一次性口腔护理套件对减少重症监护病人的呼吸器相关肺炎的影响:一项多中心研究
A Unahalekhaka1, P Uirungroj2, C Saenjum3
1Department of Public Health Nursing, Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand; Research Center for Innovation in Analytical Science and Technology for Biodiversity- Based Economy and Society (I-ANALY-S-T_B.BES-CMU), Chiang Mai University, Chiang Mai, Thailand.
The Journal of hospital infection
|March 24, 2025
概括
单次使用的口腔护理套件显著降低了ICU的呼吸机相关肺炎 (VAP) 率和成本. 护士报告说,在使用这些套件时,患者的安全性和遵守指南的情况有所改善.
科学领域:
- 感染控制 感染控制
- 关键护理医学 关键护理医学
- 护理实践 护理实践
背景情况:
- 呼吸机相关性肺炎 (VAP) 是机械通风患者的医院关键性感染.
- 有效的口腔护理对于预防VAP至关重要.
研究的目的:
- 评估一次性口腔护理套件在降低VAP发病率方面的有效性.
- 收集ICU护士关于使用这些套件的观点.
主要方法:
- 一项涉及14家三级医院的多中心研究.
- 实施单次使用的口腔护理套装,采用标准化的协议.
- VAP率和抗生素成本在实施前和之后的比较.
- 通过问卷收集ICU护士的反.
主要成果:
- VAP率下降了31.52% (从7.74到5.30每1000个呼吸机日).
- 显著降低VAP抗生素治疗成本.
- 超过96%的护士发现这些套件有效预防与医疗相关的感染 (HAI).
- 超过85%的人报告说,使用方便性,患者舒适性和指导方针的遵守性有所改善.
结论:
- 一次性口腔护理套件,当与标准化协议一起使用时,可以有效地减少VAP的发生率和相关的医疗保健支出.
- 强化护理护士报告高满意度,注意到患者安全,准则遵守和成本效益的改善.
- 对于机械通风患者,建议定期采用一次性口腔护理套件.
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