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目的调查分析急诊科住院患者医院感染的相关因素,以达到降低急诊医院感染的目的。方法回顾性分析医院急诊科医院感染的300例住院患者临床资料,作为A组,同期非医院感染的住院患者300例作为B组,采用SPSS17.0软件对所有数据进行分析,两组患者相关危险因素采用logistic回归分析。结果 A组死亡患者10例,病死率为3.3%,B组死亡患者3例,病死率为1.0%,A组显著高于B组,差异有统计学意义(P<0.05);A组病房消毒每天(2.2±0.4)次、病房人员流量每天(3.6±0.6)人、护理监护每天(3.4±0.2)次、护理人员手卫生占76.0%,与B组比较,差异均有统计学意义(P<0.05)。结论提高护理人员医院感染预防意识和护理水平,改善护理环境,是降低急诊科住院患者,感染率的关键。
Objective To investigate the related factors of nosocomial infection in emergency department in order to reduce the emergency hospital infection. Methods A retrospective analysis of hospital emergency department hospital infection in 300 cases of hospitalized patients clinical data, as a group, the same period non-hospital-acquired inpatients 300 cases as a group B, using SPSS17.0 software for all data analysis, two groups of patients with associated risk Factors using logistic regression analysis. Results A group of 10 patients died, the case fatality rate was 3.3%, 3 patients died in group B, the case fatality rate was 1.0%, A group was significantly higher than the B group, the difference was statistically significant (P <0.05) The daily flow of ward staff was (3.6 ± 0.6), the nursing care was (3.4 ± 0.2) times a day and the hand hygiene of nursing staff was 76.0%. The difference was statistically significant compared with that of group B (P <0.05). Conclusion Improving nursing staff’s consciousness of prevention and nursing of nosocomial infection and improving nursing environment are the keys to reduce inpatients and infection rates in emergency department.