|
|
|
|
송의림 ( Song Ui-Rim ) - 차의과학대학교 분당차병원
김숙영 ( Kim Sook-Young ) - 차의과학대학교 간호대학
|
|
Abstract
|
|
|
|
|
Purpose: This study examined the effects of a program designed to prevent ventilator-associated pneumonia (VAP) on VAP rate and endotracheal colonization. The program focused on aspiration prevention and oral care.
Methods: A nonequivalent control group post-test only design was utilized. One hundred patients admitted to a medical intensive care unit (MICU) or coronary care unit (CCU) were assigned to either a experimental group (n=50) or a control group(n=50). The participants were selected 48 hours following an endotracheal intubation. VAP prevention program given to the experimental group includes keeping the head of the bed to 30°~45° high, maintaining continuous endotracheal cuff pressure at 25 cm H₂O, performing endotracheal suction before change position, and providing oral care with 0.1% chlorhexidine every four hours. The control group received usual care. Data were analyzed using t-test, x2 test, Mantel-Haenszel x2 and Cox proportional harzard regression model.
Results: The experimental group showed a lower VAP rate than the control group although the difference was not statistically significant (x2=0.79, p=.375). The experimental group showed lower colonization in tracheal secretion than the control group (x2=14.59, p<.001).
Conclusion: Results showed that a VAP prevention program is effective in reducing colonization of tracheal secretion. Therefore, VAP prevention programs are recommended as an ICU nursing intervention.
|
|
|
KeyWords
|
|
인공호흡기 관련 폐렴, 흡인, 구강간호
Pneumonia, Ventilator-associated, Respiratory aspiration, Oral hygiene
|
|
|
원문 및 링크아웃 정보
|
|
|
|
|
등재저널 정보
|
|
 
|
|
|
|
|