Office of Research, (Dr Patty) and Advanced Nursing Practice Department (Mss Sandidge-Renteria, Newsom, and Schneider, Drs Orique and Camarena, and Mr Dixon), Kaweah Delta Health Care District, Visalia, California.
J Nurs Care Qual. 2021;36(1):74-78. doi: 10.1097/NCQ.0000000000000476.
Nonventilator hospital-acquired pneumonia (NV-HAP) is a common hospital-acquired condition that is amenable to basic nursing care interventions.
The purpose of this study was to determine the incidence of NV-HAP in a California community hospital and to identify the patient and nursing care factors including missed nursing care associated with its development.
A retrospective study identified possible NV-HAP cases with ICD-10 (International Classification of Diseases, Tenth Revision) codes and then validated cases using Centers for Disease Control and Prevention confirmatory criteria.
The incidence of NV-HAP in our hospital was 0.64 cases per 1000 patient-days. Patient factors most strongly associated with NV-HAP were age (each year of increased age was associated with a 4% increased likelihood of developing NV-HAP) (OR = 1.04-1.07) and the presence of underlying disease, which reduced odds of developing NV-HAP by 36% (OR = 0.36; 95% CI, 0.12-0.98). Head-of-bed elevation reduced by 26% the odds of developing NV-HAP (OR = 0.26; 95% CI, 0.07-0.08).
NV-HAP can be predicted and potentially prevented. Paradoxically, the presence of underlying disease was not positively associated with the development of NV-HAP in this study.
非呼吸机相关性医院获得性肺炎（NV-HAP）是一种常见的医院获得性疾病，可以通过基本的护理干预来治疗。
本研究旨在确定加利福尼亚州一家社区医院的 NV-HAP 发病率，并确定与 NV-HAP 发展相关的患者和护理因素，包括护理不足。
回顾性研究使用国际疾病分类第 10 版（ICD-10）代码确定可能的 NV-HAP 病例，然后使用疾病控制和预防中心的确认标准验证病例。
我们医院的 NV-HAP 发病率为每 1000 个患者日 0.64 例。与 NV-HAP 最密切相关的患者因素是年龄（每增加 1 岁，患 NV-HAP 的可能性增加 4%）（OR = 1.04-1.07）和基础疾病的存在，这使患 NV-HAP 的可能性降低了 36%（OR = 0.36；95% CI，0.12-0.98）。床头抬高降低了 26%发生 NV-HAP 的可能性（OR = 0.26；95% CI，0.07-0.08）。
NV-HAP 可以预测和预防。在本研究中，具有基础疾病的存在与 NV-HAP 的发生并没有正相关。
