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從處置呼吸器相關肺炎談論護理照護之核心角色

The Central Role of Nursing Care in Managing Ventilator-Associated Pneumonia

摘要


現在講求照護品質的醫療環境,護理知識、技能對於院內感染發生的影響已受到廣泛的重視。從肺炎致病因素的了解,護理人員可以清楚運用臨床實證措施來預防肺炎發生。由肺炎診斷流程的認識,護理行爲可以在篩選臨床症狀與提升正確檢驗數據中適時協助診斷確立,避免非必要抗生素使用。故,本文以呼吸器相關性肺炎的照顧情境爲例,試著將現行預防、診斷肺炎的生理病理關係整理在臨床工作情境之中。以護理人員預防照護及協助診斷兩大方向,討論護理人員在處置呼吸器相關肺炎的核心角色。

並列摘要


The knowledge and skill of nursing staff has been recognized as an important factor influencing the incidence and treatment of nosocomial pneumonia, particularly in the acute care settings. With a full understanding of pneumonia diagnosis and treatment strategies, nurses can contribute greatly in preventing and managing ventilatorassociated pneumonia (VAP). Evidence is emerging that nurses' involvement in screening high risk patients and collecting samples appropriately will assist a timely diagnosis of VAP and avoid unnecessary antibiotics prescription. In this article we describe the key points for VAP prevention and VAP diagnosis and, ultimately, promote the central role of nursing care in managing VAP.

被引用紀錄


朱峻賢(2010)。軍方及非軍方醫院的權屬別特性與肺炎病人於住院期間死亡之關係探討〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://doi.org/10.6831/TMU.2010.00054
董慧萍(2011)。拋棄式雙端加熱呼吸器管路與呼吸器相關肺炎之研究〔碩士論文,中臺科技大學〕。華藝線上圖書館。https://doi.org/10.6822/CTUST.2011.00066
林奕君(2011)。國軍醫學中心與公私立醫學中心對「傷害處置的醫療品質」之比較- 以2008年全民健保資料庫為例〔碩士論文,臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-2507201113171300

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