THỰC TRẠNG THỰC HÀNH MỘT SỐ BIỆN PHÁP DỰ PHÒNG VIÊM PHỔI LIÊN QUAN ĐẾN THỞ MÁY CỦA ĐIỀU DƯỠNG TẠI TRUNG TÂM GÂY MÊ HỒI SỨC, BỆNH VIỆN BẠCH MAI

Abstract

Objective: To describe the current practices of nurses on prevention of ventilator-associated pneumonia (VAP). Research subjects and methods: A cross-sectional study on 45 nurses working at the Center of Anesthesia and Intensive, Bach Mai Hospital was conducted from June 2023 to June 2024. Results: The highest adherence to correct practices among nurses were observed in "assessing the quantity and nature of sputum" after suctioning (97.8%), "using sterile water for humidifiers correctly and adequately" (95.6%), "avoid injecting water into the endotracheal/ tracheostomy tube" during suctioning (95.6%) and "avoid irrigating the mouth during oral care" (95.6%). On the other hand, the current practices were recorded with the lowest adherence rates, including "maintaining the tube cuff pressure adequately at 20-30 cm H₂O" (31.1%), performing hand hygiene "after touching patient surroundings" (35.6%) and "before touching a patient" (42.2%) and ensuring "the position of the water trap at the lowest point of the ventilator circuit system" (42.2%). Conclusion: The study revealed that nurses demonstrated poor adherence to practices related to cuff management, correct placement of the water trap, and hand hygiene both before touching a patient and after touching apatient’s surroundings.