A Study to Assess the Knowledge and Compliance of Critical Care Nurses Regarding Ventilator Care Bundle in Prevention of Ventilator Associated Pneumonia
A Study to Assess the Knowledge and Compliance of Critical Care Nurses Regarding Ventilator Care Bundle in Prevention of Ventilator Associated Pneumonia
复制标题
评估重症监护护士对呼吸机护理组合预防呼吸机相关肺炎的知识和依从性的研究
DOI：
10.5958/0974-1283.2019.00035.5
复制
发表时间：
2019
期刊：
影响因子：
--
通讯作者：
D. Dumbre
中科院分区：
文献类型：
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作者：
D. Dumbre
机械通气是重症监护病房的主要支持方式之一，但它存在很多风险和并发症，最常见的是 VAP。 VAP 是全世界重症监护病房的一个问题，它大大增加了机械通气患者的发病率和死亡率。它是重症监护病房患者中最常见的感染性并发症[1]。护士对预防 VAP 的呼吸机护理包的了解并遵守这些知识将降低发生 VAP 的风险，并降低 ICU 机械通气患者的发病率和死亡率。护理与技术的结合正在迅速发展，并且正在赶上发达国家的护理准则和标准。然而，护理短缺是一种负担，重症监护护士的需求量很大。少数仍在执业的重症监护护士需要不断更新自己，了解 ICU 中存在的许多问题的最新知识和科学证据，包括 VAP [2]。推荐的四种主要做法包括：将床头抬高至 30 度、镇静假期、氯己定 (CHG) 口腔护理和声门下吸引气管插管。呼吸机“捆绑包”通常包括其他要素，例如深静脉血栓（DVT）预防、消化性溃疡预防。护士预计将在重症监护室照顾这些患者。护士应对呼吸机的通气方式、评估和故障排除以及需要机械通气的患者的评估和护理有透彻的了解。[3,4]结果显示，超过一半(56.7%)的护士对呼吸机护理捆绑知识有很好的了解，其中43.3%的护士对呼吸机护理捆绑知识有很好的了解。这表明，护士对呼吸机护理捆绑的知识和依从性存在显着相关性。
Mechanical ventilation is one of the major supportive modalities in the intensive care unit but it carries a lot of risks and complications, the most common one being VAP. VAP is a problem in intensive care units worldwide and dramatically increases morbidity and mortality rates on mechanically ventilated patients. It is the most common infectious complication among patients admitted to intensive care unit[1]. Knowledge of nurses on ventilator care bundle for the prevention of VAP and adherence to them would reduce the risk of occurrence of VAP and decrease morbidity and mortality of mechanically ventilated patients in the ICU. Nursing care is growing rapidly in conjunction with technology and it is catching up with developed countries guidelines and standards of care. Nursing shortage, however, is a burden and intensive care nurses are in huge demand .The few intensive care nurses still practicing need to constantly update themselves with current knowledge and scientific evidence on many issues existent in the ICU,including VAP [2]. The four primary recommended practices includes: elevating the head of the bed to 30 degrees, sedation vacations, oral care with chlorohexidine (CHG) and subglottic suctioning endotracheal tubes. Ventilator “bundles” usually include other elements such as deep venous thrombosis (DVT) prophylaxis, peptic ulcer prophylaxis. The nurse are expected to care for these patients in a setting of intensive care unit. The nurses should have thorough knowledge of the modes of ventilation, assessment, and trouble shooting of ventilators and assessment and care of the patients requiring mechanical ventilation.[3,4]The result shows that more than half (56.7%) of the staff nurses had excellent knowledge regarding ventilator care bundle and 43.3% of them had good knowledge regarding ventilator care bundle It shows that knowledge and compliance of staff nurses regarding ventilator care bundle were found to have significant association.