내과계중환자실에서 인공호흡기관련 폐렴 번들 적용의 효과

• Published in: Journal of Korean biological nursing science Vol. 20; no. 4; pp. 205 - 213
• Main Authors: 유송이(Yoo Song Yi), 정재심(Jeong Jae Sim), 최상호(Choi Sang Ho), 김미나(Kim Mi Na)
• Format: Journal Article
• Language: Korean
• Published: 한국기초간호학회 30.11.2018
• Subjects: 간호학; Intensive care units; Ventilator-associated pneumonia; 인공호흡기관련 폐렴 번들; 중환자실; 인공호흡기관련 폐렴; 감염관리; Ventilator bundle; Infection control
• ISSN: 2383-6415; 2383-6423
• DOI: 10.7586/jkbns.2018.20.4.205

Purpose: The purpose of this study was to confirm the compliance of the application of a ventilator-associated pneumonia bundle and understand its effects on the decrease in the incidence of ventilator-associated pneumonia. Methods: This was a retrospective observational study with history control group design. Subjects were selected from January to June 2014, prior to the intervention using the ventilator-associated pneumonia bundle. Subjects were also selected from October 2014 to March 2015, 3 months after the intervention. The number of subjects was 112 before the intervention, and 107 after the intervention. Results: The number of nurses who followed the bundles increased from 8 out of 29 (27.6%) before the intervention to 19 out of 29 (65.5%) after the intervention (odd ratio= 4.99, confidence interval= 1.63-15.25, p= .004). There were 3 cases of ventilator-associated pneumonia before the intervention and 1 case after the intervention. The ventilator days were 2,143 days before the intervention and 2,232 days after the intervention. The ventilator-associated pneumonia rate of the 1,000 ventilator days was 1.40 before the intervention and decreased to 0.45 after the intervention. Conclusion: This study is meaningful, as there has been little research conducted regarding the application of the ventilator-associated pneumonia bundle in South Korea.