Preventing Ventilator-Associated Pneumonia : A Nursing - Intervention Bundle

2016 ◽  
Vol 12 (1) ◽  
pp. 212-216
Author(s):  
Hanan Mohammed Mohammed ◽  
Dalia Abdallah Abdelatief
Keyword(s):  
Nursing Intervention ◽  
Ventilator Associated Pneumonia

Effect Of Cluster Intervention Strategy Combined with Targeted Nursing on Prevention of Ventilator-Associated Pneumonia in Icu Patients

2021 ◽  
Vol 7 (6) ◽  
pp. 6395-6401
Author(s):  
XueQin Li ◽  
XiuYing Chen
Keyword(s):  
Mechanical Ventilation ◽  
Detection Rate ◽  
Pathogenic Bacteria ◽  
Nursing Intervention ◽  
Apache Ii Score ◽  
Control Group ◽  
Study Group ◽  
Ventilator Associated Pneumonia ◽  
Icu Patients ◽  
Mechanical Ventilation Time

Background VAP is a common complication of ventilator maintenance therapy. The occurrence of VAP is related to many factors such as long duration of breathing, invasive operation, pollution of respiratory tubes and instruments, and low immunity of patients. The prevention of VAP in critically ill patients I the primary problem for clinical medical staff. Avoiding exogenous bacteria invading the respiratory tract and endogenous bacterial infection is the main method. Objective To investigate the value of optimized cluster nursing intervention combined with targeted nursing measures in reducing the incidence of ventilator-associated pneumonia (VAP) in patients with mechanical ventilation in intensive care unit (ICU). Methods 200 patients with mechanical ventilation in ICU of our institute from January 2017 to June 2020 were selected and randomly divided into study group and control group, with 100 cases in each group. The study group was treated with cluster nursing intervention combined with targeted nursing measures optimized by muItL criteria decision analysis method, and the control group was treated with targeted nursing measures. The incidence of VAP, the detection rate of pathogenic bacteria in sputum specimens and the effect of nursing execution were compared between the two groups. 200 patients were divided into VAP group and non-VAP group according to whether VAP occurred. Multivariate Logistic regression model analysis was used to explore the risk factors of VAP in AECOPD patients. Results A total of 4 strains were detected in the study group and 18 strains were detected in the control group. The detection rate of pathogenic bacteria in the study group was higher than that in the control group (y2=10.010, P=0.002<0.05). The incidence of VAP in the study group was 4.00% lower than 17.00% in the control group, and the difference was statistically significant (P<0.05). Compared with VAP group and non-VAP group, the proportion of patients with serum albumin<30g/L, diabetes mellitus rate, APACHE II score>15 points, tracheotomy rate and mechanical ventilation time≥5 days in VAP group were significantly higher than those in non-VAP group, which had statistical significance (P<0.05). The results of logistic regression model snowed that serum albumin ≥30g/L and optimized cluster nursing could effectively reduce the risk of VAP in ICU patients with mechanical ventilation (P<0.05). The risk of VAP in ICU patients with mechanical ventilation was increased by the combination of diabetes rate. APACHE II score≥15 points, tracheotomy and mechanical ventilation time ≥ 5 days (P<0.05). Conclusion The risk of VAP in ICU patients with mechanical ventilation is high, and the optimized cluster nursing intervention combined with targeted nursing measures can effectively reduce the incidence of VAP.

Oral Care Practices for Orally Intubated Critically Ill Adults

2010 ◽  
Vol 19 (2) ◽  
pp. 175-183 ◽  
Author(s):  
Laura L. Feider ◽  
Pamela Mitchell ◽  
Elizabeth Bridges
Keyword(s):  
Critical Care ◽  
Oral Cavity ◽  
Critically Ill ◽  
Oral Care ◽  
Nursing Intervention ◽  
Critical Care Nurses ◽  
Ventilator Associated Pneumonia ◽  
Cross Sectional ◽  
Oral Rinse ◽  
Care Practices

Background Ventilator-associated pneumonia is a major threat to patients receiving mechanical ventilation in hospitals. Oral care is a nursing intervention that may help prevent ventilator-associated pneumonia.Objectives To describe oral care practices performed by critical care nurses for orally intubated critically ill patients and compare these practices with recommendations for oral care in the 2005 AACN Procedure Manual for Critical Care and the guidelines from the Centers for Disease Control and Prevention.Methods A descriptive, cross-sectional design with a 31-item Web-based survey was used to describe oral care practices reported by 347 randomly selected members of the American Association of Critical-Care Nurses.Results Oral care was performed every 2 (50%) or 4 (42%) hours, usually with foam swabs (97%). Oral care was reported as a high priority (47%). Nurses with 7 years or more of critical care experience performed oral care more often (P=.008) than did less experienced nurses. Nurses with a bachelor’s degree in nursing used foam swabs (P=.001), suctioned the mouth before the endotracheal tube (P=.02), and suctioned after oral care (P&lt;.001) more often than other nurses. Nurses whose units had an oral care policy (72%) reported that the policy indicated using a toothbrush (63%), using toothpaste (40%), brushing with a foam swab (90%), using chlorhexidine gluconate oral rinse (49%), suctioning the oral cavity (84%), and assessing the oral cavity (73%). Oral care practices and policies differed for all those items.Conclusions Survey results indicate that discrepancies exist between reported practices and policies. Oral care policies appear to be present, but not well used.

HARGA DIRI REMAJA DAN POLA ASUH ORANGTUA SEBAGAI FAKTOR PROTEKTIF IDE BUNUH DIRI

2019 ◽  
Vol 9 (3) ◽  
pp. 301-310
Author(s):  
Nirmala Fajar Pertiwi ◽  
Ice Yulia Wardani
Keyword(s):  
High School ◽  
Suicidal Ideation ◽  
Protective Factors ◽  
Correlation Coefficient ◽  
Parenting Style ◽  
Random Sampling ◽  
Protective Factor ◽  
Nursing Intervention ◽  
Self Esteem ◽  
Emotional Instability

Remaja yang tidak mampu menghadapi tekanan akan membawanya pada ketidakstabilan emosional dan cenderung melakukan berbagai perilaku berbahaya hingga bunuh diri. Bunuh diri memiliki faktor protektif berupa harga diri tinggi karena dapat memberikan kualitas psikologis positif. Faktor protektif ide bunuh diri lainnya yaitu pola asuh yang seimbang antara dimensi penerimaan dan pengendalian atau disebut pola asuh otoritatif. Penelitian ini bertujuan untuk mengetahui hubungan harga diri dan pola asuh orangtua dengan ide bunuh diri pada remaja SMA. Desain penelitian ini menggunakan deskriptif korelatif dan pendekatan secara chross-sectional. Penelitian ini memiliki responden sejumlah 322 remaja di SMA yang dipilih dengan teknik proportional random sampling. Terdapat hubungan yang kuat dan arah negatifantara harga diri dengan ide bunuh diri dengan koefisien korelasi -0,876, yang berarti bahwa semakin rendah harga diri yang dimiliki remaja maka semakin tinggi ide bunuh diri. Terdapat hubungan dengan kekuatan sedangdan arah negatif antara pola asuh orangtua dengan ide bunuh diri dengan koefisien korelasi -0,365, artinya apabila pola asuh orangtua mengarah pada otoritatif maka ide bunuh diri akan semakin rendah, dan sebaliknya apabila pola asuh orangtua mengarah pada otoritarian maka ide bunuh diri akan semakin tinggi. Penelitian ini diharapkan dapat meningkatkan intervensi keperawatan jiwa dalammengidentifikasi ide bunuh diri pada remaja, serta meningkatkan wawasan remaja dan guru terkait faktor protektif ide bunuh diri.   Kata kunci: faktor proteksi, harga diri,ide bunuh diri,dan pola asuh orangtua   SELF-SELF-PRICE AND PARENT'S PATTERN AS SELF-KILLING IDEAS PROTECTIVE FACTORS   ABSTRACT Teenagers who do not cope well under pressure will lead them to emotional instability and tend to perform a variety of malicious behavior or commit to suicide. Suicidial Ideation has protective factor such as high self esteem, because it can provide positive psychological qualities.Other protective factor is parenting style that contain balance between the dimensions of acceptance and control, also called authoritative. This study aims to determine the relationship of self-esteem and parenting Stylewith Suicidial Ideation in high school adolescents. This study used descriptive correlative and cross-sectional approach. This study has a number of 322 respondents, that are high school adolescents selected by proportional random sampling technique. There is strong relationshipwith negative directionbetween self-esteem with suicidal ideationand the correlation coefficient is -0,876, which means that the if adolescent’s self-esteem is lower so suicidal ideation will be higher. There is moderate relationshipwith negative direction between parenting style with suicidal ideation and the correlation coefficient is -0,365, which means that if parenting style is authoritative so suicidal ideation will be lower, and if parenting style is authoritarian so suicidal ideation will be higher.This study can be used to improve nursing intervention in identify suicidal ideation, and also to improve teenager’s and teacher’s knowledge about protective factors of suicidal ideation.   Keywords: parenting style, protective factor,self-esteem and suicidal ideation

Tracheal amylase: a cheap way to predict ventilator associated pneumonia in patients with traumatic brain injury

2019 ◽  
Vol 85 (11) ◽  
Author(s):  
Erick J. Rendon-Ramirez ◽  
Perla R. Colunga-Pedraza ◽  
Alexis S. Herrera-Guerra ◽  
Erika C. Cazares-Rendón ◽  
Adriana González-Gutiérrez ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Ventilator Associated Pneumonia

Pengaruh Edukasi Berbasis Keluarga terhadap Intensi Ibu Hamil untuk Optimalisasi Nutrisi pada 1000 Hari Pertama Kehidupan

1970 ◽  
Vol 5 (2) ◽  
Author(s):  
Rosani Naim ◽  
Neti Juniarti ◽  
Ahmad Yamin
Keyword(s):  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Nursing Intervention ◽  
Wilcoxon Test ◽  
Control Group ◽  
Micronutrient Deficiencies ◽  
Control Group Design ◽  
Group Design ◽  
Family Based ◽  
Pregnant Mothers

Periode emas tumbuh kembang seorang anak dimulai sejak anak dalam kandungan hingga berusia dua tahun. Wanita hamil dan anak-anak usia dibawah 5 tahun berada pada risiko tertinggi micronutrient deficiencies (MNDs), masalah pertumbuhan, penurunan intelektual, komplikasi perinatal dan meningkatnya risiko morbiditas dan mortalitas. Oleh karena itu ibu hamil memerlukan program edukasi tentang nutrisi yang tepat untuk kesehatan ibu dan janin. Edukasi berbasis keluarga sesuai program keluarga sehat dapat meningkatkan intensi untuk mengubah perilaku kesehatan. Menurut Theory of Planned Behavior (TPB), bahwa intensi untuk mengubah perilaku dipengaruhi oleh sikap, norma subjektif dan persepsi kontrol perilaku. Penelitian ini bertujuan mengidentifikasi pengaruh edukasi berbasis keluarga terhadap intensi ibu hamil untuk optimalisasi nutrisi pada 1000 Hari Pertama Kehidupan di wilayah kerja Puskesmas Neglasari, Kota Bandung. Desain penelitian menggunakan quasi eksperiment, pre-test and posttest with control group design. Pengambilan sampel dengan teknik total sampling seluruh ibu hamil yang terdata di Puskesmas sampai bulan November 2016 berjumlah 44 orang yang kemudian dibagi dalam kelompok intervensi dan kelompok kontrol. Kegiatan edukasi dilaksanakan melalui tiga kali pertemuan kunjungan rumah. Analisis data menggunakan Wilcoxon test dan Mann whitney test. Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan antara edukasi berbasis keluarga terhadap intensi ibu hamil untuk optimalisasi nutrisi pada 1000 hari pertama kehidupan (p = 0.00). Program edukasi berbasis keluarga adalah efektif meningkatkan intensi ibu hamil. Dengan demikian, disarankan penerapan edukasi berbasis keluarga dalam intervensi keperawatan untuk meningkatkan kesehatan ibu dan bayi yang dikandungnya.Kata kunci: Edukasi berbasis keluarga, intensi, ibu hamil, nutrisi, 1000 hari pertama kehidupan. Effect Of Family-Based Education Towards Pregnant Mothers’ Intention to Optimize The Nutrition at 1000 First Day Of LifeAbstractChildren “Golden Period” starts since in the womb until two years after birth. Pregnant mothers and children under five (5) years old are at risk to suffer from micronutrient deficiencies (MNDs), growth problems, intellectual impairment, perinatal complications and increase of morbidity and mortality risks. Therefore pregnant mothers need an education program about proper nutrition for mothers’ and the fetus’ health.Family based education can improve intention to change health behavior. According to Theory of Planned Behavior (TPB, behaviour is influenced by attitudes, subjective norms and perceived behavioral control. Intention in order to change the behavior. The study aimed to identified the effect of family-based education towards pregnant mothers’ intention to optimize the nutrition at 1000 First Day of Life in the working area of Puskesmas Neglasari, BandungResearch design was quasi experiment, pre-test and post-test with control group design. A total of 44 pregnant mothers’ were recruited and divided into intervention and control group. Intervention were conducted three times through home visits. The data were analyzed using Wilcoxon test and Mann Whitney testThe findings showed that there was a significant effect between the family-based education towards pregnant mothers’ intention to optimize the nutrition of 1000 first days of life (p = 0.00). Thus, it is recommended to apply family based education in nursing intervention to improve of mothers and fetus health.Keywords : Family based education, intention, pregnant mothers’, nutrition, 1000 first days of life.

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