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目的对神经内科病人监护室医院感染发生状况展开调查,分析其中危险因素,并提出有效的护理措施。方法回顾性调查分析我院神经内科2015年01月至2016年6期间诊治的1850例住院患者的临床资料,察看医院感染发生情况。结果 1850例神经内科纳入对象发生医院感染222例(12.0%),院感主要神经内科疾病为脑出血、缺血缺氧性脑病和脑梗死;而发生感染的主要部位是呼吸道、泌尿系统和胃肠道;临床资料及病历分析神经内科院感发生的危险因素有患者存在基础病、年龄大于60岁、意识不清晰、住院时间长、使用广谱抗生素和进行过侵入性操作。结论神经内科院感发生的危险因素有患者存在基础病、年龄大于60岁、意识不清晰等,因此对于易感人群更应加强护理管理,采取有效的护理措施来降低院感的发生率,保障患者的生命安全。
Objective To investigate the incidence of nosocomial infections in the department of neurology and patient care, analyze the risk factors and propose effective nursing measures. Methods The clinical data of 1850 hospitalized patients diagnosed and treated in our hospital from January 2015 to June 2016 were analyzed retrospectively to observe the incidence of nosocomial infection. Results A total of 222 hospitalized cases (12.0%) were hospitalized in 1850 cases of neurology. The main neurological diseases in hospital yard were cerebral hemorrhage, hypoxic ischemic encephalopathy and cerebral infarction. The main parts of the infections were respiratory tract, urinary system and stomach Intestinal; clinical data and medical records Neurological Nausea Sick sense of the risk factors exist in patients with underlying disease, more than 60 years of age, consciousness is not clear, long hospital stay, the use of broad-spectrum antibiotics and invasive surgery. CONCLUSIONS: The risk factors for neurosurgery in patients with neurological symptoms include patients with underlying diseases older than 60 years and unclear consciousness. Therefore, care management should be strengthened for susceptible people and effective nursing measures should be taken to reduce the incidence of nociception. Patient’s life safety.