Effects of angle measuring device and reminding device on head-of-bed elevation compliance and decreasing the incidence of VAP in patients with mechanical ventilation
10.3760/cma.j.issn.1674-2907.2018.07.009
- VernacularTitle:角度测量器和提醒装置在提高机械通气患者床头抬高依从性及降低VAP发生率中的应用
- Author:
Xia WANG
1
;
Lin WANG
;
Xiuqin CHEN
;
Chengxiang ZONG
;
Ling SUN
;
Xiang SU
Author Information
1. 277599,山东省滕州市中心人民医院感染管理科
- Keywords:
Intensive care unit;
Respiration;
artificial;
Ventilator-associated pneumonia;
Head-of-bed elevation;
Compliance
- From:
Chinese Journal of Modern Nursing
2018;24(7):778-781
- CountryChina
- Language:Chinese
-
Abstract:
Objective To improve the nurses' compliance of elevating the head-of-bed of patients with endotracheal intubation or tracheostomy tube using mechanical ventilation, who had no contraindications of head-of-bed elevation by the installation of angle measuring device and reminding device for head-of-bed elevation, so as to reduce the incidence of ventilator-associated pneumonia (VAP). Methods A total of 575 and 473 cases of patients with endotracheal intubation or tracheostomy tube using mechanical ventilation were selected respectively rom the patients who were hospitalized in Tengzhou Central People's Hospital in Shandong Province in the year of 2014 and 2016. In 2014, before intervention, the implementation of cluster nursing and the general monitoring data of VAP were comprehensively grasped. In 2015, a total of 26 beds in ICU were installed with angle measuring device and reminding device for head-of-bed elevation. In 2016, after intervention, the implementation of cluster nursing and the general information level of the monitoring data of VAP were collected. SPSS 17.0 software was applied for data statistical analysis before and after intervention. Results The nurse compliance of head-of-bed elevation for mechanical ventilation patients was improved after intervention (χ2=1 691.675, P<0.001), as well as the incidence of VAP significantly decreased (χ2=9.248, P=0.002). The incidence of VAP millennium catheterization decreased, but the difference was not statistically significant (χ2=2.694, P=0.058). Conclusions The installation of bed angle measuring device and reminding device can effectively improve nurse compliance of head-of-bed elevation in patients with mechanical ventilation and reduce the incidence of VAP.
