新生儿重症监护室医院感染因素分析及护理管理对策

摘要

Objective:To analyze the factors for nosocomial infections in neonatal intensive care unit,and propose the nursing countermeasures. Method:The data of 1530 neonates in our hospital from July 2011 to July 2013 in intensive care unit were retrospectively analyzed.Result:86 cases in 1530 newborns were occurred the hospital infections,the incidence rate was 5.62%.There mostly were respiratory infection,accounted for 48.84%.There were statistical significance of the body weight,invasive operation,basic disease,time to discharge between the newborns with infections and newborns without infections(P<0.05).There was no significant difference in the use of antibiotics between two groups(P>0.05).Conclusion:Reinforcing the nursing management by strengthening ward nursing and reducing the invasive operation can improve the quality of life of the newborns.%目的：分析重症监护室新生儿出现院内感染的影响因素，并提出相应的护理管理对策。方法：对2011年7月-2013年7月笔者所在医院重症监护室收治的1530例新生儿的资料进行回顾性分析。结果：本组1530例新生儿中，86例出现医院感染，发生率为5.62%。且主要表现为呼吸道感染，占48.84%。出现感染症状的新生儿出生体质量、侵袭性操作情况、基础疾病、出院时间等与未出现感染的新生儿比较，差异有统计学意义(P<0.05)。两组新生儿抗生素使用情况比较，差异无统计学意义(P>0.05)。结论：通过加强病房内护理、尽量减少侵袭性操作等方面进行护理管理，可提高新生儿的生存质量。