风险管理在预防老年患者医院感染中的防控效果及对睡眠质量的影响

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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中图分类号：R338.63 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.04.049

医院感染是指住院患者在医院内形成或在潜伏期后出院时发病的感染情况，其成因复杂，与环境、医疗操作以及患者免疫力等多种因素相关[1]。（剩余4328字）