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김세정 ( Kim Sea-Joung ) - 인제대학교 해운대백병원 간호부
이윤미 ( Lee Yun-Mi ) - 인제대학교 간호학과
조정현 ( Cho Jeong-Hyun ) - 인제대학교 간호학과
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Abstract
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Purpose: The purpose of this study was to evaluate the effectiveness of a ventilator-associated pneumonia (VAP) bundle.
Methods: This was a retrospective study that was carried out between June 2010 and October 2015. In this study, 3,224 intubated patients were included. The VAP bundle which was applied to Group 1 patients (n=470) included head-of-bed elevation to 30 degrees, cuff pressure monitorization, prophylaxis of peptic ulcer, and prophylaxis of deep vein thrombosis. The VAP bundle for Group 2 patients (n=1,914) included all the elements of the VAP bundle for Group 1 patients and one additional element which was oral care with 0.12% chlorhexidine. The VAP bundle for Group 3 patients (n=870) added sedative interruption and assessment of readiness to extubate to the VAP bundle for Group 2.
Results: The numbers and incidences of VAP were significantly different among the three groups. Moreover, there were significant differences among groups in ICU length of stay and mortality.
Conclusion: Three different VAP prevention bundles made different effects in patient outcomes.
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KeyWords
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인공호흡기 관련 폐렴 , 환자케어번들 , 중환자실 , 감염
Ventilator-associated pneumonia , Patient care bundles , Intensive care units , Infection control
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원문 및 링크아웃 정보
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등재저널 정보
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