护士遵守与呼吸机相关的肺炎预防套餐及其对重症监护病房患者结果的影响
Fatma Al-Harthi1,2, Huda Al-Noumani1, Gerald Amandu Matua1
1Sultan Qaboos University, College of Nursing, Muscat, Oman.
Nursing in critical care
|April 25, 2025
概括
提高对呼吸机相关性肺炎 (VAP) 准则的遵守程度,可以显著降低VAP的发病率和相关并发症. 护士对VAP捆绑的更高遵守与更短的住院时间和更少的通风日相关.
科学领域:
- 关键护理医学 关键护理医学
- 感染控制的方法是感染控制.
- 护理研究研究护理研究
背景情况:
- 呼吸机相关性肺炎 (VAP) 是一种普遍存在的与医疗相关的感染.
- 遵守VAP预防指南对于患者的治疗结果至关重要.
研究的目的:
- 为了确定重症监护病房的VAP率.
- 评估护士是否遵守VAP套餐指南.
- 检查VAP捆绑合规与患者结果之间的相关性.
主要方法:
- 在两个三级医院进行了一项前性,描述性相关性研究.
- 招募了103名重症监护病房患者,他们接受机械通风 ≥48小时.
- 用描述性统计数据和相关性分析分析数据.
主要成果:
- VAP的发病率为每千个呼吸机日5.6,其中22.3%的患者患有VAP.
- 护士对VAP指南的遵守率为69%,并且随着时间的推移而下降.
- 更高的合规性与更短的住院时间,更少的机械通风日和更低的医院费用相关.
结论:
- 加强对VAP指南的遵守对于改善患者的治疗结果至关重要.
- 定期的审计和质量改进举措对于VAP预防至关重要.
- 建议对影响护士遵守VAP指南的因素进行进一步的研究.
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