Adult Patients’ Practices in Managing Community-Acquired Pneumonia
Keywords:
Adult patients’ practices, community-acquired pneumonia, healthcare-seeking behaviors, lifestyle, preventive measuresAbstract
This study assessed the practices of 102 adult patients with community-acquired pneumonia (CAP) at a district hospital in Central Negros during the third quarter of 2024. Effective management of CAP requires a comprehensive approach that includes lifestyle modifications, preventive measures, and healthcare-seeking behaviors. CAP incidence was influenced by age, male-associated exposures, marital dynamics, and economic challenges. The results showed encouraging lifestyle and preventive measures while health-seeking behaviors and patient engagement were moderate overall. Younger respondents, females, single individuals, and those from lower-income groups had the lowest scores in patient engagement, all falling within the moderate range. Significant differences in health-seeking behavior were observed when grouped by age and family income, and no significant differences were found in lifestyle practices, preventive measures, or patient engagement across other demographic factors. These findings underscore the need for targeted interventions, particularly for vulnerable populations. The Hospital's Chief should ensure the provision of essential medications, including antibiotics and multivitamins, alongside health education on pneumonia prevention. Healthcare workers, including nurses and medical doctors, should distribute IEC materials to patients and their families in the outpatient department and medical wards. Additionally, local partners, such as the Local Government Unit and Municipal Health Officer, should collaborate to promote health-seeking behaviors through community resources, local media, and engagement with community leaders and peer groups.
References
Banate, M. Y., Banzon, A., Limpin, M. E. B., & de Guia, T. S. (2016). Comparison of the Two Scoring Indices (CURB65 and PSI) and Determination of their Utility in Predicting the Severity of Community Acquired Pneumonia Among Patients Seen at Philippine Heart Center.
Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2011). Low health literacy and health outcomes: an updated systematic review. Annals of Internal Medicine, 155(2), 97-107.
Berkman, N. D., Sheridan, S. L., Donahue, K. E., et al. (2011). Health literacy interventions and outcomes: An updated systematic review. Evidence Report/Technology Assessment, 199, 1-941. https://doi.org/10.23970/AHRQEP199
Berkhout, K. A., et al. (2018). Hydration status and its association with respiratory health in patients with chronic obstructive pulmonary disease. Respiratory Medicine, 137, 71-78. https://doi.org/10.1016/j.rmed.2017.11.017
Cillóniz, C., et al., (2016). Community-acquired pneumonia related to intracellular pathogens. Intensive Care Medicine, 42(9), 1377-1386.
Harris, A. M., Hicks, L. A., & Qaseem, A. (2018). Appropriate antibiotic use for acute respiratory tract infection in adults. Annals of Internal Medicine, 169(7), 487-495.
He, Y., Wang, L., & Huang, W. (2021). The role of dietary supplements in supporting immune function: Implications for respiratory diseases. Nutrients, 13(7), 2455. https://doi.org/10.3390/nu13072455
Hirsch, K., & Smith, J. A. (2021). Digital health engagement among younger adults: Implications for healthcare accessibility and utilization. American Journal of Public Health, 111(9), 1625-1632. https://doi.org/10.2105/AJPH.2021.306330
Healthline. (2022, September 26). Understanding Community-Acquired Pneumonia. Retrieved from https://www.healthline.com/health/community-acquired-pneumonia
Hooper, L., et al., (2022). Effects of fluid and drinking on pneumonia mortality in older adults: A systematic review and meta-analysis. Clinical Nutrition ESPEN, 47, 96–105. https://doi.org/10.1016/j.clnesp.2021.11.021
Lopez, M., & Garcia, A. (2021). Gender differences in healthcare utilization: Patterns and factors influencing care-seeking behavior. Health Psychology, 40(8), 571-581. https://doi.org/10.1037/hea0001062
Macintyre, C. R., et al. (2014). Barriers to vaccination: A focus on pneumococcal vaccine uptake. Vaccine, 32(25), 3093-3098. https://doi.org/10.1016/j.vaccine.2014.03.027
McCoy, L., Theeke, L. A., & Davis, B. (2016). Health literacy and patient engagement: A systematic review of the literature. Patient Education and Counseling, 99(3), 378-387.
McCoy, L., et al. (2016). The impact of patient education on chronic disease management. Journal of Nursing Scholarship, 48(2), 217-225. https://doi.org/10.1111/jnu.12177
McCoy, L., Theeke, L. A., & Halcomb, E. J. (2020). Patient engagement in health care: A systematic review. Journal of Patient Experience, 7(6), 929-938. https://doi.org/10.1177/2374373519895820
Marshall, T. A., & Nguyen, P. L. (2021). Socioeconomic status and healthcare preferences: An analysis of preventive versus curative care approaches. Journal of Public Health Research, 10(3), 223-229. https://doi.org/10.4081/jphr.2021.223
Musher, D. M., & Thorner, A. R. (2014). Community-Acquired Pneumonia. New England Journal of Medicine, 371(17), 1619-1628.
Naylor, M. D., et al. (2018). The importance of follow-up care for chronic illness management: A systematic review. Journal of Nursing Scholarship, 50(6), 652-662. https://doi.org/10.1111/jnu.12413
Naylor, M. D., Aiken, L. H., Kurtzman, E. T., Olds, D. M., & Hirschman, K. B. (2016). The importance of transitional care in achieving health reform. Health Affairs, 35(5), 746-754.
O'Conor, R., Wolf, M. S., Smith, S. G., Curtis, L. M., Benavente, J. Y., & Wismer, G. (2018). Health literacy, cognitive function, proper pneumonia management, and adherence to treatment plans. American Journal of Respiratory and Critical Care Medicine, 197(3), 444-452.
Peters, J. R., & Peters, R. (2020). Importance of hydration in patients with respiratory illness. Respiratory Care, 65(3), 370-378. https://doi.org/10.4187/respcare.07087
Rivero-Calle, I., et al., (2019). Lifestyle and comorbid conditions as risk factors for community-acquired pneumonia in outpatient adults (NEUMO-ES-RISK project). BMJ Open Respiratory Research, 6(1), e000359. https://doi.org/10.1136/bmjresp-2018-000359
Restrepo, M. I., & Anzueto, A. (2015). Severe community-acquired pneumonia. Infectious Disease Clinics, 27(1), 73-83.
Singh, M. (2022). World Pneumonia Day 2022: Foods That Aid Recovery from Pneumonia. NDTV. https://www.ndtv.com/food/world-pneumonia-day-2022-foods-that-aid-recovery-from-pneumonia
World Health Organization. (2020). Infection prevention and control in health care settings. Retrieved from WHO https://www.who.int/teams/integrated-health-services/infection-prevention-control
World Health Organization (WHO). (2019). Pneumonia. Retrieved from https://www.who.int/news-room/fact-sheets/detail/pneumonia
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Copyright (c) 2025 Philip June S. Elgario, Dr. Jeetre D. Trinidad (Author)
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