- 期刊
東部某醫學中心外科加護病房呼吸器相關肺炎感染危險因子的探討
Ventilator Associated Pneumonia and Its Risk Factors in a Surgical Intensive Care Unit - A Study at a Teaching Hospital in Eastern Taiwan
摘要
The purpose of this study was to determine the factors which placed ventilated patients at a risk of developing pneumonias, and upon determining the risk factors, decreased patients' exposure to such factors; then finally, formulated a standardized ventilating method. This was a retrospective study, based on the hospital's Taiwan quality indicator project (TQIP). Data was gathered from a total of 156 patients admitted to the surgical intensive care unit (SICU) from July 2002 to December 2002. There were 102 patients placed on ventilators, and 23 developed nosocomial pneumonia. This study found that patients' age, length of hospital stay, length of time on the ventilator, being bedridden, usage of inhalation therapy, presence of nasogastric tube as well as H2 blocker administration were all risk factors for developing ventilator-associated pneumonia (p ＜ 0.05). By improving the knowledge of the nursing staff as well as ventilator operation, therapeutic inhalation procedure and aseptic technique, the number of nosocomial infections can be decreased. Comparison of the nursing staff's knowledge and usage of various inhalational methods, such as small volume nebulizer and metered dose inhaler, is a topic for future research.
並列摘要
The purpose of this study was to determine the factors which placed ventilated patients at a risk of developing pneumonias, and upon determining the risk factors, decreased patients' exposure to such factors; then finally, formulated a standardized ventilating method. This was a retrospective study, based on the hospital's Taiwan quality indicator project (TQIP). Data was gathered from a total of 156 patients admitted to the surgical intensive care unit (SICU) from July 2002 to December 2002. There were 102 patients placed on ventilators, and 23 developed nosocomial pneumonia. This study found that patients' age, length of hospital stay, length of time on the ventilator, being bedridden, usage of inhalation therapy, presence of nasogastric tube as well as H2 blocker administration were all risk factors for developing ventilator-associated pneumonia (p ＜ 0.05). By improving the knowledge of the nursing staff as well as ventilator operation, therapeutic inhalation procedure and aseptic technique, the number of nosocomial infections can be decreased. Comparison of the nursing staff's knowledge and usage of various inhalational methods, such as small volume nebulizer and metered dose inhaler, is a topic for future research.