The Development and Effectiveness of a Program to Prevent Ventilator Associated Pneumonia in the ICU / 성인간호학회지
Journal of Korean Academy of Adult Nursing
;
: 155-166, 2009.
Artigo
em Coreano
| WPRIM
| ID: wpr-103119
ABSTRACT
PURPOSE:
This study developed and evaluated a systematic intervention among medical ICU nurses for preventing ventilator-associated pneumonia (hereafter VAP).METHODS:
A VAP prevention program was proposed based on a literature review, revised to fit the target situation, and validated. It was composed of one-time interventions including education, pamphlets, hand cultures, and a quiz event, as well as repeated interventions such as posters, reminders, posting hand culture results, and performance feedback. A simulated control group pretest-posttest design was used to verify the effectiveness of the VAP control program. The incidence of VAP among ICU patients was measured both during 3 months before (n = 80) and during 3 months after (n = 75) intervention.RESULTS:
The VAP prevention program's effectiveness, with a pre-intervention VAP rate of 17.38 and post-intervention rate of 11.04 per 1,000 ventilator days, showed a clinical tendency to decrease, but the difference was not statistically significant (p = .750).CONCLUSION:
A VAP prevention program of multiple interventions can be useful in decreasing the VAP rate. Given that the monthly decrease in the VAP rate was not considered statistically significant, long-term research needs to be done. Additionally, since this study targeted only nurses, it is suggested that future research targets other health care workers who can influence VAP rates.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Folhetos
/
Avaliação de Programas e Projetos de Saúde
/
Ventiladores Mecânicos
/
Incidência
/
Atenção à Saúde
/
Pneumonia Associada à Ventilação Mecânica
/
Mãos
/
Unidades de Terapia Intensiva
Tipo de estudo:
Estudos de avaliação
/
Estudo de incidência
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Coreano
Revista:
Journal of Korean Academy of Adult Nursing
Ano de publicação:
2009
Tipo de documento:
Artigo
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