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目的探讨与分析根本原因分析法预防老年患者医院感染的临床效果,为降低老年患者医院感染提供参考依据。方法选取2010年9月-2013年9月2 000例住院患者作为研究对象,选取2013年10月-2014年4月的310例患者为对照组,2014年5-11月的310例采用根本原因分析法制定预防措施患者为观察组,对两组患者住院期间的医院感染进行比较分析,数据采用SPSS 17.0软件进行统计分析。结果 2 000例住院老年患者中发生医院感染患者30例,感染率为1.50%,以单一部位感染为主,共25例占83.33%;感染者分泌物检测共检出病原菌36株,以革兰阴性菌为主,共25株占69.44%;观察组仅发生1例医院感染,感染率为0.32%,对照组发生医院感染7例,感染率为2.26%,组间比较观察组医院感染发生率明显低于对照组(P<0.05)。结论通过采用根本原因分析法制定住院老年患者医院感染预防措施,可有效降低其感染率,提高医疗质量。
Objective To investigate and analyze the clinical effect of root cause analysis in preventing nosocomial infections in elderly patients and provide reference for reducing nosocomial infections in elderly patients. Methods A total of 2 000 hospitalized patients from September 2010 to September 2013 were selected as the study subjects. 310 patients from October 2013 to April 2014 were selected as the control group. The 310 patients from May 2014 to November 2014 were selected as the primary cause Analytical method to develop preventive measures for patients in the observation group, the two groups of hospitalized during hospital infection were compared, the data using SPSS 17.0 software for statistical analysis. Results Thirty cases of nosocomial infection occurred in 2 000 hospitalized elderly patients, the infection rate was 1.50%. The infection was mainly in a single part, with 25 cases accounting for 83.33%. Thirty-six pathogenic bacteria were detected in the secretions of infected persons, Negative bacteria, a total of 25 strains accounted for 69.44%; only 1 case of hospital infection in the observation group, the infection rate was 0.32%, 7 cases of nosocomial infection in control group, the infection rate was 2.26%, the incidence of nosocomial infection Significantly lower than the control group (P <0.05). Conclusions The adoption of root cause analysis to develop hospitalized patients with nosocomial infection prevention measures can effectively reduce the infection rate and improve the quality of care.