The factors associated with systemic inflammatory response syndrome in older adult patients with pneumonia visiting the emergency departments in the hospitals in Phra Nakhon Si Ayutthaya province
Article Sidebar
Main Article Content
Abstract
Background: There are 450 million cases of pneumonia worldwide, with 4 million deaths a year due to the increased severity of the infection. Pneumonia is the leading cause of death among hospitalized older adult patients each year.
Objective: This study aimed to examine factors associated with systemic inflammatory response syndrome(SIRS) in older adult patients with pneumonia visiting the emergency departments in the hospitals of Phra Nakhon Si Ayutthaya province.
Methods: This is a descriptive research study. The sample consisted of 125 elderly patients with pneumonia who met the inclusion criteria. Data were collected between December 2019 and March 2020. The research instruments used include: 1) a demographic questionnaire; 2) a questionnaire on physical activities in daily living; 3) a questionnaire about comorbidity; 4) a questionnaire on nutrition status; 5) a questionnaire on social support; and 6) systemic inflammatory response syndrome scores. The data were analyzed using descriptive statistics, point-biserial correlation, and Spearman’s rank correlation.
Results: The samples mostly had systemic inflammatory response syndrome (SIRS) (86.4%). Malnutrition status was found to be statistically, significantly, and positively associated with systemic inflammatory response syndrome in older adult patients infected with pneumonia that had come to receive services at the accident and emergency departments (rs=.224, p<.05).
Conclusions: Emphasizing nutritional care among older adults may decrease the severity of systemic inflammatory response syndrome related to community pneumonia.
Downloads
Article Details
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
References
Aroonsang P. Nursing care for important problems of the elderly:use.Khon Kaen: Printing House Nana Wittaya; 2011. (in Thai).
Muangpaisan W. Emergency Management for the Elderly.Bangkok: Pappim Limited Partnership; 2014. (in Thai).
Reechaipichitkul W.Pneumonia Treatment. Journal of Medicine KhonKaen University. 2015;1(4):17-29. (in Thai).
Bartolf A, Cosgrove C. Pneumonia. Medicine. 2016;44(6):373-77.
Strategy and Planning Division. Public health statistics A.D. 2016. Ministry of public health; 2016. (in Thai).
Srivisai T, Pinyopasakul W, Charoenkitkarn V. Relationships between age, body mass index, comorbidity and systemic inflammatory response syndrome in patients with respiratory infection at an Emergency unit. Ramathibodi Nursing Journal. 2014;21(2):186-98. (in Thai).
Gordon JE. Epidemiology in Modern Perspective. Proc R Soc Med. 1954;47 (7):564-70.
Srisatidnarakul B. The Methodology in Nursing Research. Bangkok: U and I Intermedia; 2007. (in Thai).
Department of health. Barthel Activities of Daily Living: ADL; 2016. (in Thai).
Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5): 373-83.
Detsky AS, McLaughlin JR, Baker JP, Johnston N, Whittaker S, Mendelson RA., et al. What is subjective global assessment of nutritional status? J Parenter Enter Nutr. 1987;11(1):8-13.
Rattana W. Health care behavior and social support with elderly’s of life quality of aging club at suratthani central hospital Srinakharinwirot University; 2009. (in Thai).
Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal S M, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013;41(2):580-637.
Droemann D, Goldmann T, Tiedje T, Zabel P, Dalhoff K, Schaaf B. Toll-like receptor 2 expression is decreased on alveolar macrophages in cigarette smokers and COPD patients. Respir Res. 2005;6:68.
Jaspers I. Cigarette smoke effects on innate immune mechanisms in the nasal mucosa. Potential effects on the microbiome. Ann Am Thorac Soc. 2014; 11(Suppl 1):S38-42.
Tanthawichien T. Immunization for adults and the elderly. Bangkok: Infectious Disease Association of Thailand; 2014. (in Thai).
Sararuk M. Physical Activity Promotion in the Elderly. Journal of Science and Technology, Ubon Ratchathani University. 2015;17(1):23-36. (in Thai).
Green FHY, Pinkerton KE. Chapter 27 - Environmental Determinants of Lung Aging. In The Lung (Second Edition). Boston Academic Press. 2014:471-91.
Schaible UE, Kaufmann SH. Malnutrition and infection: complex mechanisms and global impacts. PLoS Med. 2007;4(5):e115.
Brotherton A, Simmonds N, Stroud M. Malnutrition Matters Meeting Quality Standards in Nutritional Care. A Toolkit for Commissioners and Providers in England; 2010.
House JS. Work Stress and Social Support. Reading, Mass: Addison-Wesley; 1981.
Cillóniz C, Dominedò C, Garcia-Vidal C, Torres A. Community-acquired pneumonia as an emergency condition. Curr Opin Crit Care. 2018;24(6):531-39.
