Mohammad Abbasinia
1, Nasim Bahrami
2*, Soheila Bakhtiari
3, Ahmadreza Yazdannik
4, Atye Babaii
11 Department of Nursing, Faculty of Nursing & Midwifery, Qom University of Medical Sciences, Qom, Iran
2 Department of Nursing, Faculty of Nursing & Midwifery, Yazd University of Medical Sciences, Yazd, Iran
3 Department of Operating Room Nursing, Faculty of Nursing & Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
4 Department of Critical Care Nursing, Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
5 Department of Nursing, Faculty of Nursing & Midwifery, Qom University of Medical Sciences, Qom, Iran
Abstract
Introduction: Ventilator-associated
pneumonia is a common complication of mechanical ventilation. This study aimed
to evaluate the effect of designed respiratory care program on incidence
of ventilator-associated pneumonia (VAP) in the mechanically ventilated
patient.
Methods: In
this clinical trial, 64 patients were selected among those who had undergone
mechanical ventilation in the ICU of Al‑Zahra Hospital, Isfahan, Iran, using
convenience sampling method. The subjects were randomly allocated to
intervention and control groups. In the intervention group an upper respiratory
care program and in the control group, routine cares were done. Modified
Clinical Pulmonary Infection Questionnaire was completed before and on the
third, fourth and fifth day of study. Data were analyzed by Chi-square and
independent t-test through SPSS Ver.13.
Results: The
results of this study showed that until the third day of study, the incidence
of VAP was similar in the both groups. However, on the fifth day of study, the
incidence of VAP in the intervention group was significantly lower than control
group.
Conclusion: The
results of this study showed that an upper respiratory care program reduced the
incidence of VAP. Therefore, nurses are recommended to perform
this program for prevention of VAP.