Nursing resources and major respiratory assessment and immobility complications among bedridden patients

Abstract

Abstract
Background: Being bedridden is the most common clinical manifestation in people, which results in physiological problems in the body such as, urinary tract infection, deep vein thrombosis, pneumonia, etc. Being bedridden requires regular nursing intervention.
Objectives: There is a deficiency in the unit level information about nursing resource information and immobility problems. To explore China's nursing resources and study the relationship between significant immobility problems and nursing resources, a nationwide, cross-sectional study was designed. A total of 19,531 patients participated in this study.
Materials and Methods: Data was collected through the question-answer method from the nursing professionals and patients. The trained researchers measured the bedridden incidents. Patient characteristics data have been collected from the hospital record book. A multi-regression analysis was conducted to determine the relationship between the nursing resources and the patient's complication.
Results: This study consisted of 19,530 patients. There were 70.88% wards present in the tertiary hospital, of which, 81.7% were critical wards and 88.2% were non-critical wards. 60.9% hospitals have the bed to nurse ratio is 1:0.4. The 51.28% critical ward achieved an average bed to nurse ratio of 1:2.05. Of the total sample, 68.75% are nurses with a BSc or higher qualification (P75: 84.21%, P25: 41.67%). About 25% of nurses have ≤3 years’ experience (P75: 38.5%, P25: 16.7%). While 16.7% of nurses were senior or intermediate (P75: 25%, P25: 10.62%). The average age of the patients was 56.4. While a total of 56% of the patients were female patients. 35.9% of patients were bedridden for ≤three days. 4-7 days bed-ridden patients made up 30.92% of the total, and > 8-day bed-ridden patients made up 33.2% of the total. Multivariate analysis proved that wards meeting the bed-to-nurse criteria, had lower immobility complications than the wards not meeting the criteria. (B=0.43, 95% confidence interval =0.01-0.86, Odd ratio= 1.55, 95% confidence interval =1.001-2.39).
Conclusions: A higher number of nursing staff and the senior and intermediate nursing staff chiefly contribute to reducing the significant immobility problems. Nursing experience is significantly related to immobility complications. However, the relationship between nursing education level and major immobility complications requires further research. [Ethiop. J. Health Dev. 2021; 35(3): 234-238]
Keywords: Nursing resources; Aging; bedridden patients; pneumonia.