院下呼吸道感染率效果显著,说明采取干预措施可有效降低下呼吸道感染发病率。
[Abstract]:Objective to study the effect of targeted intervention on the control of nosocomial lower respiratory tract infection in elderly patients and to reduce the infection rate of lower respiratory tract effectively. Methods from January 2010 to January 2012, 1 296 elderly patients were divided into 576 cases before intervention and 720 cases after intervention. The age of the patients before intervention was 60 ~ 91 years old, and the age of patients after intervention was 60 ~ 93 years old. The incidence of lower respiratory tract infection in elderly inpatients before and after intervention was investigated by two methods: prospective objective monitoring and retrospective investigation. Results 576 cases were investigated before intervention, 108 cases of lower respiratory tract infection occurred, the infection rate was 18.76%, 720 cases were investigated after intervention, 68 cases of lower respiratory tract infection occurred, the infection rate was 9.44%. The nosocomial infection rate of lower respiratory tract in elderly patients decreased from 18.76% to 9.444.The patient with tracheotomy / mechanical ventilation decreased from 2.78% to 2.08.The elderly patients with cerebrovascular disease, malignant tumor and respiratory tract disease were susceptible. Conclusion the effect of targeted intervention on the control of nosocomial lower respiratory tract infection rate in elderly patients is significant, indicating that intervention measures can effectively reduce the incidence of lower respiratory tract infection.
【作者单位】：河北联合大学附属医院医务处;河北联合大学附属医院ICU;河北联合大学附属医院院感科;
【基金】：唐山市科技发展计划基金项目(12140209A-50)
【分类号】：R56

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