ผลของการใช้แนวทางปฏิบัติการพยาบาลเพื่อลดอัตราการเกิดปอดอักเสบจากการใช้เครื่องช่วยหายใจ

บทคัดย่อ

This Quasi Experimental Research to study the effects of using Clinical Nursing Practice Guideline to decrease ventilator associated pneumonia. Subjects included all patients using ventilator admitted in Rotary special ward, Nakhonpathom hospital during October 2005 to September 2007. Analysed datas by compared rate of ventilator associated pneumonia.

The rate of ventilator associated pneumonia was 10.09 per 1,000 days of using ventilator, decreased from 15.70 per 1,000 days of using ventilator in last year. Most patients were 63-90 years old, not different to year 2006. Death rate was decreased from 76.92% to70%. Most common organisms were Pseudomonas Aeruginosa, Multi-drug resistant Acinetobacter baumannii and Xanthomonas maltophilia. Antibiotic cost for VAP one care was 56,235.70 baths.

From this research, we suggested the Clinical Nursing Practice Guideline to be implemented for the decrease of ventilator associated pneumonia, decrease length of stay and death rate of the patient.