Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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The Effect of Oral Hygiene for Ventilator-Associated Pneumonia(VAP) Incidence

구강간호가 인공호흡기관련 폐렴 발생률에 미치는 효과

  • Seo, Hyo-Kyung (Department of Nursing, Chung-Ang University Medical Center) ;
  • Choi, Eun-Hee (Department of Nursing, Korean Bible University) ;
  • Kim, Jin-Hee (Medical ICU, Chung-Ang University Medical Center)
  • 서효경 (중앙대학교병원 간호부) ;
  • 최은희 (한국성서대학교 간호학부) ;
  • 김진희 (중앙대학교병원 내과계 중환자실)
  • Received : 2011.11.24
  • Accepted : 2011.12.30
  • Published : 2011.12.31
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Abstract

Purpose: The purpose of this study was to examine the effect of oral hygiene for ventilator-associated pneumonia (VAP) incidence. Methods: This study was used a nonequivalent control group posttest design. This study was performed in two groups, experimental group and control group. The experimental group (36 patients) had performed oral care for 6 times a day. The control group (39 patients) had followed and 3 times oral care a day. Participants were patients of 20 years of age or older on mechanical ventilation more than 48 hours from July 5 to October 31 in 2007 at the medical and surgical ICU of C university hospital. Results: VAP occurred in 5 cases in the control group, while only 1 case occurred in the experimental group. Incidence for 1000 ventilator day was 12.59 in the control group and 2.18 in the experimental group. Conclusion: Nursing intervention of 6 times oral care a day proved to decrease incidence of VAP. A guideline should be made using the above nursing intervention for the critical ill patients receiving mechanical ventilation.

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