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多发性骨髓瘤化疗患者医院感染的危险因素研究

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目的 分析多发性骨髓瘤患者发生医院感染的影响因素,为护理干预提供参考.方法 将168例多发性骨髓瘤患者按治疗期间是否发生医院感染分为感染组(n=80)和未感染组(n=88).分析多发性骨髓瘤患者医院感染发生情况和危险因素.结果 168例多发性骨髓瘤患者在院期间接受化疗188例次,其中医院感染患者80例,发生感染96例次,主要为呼吸道感染及消化系统感染.年龄、糖尿病、国际分期体系分期、Durie-Salmon分期、住院时间是多发性骨髓瘤化疗患者发生医院感染的影响因素(均P<0.05).结论 多发性骨髓瘤患者发生医院感染率较高,影响因素较多,医护人员可针对影响因素进行干预,降低医院感染发生率,改善预后.
Risk factors of nosocomial infection in multiple myeloma patients undergoing che-motherapy
Objective To analyze risk factors of nosocomial infection in multiple myeloma patients undergoing chemotherapy,and provide a reference for nursing.Methods A total of 168 patients with multiple myeloma were divided into an infected group(n=80)and an uninfected group(n=88)according to whether they suffered from nosocomial infection during treatment.To analyze the occurrence and risk factors of nosocomial infection in multiple myeloma patients.Results The participants totally received che-motherapy 188 times during hospitalization,the infected group experienced 96 times nosocomial infection,mainly in respiratory and digestive system.Age,diabetes mellitus,the International Staging System stage,the Durie-Salmon stage,and length of hos-pitalization were the influencing factors of nosocomial infection in multiple myeloma patients(all P<0.05).Conclusion The rate of nosocomial infection in multiple myeloma patients is high,and it is influenced by multiple factors,medical staff should take targe-ted interventions according to the influencing factors,so as to decrease the incidence of nosocomial infection,and improve progno-sis.

multiple myelomachemotherapynosocomial infectionrisk factorsrespiratory infectiondigestive system infectiondiabetes mellitusnursing intervention

谢玉娘、廖林英、韩小玉

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赣州市人民医院血液内科(江西赣州,341000)

多发性骨髓瘤 化疗 医院感染 危险因素 呼吸道感染 消化系统感染 糖尿病 护理对策

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(14)
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