Factors Influencing Severity and Impact of Symptoms in Patients with Upper Respiratory Tract Infection at Community Hospitals and Health-Promoting Hospitals

Jirarurut   Pohplook; Wimolrat Puwarawuttipanich; Sarunya   Koositamongkol; Yong   Rongrungruang

doi:10.33192/Smj.2021.66

Authors

Jirarurut Pohplook Master of Nursing Science Program in Adult and Gerontological Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand
Wimolrat Puwarawuttipanich Department of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand
Sarunya Koositamongkol Department of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand
Yong Rongrungruang Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand

DOI:

https://doi.org/10.33192/Smj.2021.66

Keywords:

Upper respiratory tract infection, health literacy, nutritional status, sleep quality, severity and impact of symptoms

Abstract

Objective: This study aimed to examine the factors that influence the severity and impact of symptoms in patients with an Upper Respiratory Tract Infection (URTI).
Materials and Methods: This study is a correlational predictive research. The sample size included 127 patients with URTI accessing care at community hospital and 5 health-promoting hospitals from February to June in 2020. Data were collected by using a questionnaire on demographic data, a questionnaire on health literacy, a questionnaire on self-care behavior in patients with URTI, the Nutrition Alert Form (NAF), the Pittsburgh Sleep Quality Index (PSQI), and the Wisconsin Upper Respiratory Symptom Survey-21 (WURSS-21). Subsequently, the data were analyzed using descriptive statistics and multiple regression analysis.
Results: The sample had a mean age of 45.30 years in which 73.2% were females; the average score of severity and impact of symptoms was minimal (Mean = 52.75 ± 22.85). The results from the multiple regression analysis indicated that all variables were able to co-predict the severity and impact of symptoms in patients with URTI as 25.9% (R² = .259, F = 10.676, p < .05). Sleep quality and health literacy were the most statistically significant in predicting the severity and impact of symptoms in this sample group (β = .393 and -.221 respectively, p < .05).
Conclusion: The findings suggested that nurses should encourage their patients to be aware of the importance of sleep, promoting a good sleep method and health literacy in order to make better decisions in their daily health.

Author Biography

Wimolrat Puwarawuttipanich, Department of Medical Nursing, Faculty of Nursing, Mahidol University, Bangkok, Thailand

รองศาสตราจารย์ สาขาวิชา พยาบาลศาสตร์ ภาควิชาการพยาบาลอายุรศาสตร์ คณะพยาบาลศาสตร์ มหาวิทยาลัยมหิดล

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