Thực trạng tuân thủ và hiệu quả áp dụng gói dự phòng viêm phổi liên quan thở máy cho bệnh nhân tại khoa Hồi sức Tích cực - Chống độc, Bệnh viện Trung ương Thái Nguyên năm 2023=Status of compliance and effectiveness of implementing the ventilator-associated pneumonia bundle care at intensive care unit, Thai Nguyen National Hospital in 2023

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Tiến Thịnh Đào, Thị Huệ Đoàn, Trung Lâm Hoàng, Văn Luân La, Văn Giang Nguyễn, Thị Loan Phan

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.98-104

Bộ sưu tập: Metadata

ID: 243686

Thêm vào giỏ

Đánh giá thực trạng tuân thủ và hiệu quả áp dụng của gói dự phòng viêm phổi liên quan thở máy tại Bệnh viện trung ương Thái Nguyên. Phương pháp và đối tượng nghiên cứu: Nghiên cứu 1 nhóm can thiệp trước-sau được thực hiện ở 39 điều dưỡng và quan sát 250 lần việc điều dưỡng thực hiện gói dự phòng liên quan thở máy từ tháng 6/2023 đến 3/2024. Kết quả: Tổng số có 39 điều dưỡng với độ tuổi trung bình là 32,1 tuổi. Chủ yếu là nữ chiếm 85%. Đa số có trình độ Cao đẳng trở lên chiếm 88,7%. Chỉ 41% biết về gói dự phòng viêm phổi. Tỷ lệ tuân thủ đúng và đầy đủ gói dự phòng viêm phổi đạt trên 70% khi thực hiện các kỹ thuật Vệ sinh răng miệng, thay đổi tư thế và hút đờm dãi. Tỷ lệ viêm phổi và số ca viêm phổi mới giảm so với trước can thiệp. Kết luận và khuyến nghị: Tỷ lệ tuân thủ thực hành gói dự phòng viêm phổi liên quan đến thở máy trong nghiên cứu này đạt yêu cầu. Số ca viêm phổi và tỷ lệ viêm phổi mới giảm so với trước can thiệp gói dự phòng viêm phổi. Tuy nhiên, tỷ lệ điều dưỡng biết về gói dự phòng viêm phổi chuẩn còn hạn chế. Công tác đào tạo cho điều dưỡng viên về kiến thức, thực hành các biện pháp dự phòng VPTM là cần thiết và cần được thực hiện thường xuyên, liên tục, có kiểm tra và giám sát chặt chẽ hơn.To evaluate the compliance status and effectiveness of the VAP prevention bundle at Thai Nguyen National Hospital. Methods: One group before-and-after intervention study was conducted on 39 nurses and observed 250 nurses implementing VAP bundle from June 2023 to March 2024. Results: A total of 39 nurses were included, with an average age of 32,1 years old and females is account for 85%. The majority have college degrees or higher, accounting for 88,7%. Only 41% know about VAP bundle. The rate of correct and complete compliance with the VAP bundle reached over 70% when implemened oral hygiene, changing positions, and suctioning techniques. The rate of pneumonia and the number of new pneumonia cases decreased compared to before the VAP bundle intervention. Conclusions and recommendations: The rate of compliance with the ventilator-associated pneumonia prevention package in this study was satisfactory. The number of pneumonia cases and new pneumonia cases decreased after implementing VAP bundle. However, the proportion of nurses who know about the standard VAP bundle is still limited. Training for nurses on the knowledge and practice of VAP prevention is necessary and should be carried out regularly and continuously, with closer inspection and supervision.

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