对护士进行培训以减少重症监护患者呼吸机相关肺炎的有效性

Hatice Oner Cengiz, Nevin Kanan
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引用次数: 4

摘要

本研究旨在探讨重症监护病房(ICU)护士培训对降低呼吸机相关性肺炎(VAP)的效果。采用准实验(单组,前测后测)模型。该研究于2015年在伊斯坦布尔的9个成人icu中进行,在那里我们观察了VAP率并培训了研究组护士。60名护士接受两次VAP培训(每次平均45分钟),间隔6个月。对照组为49名护士。数据通过介绍信息表、VAP信息测试和VAP预防/减少措施应用状态表收集。比较2014年和2015年VAP的发病率。采用频率、百分比、均值、标准差、t检验、Wilcoxon检验和χ2检验对数据进行评价。p值小于0.05被认为是显著的。研究组的平均总知识得分显著提高。预防/减少措施的应用在研究组中也显著增加,但在最后一次测量中,组间差异无统计学意义。研究组VAP发生率明显降低。研究表明,对重症监护护士进行的VAP培训提高了重症监护护士的知识水平,降低了重症监护病房中VAP的发生率。
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The effectiveness of training given to nurses for reducing ventilator-associated pneumonia in intensive care patients
The aim of this study it to determine the effect of training intensive care unit (ICU) nurses in reducing ventilator-associated pneumonia (VAP). A quasi-experimental (single group, pre-test–post-test) model was used. The study was conducted in 2015, in nine adult ICUs in Istanbul, where we observed the VAP rate and trained study group nurses. Sixty nurses were given two VAP training sessions (averaging 45 min each) at intervals of 6 months. Forty-nine nurses were in the control group. Data were collected with an Introductory Information Form, a VAP Information Test, and an Application Status of VAP Preventive/Reducing Initiatives Form. The incidences of VAP in 2014 and 2015 were also compared. Frequencies, percentages, means, standard deviations, t-tests, Wilcoxon tests, and χ2 tests were used to evaluate the data. The values of p less than .05 were considered significant. The mean-total-knowledge score increased significantly in the study group. The application of preventive/reducing initiatives also increased significantly in the study group, but in the last measurement, the difference between the groups was not statistically significant. The incidences of VAP decreased significantly in the study group. The study showed that the VAP training given to intensive care nurses increased their knowledge level and decreased the incidence of VAP in their ICUs.
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发文量
15
审稿时长
34 weeks
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