風險管理在預防老年患者醫(yī)院感染中的防控效果及對睡眠質(zhì)量的影響

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AbstractObjective：Toanalyze the formation mechanismofnosocomial infections inolderadult patientsandevaluate the implementationofrisk managementMethods：Atotalof82casesof olderadult patientsadmited toYicheng DistrictPeople'sHospitalin ZaozhuangCitybetweenFebruary2O23andAugust2O24 wereselectedas theresearchsubjects.Theywererandomlydividedintoacontrolgroupandanobservationgroupusingarandomnumber tablemethod，with41cases ineachgroup.Thecontrol groupreceivedroutinenursing interventions，，whiletheobservationgroupimplementedrisk management.Sleepqualitywas comparedbetweenthe two groupsusing thePitsburgh Slep QualityIndex（PSQI）.Theincidenceratesof respiratorytract infectins， urinarytractinfections，and intra-abdominal infectionswerealsocomparedbetweenthetwogroups.Results：Aftertheintervention，theobservationgroupexhibitedsignificantlylowerPSQIscorescompared tothecontrolgroup.Theobservationgroupalso demonstratedsignificantlylowerincidenceatesofrespiratorytractinfections，urinarytractinfections，andintra-abdominalinfections than the control group. All these differences were statistically significant（ P<0.05 ）. Conclusion ： Risk management provides targeted preventionagainstcommonriskfactorsfornosocomialinfectionswhileefectivelyrestoringsleepqualityinolderadultpatients.Therefore，it merits broader clinical implementation.

KeywordsNosocomial Infections；Risk management； Sleep Quality；Nursing；Nursing evaluation;Older Adult Patients中圖分類號：R338.63 文獻標識碼：A doi：10.3969/j.issn.2095-7130.2025.04.049

醫(yī)院感染是指住院患者在醫(yī)院內(nèi)形成或在潛伏期后出院時發(fā)病的感染情況，其成因復雜，與環(huán)境、醫(yī)療操作以及患者免疫力等多種因素相關[1]。（剩余4328字）