Predictors of Hospital-acquired Pneumonia in Adult Patients

• Main Authors: Mu-Chi Huang, 黃牧琦
• Other Authors: Pei-Shan Tsai
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/qdwyt4

碩士 === 臺北醫學大學 === 護理學研究所 === 102 === Purpose：To examine risk factors of hospital-acquired pneumonia in hospitalized adult patients. Methods: This was a hospital-based, matched case-control study. The data were retrieved from the 2007 to 2011 Hospital Discharge Patients Database in a public teaching hospital. We identified neurosurgical patients who aged 20 years or above, were admitted to the hospital for more than 3 days, and received a diagnosis of pneumonia or aspiration pneumonia (ICD-9-code 480-486 or 507.0-507.9) as the case group. Neurosurgical patients who aged 20 years or above, were hospitalized more than 3 days, and without the occurrence of hospital-acquired pneumonia during hospitalization, matched by admission day, were selected as the control group. Results: Overall, 72 and 59 participants were included in the case and control groups, respectively. The majority of participants were male and half of them were 65 years of age or older. Dysphagia and head injury were significant risk factors for hospital-acquired pneumonia in neurosurgical patients (p < .001, and p = .048). Conclusions: (1) Clinical implications: Health care providers should focus on monitoring the symptom of dysphagia and design effective interventions to reduce the risk of hospital-acquired pneumonia in neurosurgical patients, particularly in patients with head injury. (2) Implications for nursing education: We suggest that the care and prevention strategies of dysphagia should be integrated into the nursing care education regarding hospital-acquired pneumonia.