Care Bundle Approach for Oral Health Maintenance and Reduction of Ventilator-Associated Pneumonia.

IF 1 Q4 CRITICAL CARE MEDICINE
Critical Care Nursing Quarterly Pub Date : 2024-10-01 Epub Date: 2024-09-13 DOI:10.1097/CNQ.0000000000000522
Nagwa Yehya Ahmed Sabrah, Jeffrey L Pellegrino, Hend El-Sayed Mansour, Marwa Fathallah Mostafa, Nahed Attia Kandeel
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引用次数: 0

Abstract

Caring for patients in the intensive care unit (ICU) creates competing priorities of interventions for nurses and other health care providers. Oral care might be prioritized lower; however, its neglect may lead to sequelae such as extended time in the ICU, nosocomial diseases most notably ventilator-associated pneumonia (VAP), or oral problems. Safe patient care depends on effective and efficient oral care. The aim of this study was to lower the incidence of VAP and maintain oral health through implementing an "oral care bundle" for mechanically ventilated (MV) patients. Using a quasi-experimental design, we divided 82 adult MV patients in the ICUs of a university-based hospital in Egypt into a control group (n = 41) that received the standard of care and a bundle group (n = 41) that received an "oral care bundle." The results of the study reported a significantly lower incidence of VAP in the intervention group (P = .015). It can be concluded that there is a significant relationship between receiving an oral care bundle and improved oral health and a reduction in the VAP rate among MV patients. This highlights the need to incorporate the oral care bundle in the daily nursing care for MV patients.

维护口腔健康和减少呼吸机相关肺炎的护理包方法。
在重症监护病房(ICU)护理病人时,护士和其他医疗服务提供者需要优先采取各种干预措施。口腔护理的优先级可能较低;但是,忽视口腔护理可能会导致后遗症,如延长重症监护室的住院时间、引起院内疾病,尤其是呼吸机相关肺炎 (VAP) 或口腔问题。安全的患者护理取决于有效和高效的口腔护理。本研究的目的是通过对机械通气(MV)患者实施 "口腔护理包 "来降低 VAP 的发病率并保持口腔健康。我们采用准实验设计,将埃及一所大学附属医院重症监护室的 82 名成人机械通气患者分为对照组(n = 41)和捆绑组(n = 41),对照组接受标准护理,捆绑组接受 "口腔护理捆绑"。研究结果表明,干预组的 VAP 发生率明显降低(P = .015)。由此可以得出结论,接受口腔护理捆绑包与改善口腔健康和降低 MV 患者的 VAP 发生率之间存在重要关系。这凸显了将口腔护理包纳入 MV 患者日常护理的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Critical Care Nursing Quarterly
Critical Care Nursing Quarterly CRITICAL CARE MEDICINE-
CiteScore
2.60
自引率
0.00%
发文量
76
期刊介绍: Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.
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