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感染性腹泻患儿发病的相关影响因素及防治措施分析

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目的 探究感染性腹泻患儿发病的相关因素,为临床制定防治策略提供一定的依据。方法 将吉安市青原区人民医院2020年3月至2023年3月收治的感染性腹泻患儿60例作为观察组,另将同期于吉安市青原区人民医院体检的健康儿童65例作为对照组。收集2组研究对象年龄、性别等资料,以logis-tic回归分析模型探究感染性腹泻发病的相关影响因素。结果 2组研究对象性别、年龄、户籍、居住地、父母文化程度、儿童便后洗手、父母便后洗手占比比较,差异均无统计学意义(P>0。05)。观察组患儿饭前未洗手、有吮指行为、餐具未消毒、剩饭未及时处理、手指甲卫生差、最近1周有接触过腹泻患者占比均高于对照组,差异均有统计学意义(x2=23。706、25。893、37。987、52。377、13。556、15。342,P<0。05);logistic 回归分析显示:儿童饭前未洗手[比值比(OR)=6。833,95%可信区间(95%CI)(3。044~15。340)]、儿童有吮指行为[OR=7。142,95%CI(3。247~15。709)]、餐具未消毒[OR=12。146,95%CI(5。199~28。375)]、剩饭未及时处理[OR=22。000,95%CI(8。731~55。437)]、手指甲卫生差[OR=3。941,95%CI(1。872~8。297)]、最近 1 周有接触过腹泻患者[OR=4。400,95%CI(2。058~9。405)]是感染性腹泻患儿发病的有关危险因素(P<0。05)。结论 儿童家长应针对上述危险因素采取有效的防治措施,从多方面注意儿童手部卫生及饮食卫生,避免接触腹泻患者,可减少感染性腹泻发生。
Analysis of related influencing factors and prevention and treatment measures of infectious diarrhea in children
Objective To explore the related factors of infectious diarrhea in children,and provide some basis for clinical prevention and treatment strategies.Methods A total of 60 children with infectious diarrhea admitted to the People's Hospital of Ji'an Qingyuan District from March 2020 to March 2023 were assigned to the observation group,and 65 healthy children who physical examination in The People's Hospital of Ji'an Qingyuan District during the same period were assigned to the control group.The data of age and sex of the two groups were collected,and the related influencing factors of infectious diarrhea were explored by logistic regression analysis model.Results There was no significant difference between the two groups in gender,age,household registration,residence,parents'education level,children's hand washing after defecation,and the proportion of parents'hand washing after defecation(P>0.05);The proportion of children in the obser-vation group who did not wash their hands before meals,had finger sucking behavior,did not disinfect the ta-bleware,did not handle leftovers in a timely manner,had poor hygiene of their fingernails,and had been ex-posed to diarrhea in the past week were higher than those of the control group,and the differences were statis-tically significant(x2=23.706,25.893,37.987,52.377,13.556,15.342,P<0.05);Logistic regression analy-sis showed that children did not wash their hands before meals(OR=6.833,95%CI=3.044-15.340),had finger sucking behavior(OR=7.142,95%CI=3.247-15.709),did not disinfect tableware(OR=12.146,95%CI=5.199-28.375),did not handle leftovers in a timely manner(OR=22.000,95%CI=8.731-55.437),and had poor fingernail hygiene(OR=3.941,95%CI=1.872-8.297),exposure to diarrhea patients in the past week(OR=4.400,95%CI=2.058-9.405)were the risk factors for the onset of infectious diar-rhea in children(P<0.05).Conclusion Parents should take effective preventive measures against the above risk factors,pay attention to children's hand hygiene and food hygiene in many aspects,and avoid contact with diarrhea patients,which can reduce the occurrence of infectious diarrhea.

Infectious diarrheaRisk factorsHand hygienePrevention and control measuresChildren

龙红梅、彭小雪

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吉安市青原区人民医院儿科,江西吉安 343009

感染性腹泻 危险因素 手卫生 防治措施 儿童

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(5)
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