KIẾN THỨC VÀ NHỮNG RÀO CẢN VỀ GÓI DỰ PHÒNG VIÊM PHỔI LIÊN QUAN THỞ MÁY CỦA NHÂN VIÊN Y TẾ TẠI KHOA HỒI SỨC TÍCH CỰC, BỆNH VIỆN BẠCH MAI

Abstract

Objectives: To investigate knowledge, attitudes, and barriers toward ventilation-related pneumonia (VAP) care bundle among medical staff at the Center for Critical Care Medicine, Bach Mai Hospital. Population and methods: 105 medical staff, including 23 doctors and 82 nurses, directly practice the 10-item care bundle. All subjects were interviewed with a survey toolset based on knowledge, attitude, and barriers. Results: Most medical staff have good knowledge 67.6%, good 28.6%, average 3.8%. Most have a correct answer rate of over 90%. Solutions with a correct answer rate of less than 80% include breathing circuit management, cuff pressure management, gastric ulcer prevention, and deep vein thrombosis. Most medical staff encountered barriers 81.9%, of which the most common was on the part of medical staff 67.6%, and the lowest was on supplies 47.6%. Common barriers to solutions are mobilization and early release from bed and daily SBT and extubation assessment. Conclusion: Although the knowledge and attitudes of medical staff are reasonable, there are still many barriers regarding group coordination and medical supplies during the practice process.