Ventilatörle İlişkili Pnömoniyi Önlemede Hemşirenin Rolü

Ventilatörle ilişkili pnömoni (VİP), hastane kaynaklı pnömoni vakalarının yarısını oluşturan önemli bir durumdur. Ventilatörle ilişkili pnömoni, hastanın kendi florasındaki mikroorganizmalardan, ziyaretçilerden, hastane çalışanlarından, diğer hastalardan ve çevresel etkenlerden kaynaklanabilir. Dünya genelinde endotrakeal entübe yetişkin hastalarda yüksek mortalite oranları, uzamış hastane yatışları, fazla antibiyotik kullanımı ve buna bağlı olarak artmış sağlık harcamalarına neden olan ventilatörle ilişkili pnömoninin, risk faktörlerinin ortadan kaldırılması mutidisipliner ekip çalışması ile mümkündür. Bu derlemede, ventilatörle ilişkili pnömoni riskini ortadan kaldırmak için uygulanan yöntemler ve hemşirelik uygulamaları ele alınarak, hemşirelerin bakım uygulamalarını yönlendirmelerine katkı sağlaması amaçlanmaktadır. Böylelikle hasta bakım sonuçlarının da olumlu yönde etkileneceği düşünülmektedir.

The Nurse’s Role in Preventing Ventilator-Associated Pneumonia

Ventilator-associated pneumonia(VAP) is an important condition constituting the half of the hospital- originated pneumonia cases. The ventilator-associated pneumonia can result from microorganisms in the patient’s own flora, visitors, hospital staff, other patients and environmental factors. Elimination ofventilator-associated pneumonia, which causes high mortality rates, prolonged hospitalizations, excessive use of antibiotics and consequently increased health expenditures in adult patients with endotracheal intubation worldwide, is possible with multidisciplinary team work. In this adversaria, it is thought that the methods applied to eliminate the risk of ventilator-associated pneumonia and nursing practices will contribute to direct the care practices of the staff in charge and affect the patient care results positively.

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