干旱区生态环境知识资源中心(Arid): Risk factors for infection in home health care: Analysis of national Outcome and Assessment Information Set data

Arid

DOI	10.1002/nur.22053
	Risk factors for infection in home health care: Analysis of national Outcome and Assessment Information Set data
	Shang, Jingjing; Wang, Jinjiao; Adams, Victoria; Ma, Chenjuan
通讯作者	Shang, JJ
来源期刊	RESEARCH IN NURSING & HEALTH
ISSN	0160-6891
EISSN	1098-240X
出版年	2020
卷号	43 期号:4 页码:373-386
英文摘要	Patients in home health care (HHC), a rapidly growing healthcare sector, are at high risk for infections. This study aimed to identify risk factors for infections among HHC patients using the Outcome and Assessment Information Set (OASIS) data. We used a 5% random sample of the 2013 national OASIS data. Infections were identified if records indicated that patients were hospitalized or received emergency care for one of three types of infections (respiratory, wound site, and urinary tract infection). Multivariate logistic regression models were used to identify risk factors for each individual infection type. The final analysis included 128,163 patients from 8,255 HHC agencies nationwide. Approximately 3.2% of the patients developed infections during their HHC stay that led to hospitalization or emergency care treatment. We found that associations between demographics and infection risk are specific to the type of infection. In general, a history of multiple hospitalizations in past 6 months, comorbidity, having a severe condition at HHC admission, and impaired physical functioning increased HHC patients' risk of infections. We also identified that HHC patients with caregivers who needed training in providing medical procedure or treatment are at higher risk for wound-site infections. Our findings suggest that patients with underlying medical conditions and limited physical function status are more likely to develop infection. The caregiver's lack of training in providing needed care at home also places HHC patients at high risk for infection. Education for patients and caregivers should be tailored based on their health literacy level to ensure complete understanding.
英文关键词	caregiver home health care infection long-term care risk factors
类型	Article
语种	英语
开放获取类型	Green Accepted
收录类别	SSCI
WOS记录号	WOS:000547177200001
WOS关键词	COMORBIDITY INDEX ; OLDER-ADULTS ; FEASIBILITY ; PREVALENCE ; CAREGIVERS ; DISCHARGE
WOS类目	Nursing
WOS研究方向	Nursing
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/324992
作者单位	[Shang, Jingjing] Columbia Univ, Sch Nursing, New York, NY USA; [Wang, Jinjiao] Univ Rochester, Sch Nursing, Rochester, NY USA; [Adams, Victoria] Visiting Nurse Serv New York, Infect Prevent & Control, New York, NY USA; [Ma, Chenjuan] NYU, Rory Meyers Coll Nursing, New York, NY USA
推荐引用方式 GB/T 7714	Shang, Jingjing,Wang, Jinjiao,Adams, Victoria,et al. Risk factors for infection in home health care: Analysis of national Outcome and Assessment Information Set data[J],2020,43(4):373-386.
APA	Shang, Jingjing,Wang, Jinjiao,Adams, Victoria,&Ma, Chenjuan.(2020).Risk factors for infection in home health care: Analysis of national Outcome and Assessment Information Set data.RESEARCH IN NURSING & HEALTH,43(4),373-386.
MLA	Shang, Jingjing,et al."Risk factors for infection in home health care: Analysis of national Outcome and Assessment Information Set data".RESEARCH IN NURSING & HEALTH 43.4(2020):373-386.