CAJ | 학술논문

目的：通过问卷方法调查护理专家对医院获得性肺炎危险因素的见解，从专家经验角度探索患者感染医院获得性肺炎的主要危险因素。方法在文献资料及护理专家头脑风暴法基础上，课题小组制定专家问卷，对上海市30家综合医院遴选出的210名护理专家开展问卷调查，并对所得数据进行积极度、集中程度、协调程度的统计与评价。结果本次调查共发放专家问卷210份，回收202份，有效问卷202份，有效回收率为96．2％。各条目相关性得分均数的平均值为3．80分，累积百分比的均值为86．7％，变异系数的均值为0．30。按课题小组讨论得出的危险因素确定标准，删除男性、雾化吸入、低血红蛋白症和认知障碍4项条目，将剩余的27项条目作为本次专家调查的医院获得性肺炎危险因素。结论本研究通过问卷形式从专家经验角度调查了医院获得性肺炎危险因素，与以往该领域的回顾性病例对照研究方法形成互补，为进一步有针对性地预防医院获得性肺炎提供了依据。
목적：통과문권방법조사호리전가대의원획득성폐염위험인소적견해，종전가경험각도탐색환자감염의원획득성폐염적주요위험인소。방법재문헌자료급호리전가두뇌풍폭법기출상，과제소조제정전가문권，대상해시30가종합의원린선출적210명호리전가개전문권조사，병대소득수거진행적겁도、집중정도、협조정도적통계여평개。결과본차조사공발방전가문권210빈，회수202빈，유효문권202빈，유효회수솔위96．2％。각조목상관성득분균수적평균치위3．80분，루적백분비적균치위86．7％，변이계수적균치위0．30。안과제소조토론득출적위험인소학정표준，산제남성、무화흡입、저혈홍단백증화인지장애4항조목，장잉여적27항조목작위본차전가조사적의원획득성폐염위험인소。결론본연구통과문권형식종전가경험각도조사료의원획득성폐염위험인소，여이왕해영역적회고성병례대조연구방법형성호보，위진일보유침대성지예방의원획득성폐염제공료의거。
Objective To explore the risk factors of hospital-acquired pneumonia from the point of view of experts′experiences with the method of expert questionnaire .Methods The questionnaire on the risk factors of hospital-acquired pneumonia , which was made based on the literature consultation and group discussion , were distributed to 210 experts selected from the whole city .The degree of mean , the coefficient of variation ( CV) and the cumulative percent of the risk factors were surveyed .Results The survey distributed 210 cases of questionnaires in all .The effective retrieving rate was 96.2%.The mean value of degree of mean , the cumulative percent and CV were 3.80, 86.7% and 0.30 respectively.Male, aerosol inhalation, low hemoglobin production and cognitive disorder were excluded , according to the discussed criteria .The resting 27 items were considered as the risk factors of hospital acquired pneumonia .Conclusions This study determines the risk factors of hospital-acquired pneumonia by conducting expert questionnaire , which can be a complementary solution to previous retrospective case control study and afford the foundation to further prevention of hospital -acquired pneumonia .