A VALIDATION STUDY OF THE NURSING DIAGNOSIS HIGH RISK FOR ASPIRATION USING THE CASE-CONTROL METHOD (ASPIRATION).
Contributors: University of South Carolina.
Published: 1994
Number of pages: 82
Subjects: Health Sciences, Nursing.
Description: The case-control design was used in a validation study of the nursing diagnosis High risk for aspiration. This is a retrospective design in which individuals with a disease or condition (cases/aspiration) were compared with individuals without the condition (controls/without aspiration). Cases and controls were compared by looking at past and present exposures thought to be risk factors for the disease or condition. Subjects are selected based on the presence or absence of disease.

The sample consisted of 131 cases and 206 controls hospitalized at one hospital from 1990 to 1993. The mean age of cases was 62, of controls, 55. All subjects were over 18 years of age. Average length of stay for cases was 10.89 days, 9.92 days for controls. Information was collected from subjects' records and recorded on a data collection instrument constructed by the investigator.

Data were analyzed using univariate and multiple logistic regression analysis. These potential risk factors were significant in univariate analysis and were entered into multiple logistic regression: altered level of consciousness, vomiting, seizures, metoclopramide, endotracheal tube, nasoenteral tube, gastrostomy tube, smokes, age, central nervous system depressants, antipsychotics, and histamine H2 antagonists. From the logistic regression analysis, these factors were statistically significant and comprise the final model: altered level of consciousness, vomiting, seizures, metoclopramide, and unable to change own position. These factors were not significant in multiple logistic regression analysis: positioning requires assistance, endotracheal tube, nasoenteral tube, gastrostomy tube, smokes, alcohol use, central nervous system depressants, antipsychotics, and histamine H2 antagonists.

The risk factors of altered level of consciousness and delayed gastric emptying currently included in the North American Nursing Diagnosis Association (NANDA) taxonomy, were statistically significant in this study. These risk factors are not currently included in the NANDA taxonomy but were statistically significant in this study: vomiting, seizures, and unable to change own position.
Notes: Source: Dissertation Abstracts International, Volume: 55-07, Section: B, page: 2650.

Thesis (PH.D.)--UNIVERSITY OF SOUTH CAROLINA, 1994.

School code: 0202.