J Korean Clin Nurs Res.  2020 Aug;26(2):131-140. 10.22650/JKCNR.2020.26.2.131.

Factor Associated with Injury Related to Home Mechanical Ventilation in General Ward Patients: A Retrospective Study

Affiliations
  • 1Unit Manager, Division of Nursing, Severance Hospital ․ Doctoral Student, College of Nursing, Yonsei University, Seoul, Korea
  • 2Professor, College of Nursing ․ Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea
  • 3Doctoral Student, College of Nursing, Yonsei University, Seoul, Korea

Abstract

Purpose
This study aims to describe the characteristics of safety incidents and factors associated with injury for patients with Home Mechanical Ventilation (HMV) at the hospital.
Methods
This is a retrospective study. Data were collected from the work log of respiratory home care nurses and the patients’ electronic medical records were investigated. In order to compare group differences, independent t-test and x 2 test were used. Associated factors with injury development were identified by generalized mixed modeling analysis controlling for age and gender.
Results
A total of 304 patients on HMV were included in this study, among which 129 (42.4%) experienced 352 HMV-related incidents. Mean frequency of incidents for each patient was 5.11±3.98, ranged from 1 to 15 times. In 19.0% of the incidents, injury was developed. Types of incident and persons involved in the incidents were significantly associated with the patient's injury. In the case of the safety incidents, patient’s injury was significantly higher in accidents caused by respiratory circuit problems compared to those caused by problems with the ventilator operation by the medical staff (coefficient=1.25, p=.020). In addition, in the case of those involved in the safety incidents, patient’s injury was significantly higher in the accident caused by the patient family members or caregivers than that caused by the medical personnel (coefficient=1.25, p=.019).
Conclusion
In order to minimize injury caused by incidents in patients with HMV, hospitals need to provide systemic education to their medical staff and caregivers to enhance awareness of the importance of reporting and safety management.

Keyword

Home Mechanical Ventilation; Safety Incidents; General Ward
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