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頁籤選單縮合
題 名 | 口腔抽吸在降低呼吸器相關肺炎之成效=The Effect of Oral Suction on Reducing Ventilator-Associated Pneumonia |
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作 者 | 蔡慧華; 邱艷芬; 方亞芸; | 書刊名 | 臺灣醫學 |
卷 期 | 10:2 民95.03 |
頁 次 | 頁175-184 |
分類號 | 419.38 |
關鍵詞 | 呼吸器相關性肺炎; 口腔分泌物抽吸; 加護護理; Ventilated-associated pneumonia; Aspiration secretion; Intensive care unit; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究主要在探討口腔分泌物抽吸對降低呼吸器相關性肺炎(ventilator-associated pneumonia, VAP)之成效。採historical comparison study 之研究設計,經醫院人體試驗倫理委員會審查通過後,在北部某醫學中心內外科加護病房選取符合收案條件的病患為對象,並經說明同意參與研究者方才收案。共收集對照組102例與口腔分泌物抽吸組95例。對口腔分泌物抽吸組個案採取翻身前抽吸口腔分泌物之介入性措施,至於對照組個案則進行傳統之護理措施。研究結果顯示,對照組發生VAP具統計顯著意義之危險因子並不是口腔分泌物抽吸組病患之危險因子。對照組病患發生VAP的機率為14.7%(15/102),口腔抽吸組VAP的發生率為5.3%(5/95),降低之RR為0.32(95%CI 0.11-0.92),此外,對已發生VAP之病患,口腔抽吸組患者存活之機會是對照組之1.67倍(95%CI 1.10~2.52)。在插管天數、呼吸器使用天數與加護病房住院天數口腔抽吸組均比對照組少,故此介入性措施值得推廣於使用呼吸器病患,以降低醫療成本與提昇護理對醫療品質之貢獻。 |
英文摘要 | The purpose of this study was to explore the effect of aspiration of oral secretion on reducing ventilator-associated pneumonia (VAP). It was a historical comparison study including 102 control subjects and 95 studied subjects from an adult general intensive care units (ICU) of a medical center in Taipei. After the approval of IRB and informed consent was obtained, patients were enrolled for study. Patients in the study group received suction of oral secretion before each positional changing. Patients in the control group were cared as usual. The results indicated that inhalation therapy was the significant risk factors for developing VAP in the control group, but not in study group. VAP was found in 15 of 102 (14.70%) in control group and in 5 of 95 (5.3%) study group with the reduced of relative risk of 0.32(95%CI 0.11-0.92). Six of the 15 VAP patients died in control group, but none of VAP ones died in study group. The increased chance of survival was 1.67(95%CI 1.10~2.52). The length of stay in ICU, and duration of mechanical ventilation were also reduced in study group. This intervention is worthy of applying to the routine practice of caring of patients on ventilator by nurses. |
本系統中英文摘要資訊取自各篇刊載內容。