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

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.