KMID : 1221920110040020039
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Journal of Korean Critical Care Nursing 2011 Volume.4 No. 2 p.39 ~ p.46
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The Effect of Oral Hygiene for Ventilator-Associated Pneumonia(VAP) Incidence
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Seo Hyo-Kyung
Choi Eun-Hee Kim Jin-Hee
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Abstract
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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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KEYWORD
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Ventilator-associated pneumonia (VAP), Mechanical Ventilation, Oral hygiene
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