Utjecaj modificiranog protokola oralne higijene na smanjenje stope pneumonija povezanih sa strojnom ventilacijom u jedinici intenzivnog liječenja

master's thesis

• Title (english): Impact of modified oral hygiene protocol on the reduction of ventilator-associated pneumonia rates in intensive care unit
• Author: Mia Benković
• Mentor: Ana Budimir (mentor)
• Committee member: Zrinka Bošnjak (predsjednik povjerenstva)
• Committee member: Goran Tešović (član povjerenstva)
• Committee member: Ana Budimir (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2023-09-28, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract

Uvod i cilj: Tema istraživanja koje će se provoditi je vezana uz pojavu upale pluća povezane s
mehaničkom ventilacijom kod pacijenta kod kojih je provedena nova intervencija za higijenu
usne šupljine takvih pacijenata. Cilj rada je dokazati da pravilno provođenje oralne higijene
smanjuje pojavu VAP-a kod endotrahealno intubiranih i mehanički ventiliranih pacijenata. Isto
tako istraživanje ima i cilj dokazati da je nov protokol „bolji“ te će rezultati istraživanja
doprinijeti uvođenju novog protokola u standardnu kliničku praksu odjela i klinike.
Ispitanici i metode: Od istraživanja se očekuje da će od pacijenta (N=20) koji su podijeljeni u
dvije skupine: kontrolnu (kod kojih se primjenjuje stari protokol) i intervencijsku (kod koje se
primjenjuje novi protokol) oni iz intervencijske skupine imati smanjenu incidenciju pojave
VAP-a i mortalitet, te da će njihov broj dana na mehaničkoj ventilaciji biti manji u odnosnu na
kontrolnu skupinu. Mjerni instrument u istraživanju će biti skup podataka o pacijentu, terapiji,
dijagnozi, nalazima i sl. Podatci će biti obrađeni u jednom od računalnih programa za obradu
statističkih podataka. Mjerni instrument u istraživanju će biti skup podataka o pacijentu,
terapiji, dijagnozi, nalazima i sl. Definirati će se novi protokoli provođenja oralne higijene te
će se isti vrednovati analizom aspirata traheje u tri navrata.
Rezultati: Od istraživanja se očekuje da će dati povoljne rezultate u vidu poboljšane prevencije
i strategije skrbi o osnoj šupljini pacijenta u jedinici intenzivnog liječenja, a kao krnji rezultat
očekuje se uvođenje nove smjernice u standardnu praksu odjela i bolnice. Očekuje se da se
postavljena hipoteza istraživanja prihvati.
Zaključak: Pacijenti iz intervencijske skupine imali su smanjenu pojavu VAP-a, skraćeno
vrijeme provedeno na mehaničkoj ventilaciji i vrijeme boravka u JIL-u, što je doprinijelo
njihovu bržem i boljem oporavku te smanjenju opterećenja u jedinici intenzivne skrbi i samih
troškova liječenja.

Abstract (english)

Title of work: Occurrence of pneumonia associated with mechanical ventilation before and after
oral hygiene intervention in the intensive care unit
Introduction and objective: The topic of the research that will be conducted is related to the
occurrence of pneumonia associated with mechanical ventilation in patients who underwent a
new oral hygiene intervention in such patients. The aim of the work is to prove that proper
implementation of oral hygiene reduces the occurrence of VAP in endotracheally intubated and
mechanically ventilated patients. The research also aims to prove that the new protocol is
"better", and the results of the research will contribute to the introduction of the new protocol
into the standard clinical practice of the department and clinic.
Subjects and methods: From the research, it is expected that from the patients (N=20) who are
divided into two groups: control (where the old protocol is applied) and intervention (where the
new protocol is applied), those from the intervention group will have a reduced incidence
occurrences of VAP and mortality, and that their number of days on mechanical ventilation will
be lower compared to the control group. The measuring instrument in the research will be a set
of data about the patient, therapy, diagnosis, findings, etc. The data will be processed in one of
the computer programs for statistical data processing. The measuring instrument in the research
will be a set of data about the patient, therapy, diagnosis, findings, etc. New oral hygiene
implementation protocols will be defined and evaluated by analyzing tracheal aspirates on three
occasions.
Results: The research is expected to give favorable results in the form of improved prevention
and care strategies for the axial cavity of the patient in the intensive care unit, and as a result,
the introduction of a new guideline into the standard practice of the ward and hospital is
expected. It is expected that the research hypothesis will be accepted.
Conclusion: Patients from the intervention group had a reduced occurrence of VAP, shortened
time spent on mechanical ventilation and time spent in the ICU, which contributed to their faster
and better recovery and reduced workload in the intensive care unit and treatment costs.

• Keywords: upala pluća; mehanička ventilacija; higijena usne šupljine
• Keywords (english): pneumonia; mechanical ventilation; oral hygiene
• Language: croatian
• URN:NBN: urn:nbn:hr:105:117854
• Study programme: Title: Studies in Nursing; Study programme type: university; Study level: graduate; Academic / professional title: magistar/magistra sestrinstva (magistar/magistra sestrinstva)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-04-18 08:42:24