중환자실 인공호흡기 관련 폐렴 예방 프로그램의 개발 및 효과 평가 (The Development and Effectiveness of a Program to Prevent Ventilator Associated Pneumonia in the ICU)

서지정보

· 발행기관 : 한국성인간호학회
· 수록지 정보 : Korean Journal of Adult Nursing / 21권 / 2호 / 155 ~ 166페이지
· 저자명 : 반금옥

초록

Purpose: This study developed and evaluated a systematic intervention among medical ICU nurses for preventing
ventilator-associated pneumonia (hereafter VAP). Methods: A VAP prevention program was proposed based on a
literature review, revised to fit the target situation, and validated. It was composed of one-time interventions including
education, pamphlets, hand cultures, and a quiz event, as well as repeated interventions such as posters, reminders,
posting hand culture results, and performance feedback. A simulated control group pretest-posttest design was used
to verify the effectiveness of the VAP control program. The incidence of VAP among ICU patients was measured
both during 3 months before (n=80) and during 3 months after (n=75) intervention. Results: The VAP prevention
program’s effectiveness, with a pre-intervention VAP rate of 17.38 and post-intervention rate of 11.04 per 1,000
ventilator days, showed a clinical tendency to decrease, but the difference was not statistically significant (p=.750).
Conclusion: A VAP prevention program of multiple interventions can be useful in decreasing the VAP rate. Given
that the monthly decrease in the VAP rate was not considered statistically significant, long-term research needs
to be done. Additionally, since this study targeted only nurses, it is suggested that future research targets other
health care workers who can influence VAP rates.

영어초록

Purpose: This study developed and evaluated a systematic intervention among medical ICU nurses for preventing
ventilator-associated pneumonia (hereafter VAP). Methods: A VAP prevention program was proposed based on a
literature review, revised to fit the target situation, and validated. It was composed of one-time interventions including
education, pamphlets, hand cultures, and a quiz event, as well as repeated interventions such as posters, reminders,
posting hand culture results, and performance feedback. A simulated control group pretest-posttest design was used
to verify the effectiveness of the VAP control program. The incidence of VAP among ICU patients was measured
both during 3 months before (n=80) and during 3 months after (n=75) intervention. Results: The VAP prevention
program’s effectiveness, with a pre-intervention VAP rate of 17.38 and post-intervention rate of 11.04 per 1,000
ventilator days, showed a clinical tendency to decrease, but the difference was not statistically significant (p=.750).
Conclusion: A VAP prevention program of multiple interventions can be useful in decreasing the VAP rate. Given
that the monthly decrease in the VAP rate was not considered statistically significant, long-term research needs
to be done. Additionally, since this study targeted only nurses, it is suggested that future research targets other
health care workers who can influence VAP rates.

참고자료

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