2.50
Hdl Handle:
http://hdl.handle.net/10755/150896
Type:
Presentation
Title:
The Effects of Semirecumbent Position to Prevent Ventilator-Associated
Abstract:
The Effects of Semirecumbent Position to Prevent Ventilator-Associated
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Huang, Yi-Chen, RN, MSN
P.I. Institution Name:Taipei Veterans General Hospital
Title:RN
Co-Authors:Shin-shang Chou RN, MSN, MBA, Nursing Supervisor
Tao-Fen Shiung BS, Head nurse
Yu-chih Chen PhD, Deputy Director of Nursing
Shu-Fen Lu RN, MSN, Assistant Head Nurse
[22nd International Nursing Research Congress - Evidence-based Practice Presentation] The purpose of this study is to assess the effects of semi-recumbent position for mechanical ventilated ICU patients on preventing the ventilator-associated pneumonia (VAP).
A quasi-experimental design study was conducted in a 42-bed medical-surgical ICU in a medical center in Taiwan. Critically ill patient who need mechanical ventilation greater than 2 days and meet the selection criteria was recruited. There were fifty-four patients in experimental group and forty-seven patients in control group. Standard care includes change position every 2 hours with sequence of supine, left lateral, supine, right lateral (experiment group). Study intervention includes keeping patient's head of bed (HOB) >30 degree and with standard care (control group). Study instruments were demographic data sheet, VAP risk assessment sheet, backrest elevation angel continuously monitoring system. The primary outcome in this study was VAP incidence rate; secondary outcomes were HOB complication (pressure sores), extubation rate at day 28 and mortality. All demographic data, measurement scores, and outcome variables data were entered into SPSS 17.0.
The VAP rate in the experimental group was significant lower than control group (3/54 vs 9/47, p=.035). However, there was no significant difference between two groups in pressure sores (9/54 vs 9/47, p=.35), extubation rates at day 28 (31/21 vs 28/19, p=.226), and mortality (14/54 vs 8/47, p=.543). The major reasons for HOB< 30 degree in two groups were patients? demanded (54.7%), blood pressure <90 mmHg (26.7%), agitation (7.8%).
Conclusions: This study designed target bed elevation of >30 degrees for critically ill patients that has proved its effectiveness in reducing VAP rate.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Effects of Semirecumbent Position to Prevent Ventilator-Associateden_GB
dc.identifier.urihttp://hdl.handle.net/10755/150896-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Effects of Semirecumbent Position to Prevent Ventilator-Associated</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Huang, Yi-Chen, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Taipei Veterans General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">RN</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">echuang@vghtpe.gov.tw</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Shin-shang Chou RN, MSN, MBA, Nursing Supervisor<br/>Tao-Fen Shiung BS, Head nurse<br/>Yu-chih Chen PhD, Deputy Director of Nursing<br/>Shu-Fen Lu RN, MSN, Assistant Head Nurse</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Evidence-based Practice Presentation] The purpose of this study is to assess the effects of semi-recumbent position for mechanical ventilated ICU patients on preventing the ventilator-associated pneumonia (VAP). <br/>A quasi-experimental design study was conducted in a 42-bed medical-surgical ICU in a medical center in Taiwan. Critically ill patient who need mechanical ventilation greater than 2 days and meet the selection criteria was recruited. There were fifty-four patients in experimental group and forty-seven patients in control group. Standard care includes change position every 2 hours with sequence of supine, left lateral, supine, right lateral (experiment group). Study intervention includes keeping patient's head of bed (HOB) &gt;30 degree and with standard care (control group). Study instruments were demographic data sheet, VAP risk assessment sheet, backrest elevation angel continuously monitoring system. The primary outcome in this study was VAP incidence rate; secondary outcomes were HOB complication (pressure sores), extubation rate at day 28 and mortality. All demographic data, measurement scores, and outcome variables data were entered into SPSS 17.0. <br/>The VAP rate in the experimental group was significant lower than control group (3/54 vs 9/47, p=.035). However, there was no significant difference between two groups in pressure sores (9/54 vs 9/47, p=.35), extubation rates at day 28 (31/21 vs 28/19, p=.226), and mortality (14/54 vs 8/47, p=.543). The major reasons for HOB&lt; 30 degree in two groups were patients? demanded (54.7%), blood pressure &lt;90 mmHg (26.7%), agitation (7.8%). <br/>Conclusions: This study designed target bed elevation of &gt;30 degrees for critically ill patients that has proved its effectiveness in reducing VAP rate.</td></tr></table>en_GB
dc.date.available2011-10-26T10:45:53Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:45:53Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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