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http://dx.doi.org/10.5392/JKCA.2021.21.10.630

Development of Evidence-Based Nursing Practice Guideline for Prevention of Ventilator-Associated Pneumonia  

Kim, Hwa-Young (동아보건대학교 간호학과)
Ryu, Seang (목포대학교 간호학과)
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Abstract
This study was conducted to develop evidence-based nursing practice guideline for the prevention of VAP. This is a methodological study to develop guideline and verify the effectiveness according to the hybrid method of the NECA. Topics and key questions were derived through literature review and interviews, and recommendations were converged and developed through guidelines review and SR and meta-analysis. This was verified through the RAND and evaluated through AGREEII. The clinical feasibility of the nursing practice guideline, consisting of 44 recommendations in 9 categories, was evaluated by 122 ICU nurses. Conclusively this evidence-based nursing practice guideline for the prevention of VAP was confirmed methodological quality and content validity and was suitable for our nursing practice environment.
Keywords
Guideline; Pneumonia; Ventilator-associated; Evidence-based Nursing; Nursing Practice;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 유성희, 김소선, "연하곤란이 동반된 급성 뇌졸중 환자를 위한 장관 영양 프로토콜 개발 및 효과," 대한간호학회지, 제44권, 제3호, pp.280-293, 2014.   DOI
2 구미옥, 조명숙, 조용애, 정재심, 은영, 정인숙, 박정숙, 김헤정, "국내 근거기반 임상간호실무지침 주제의 우선순위 결정," 임상간호연구, 제18권, 제1호, pp.39-51, 2012.   DOI
3 Y. M. Arabi, M. Khedr, SI. Dara, G. Dhar, S. Bhat, H. Tamim, and L. Y. Afesh, "Use of intermittent pneumatic compression and not graduated compression stockings is associated with lower incident VTE in critically ill patients: a multiple propensity scores adjusted analysis," Chest, Vol.144, No.1, pp.152-159, 2013.   DOI
4 P. Dodek, S. Keenan, D. Cook, D. Heyland, M. Jacka, L. Hand, J. Muscedere, D. Foster, N. Mehta, R. Hall, and C. Brun-Buisson, "Evidence-based clinical practice guideline for the prevention of ventilator-associated pneumonia," Annals of Internal Medicine, Vol.141, No.4, pp.305-313, 2004.   DOI
5 김금순, 김복자, 이영희, 최은희, 강지연, 최신 중환자간호학, 수문사, 2014.
6 D. David, P. Samuel, T. David, S. N. Keshava, A. Irodi, and J. V. Peter, "An open-labelled randomized controlled trial comparing costs and clinical outcomes of open endotracheal suctioning with closed endotracheal suctioning in mechanically ventilated medical intensive care patients," Journal of Critical Care, Vol.26, No.5, pp.482-488, 2011.   DOI
7 J. Lippoldt, E. Pernicka, and T. Staudinger, "Interface pressure at different degrees of backrest elevation with various types of pressure-redistribution surfaces," American Journal of Critical Care, Vol.23, No.2, pp.119-126, 2014.   DOI
8 서효경, 최은희, 김진희, "구강간호가 인공호흡기관련 폐렴 발생률에 미치는 효과," 중환자간호학회지, 제4권, 제2호, pp.39-42, 2011.
9 L. P. Deval, P. M. Timothy, B. Judyann, and A. John, Prevention and control of healthcare-associated infections in massachusetts, Betsy lehman center and JSI research and training institute, 2008.
10 T. D. Girard, J. P. Kress, B. D. Fuchs, J. W. W. Thomason, W. D. Schweickert, B. T. PuNo, D. B. Taichman, J. G. Dunn, A. S. Pohlman, P. A. Kinniry, J. C. Jackson, A. E. Canonico, R. W. Light, A. K. Shintani, J. L. Thompson, S. M. Gordon, J. B. Hall, R. S. Dittus, G. R. Bernard, and E. W. Ely, "Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (awakening and breathing controlled trial): a randomised controlled trial," The Lancet, Vol.71, No.9607, pp.126-134, 2008.
11 조용애, 구미옥, 은영, 김경숙, 이선희, 윤지현, 황정화, 이경윤, 박미정, "간호분야 실무지침의 수용개작 방법론에 따른 정맥혈전색전증예방 간호실무지침의 개발," 임상간호연구, 제22권, 제2호, pp.118-131, 2016.   DOI
12 M. H. Kollef, S. D. Shapiro, P. Silver, R. E. John, D. Prentice, S. Sauer, T. S. Ahrens, W. Shannon, and D. B. Clinkscale "A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation," Crit Care Med, Vol.25, No.4, pp.567-574, 1997.   DOI
13 F. Hua, H. Xie, H. V. Worthington, S. Furness, Q. Zhang, and C. Li, "Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia," Update in: Cochrane Database Syst Rev. Vol.25, No.10, pp.291-298, 2016.
14 D. A. Ridling, L. D. Zartin, and S. L. Bratton, "Endotracheal suctioning with or without instillation of isotonic sodium chloride solution in critically ill children," American Journal of Critical Care, Vol.12, No.3, pp.212-219, 2003.   DOI
15 A. Kuriyama, N. Umakoshi, J. Fujinaga, and T. Takada, "Impact of closed versus open tracheal suctioning systems for mechanically ventilated adults: a systematic review and meta-analysis," Intensive Care Med, Vol.41, No.3, pp.402-411, 2015.   DOI
16 A. Topeli, A. Harmanci, Y. Cetinkaya, S. Akdeniz, and S. Una, "Comparison of the effect of closed versus open endotracheal suction systems on the development of ventilator-associated pneumonia," The Journal of Hospital Infection, Vol.58, No.1, pp.14-19, 2004.   DOI
17 J. P. Kress, A. G. Vinayak, J. Levitt, W. D. Schweickert, B. K. Gehlbach, F. Zimmerman, A. S. Pohlman, and J. B. Hall, "Daily sedative interruption in mechanically ventilated patients at risk for coronary artery disease," Crit Care Med, Vol.35, No.2, pp.365-71, 2007.   DOI
18 S. Z. Sandra, B. L. Alba, B. Lucia, and D. Solange, "A prospective, randomized study of ventilator-associated pneumonia in patients using a closed vs. open suction system," Journal of Clinical Nursing, Vol.12, No.4, pp.484-489, 2003.   DOI
19 B. D. Jonghe, S. Bastuji-Garino, P. Fangio, J. C. Lacherade, J. Jabot, C. Appere-De-Vecchi, N. Rocha, and H. Outin, "Sedation algorithm in critically ill patients without acute brain injury," Crit Care Med, Vol.33, No.1, pp.120-127, 2005.   DOI
20 J. Chastre and J. Y. Fagon, "Ventilator-associated pneumonia," American Journal of Respiratory and Critical Care Medicine, Vol.65, No.7, pp.867-903, 2002.
21 김재열, 김제형, 김창호, 서지영, 이진화, 임채만, 만성기도폐쇄성질환 인공호흡기법 한국 지침, 만성기도 폐쇄성질환, 임상연구센터 근거창출임상연구국가사업단, 2011.
22 J. Rello, E. Afonso, T. Lisboa, M. Richart, B. Balsera, and A. Rovira, J. Valles, and E. Diaz, "A care bundle approach for prevention of ventilator-associated pneumonia," Clinical Microbiology and Infection. Vol.19, No.4, pp.363-369, 2013.   DOI
23 O. C. Tablan, L. J. Anderson, R. Besser, C, Bridges, and R. Hajjeh, "Guidelines for preventing healthcare-associated pneumonia, 2003," Recommendations of CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC). MMWR. Vol.53, No.03, pp.1-36, 2004.
24 반금옥, "중환자실 인공호흡기 관련 폐렴 예방 프로그램의 개발 및 효과평가," 성인간호학회지, 제21권, 제2호, pp.155-166, 2009.
25 M. J. Field and K. No. Lohr, Clinical practice guidelines: directions for a new program, National Academy Press Washington DC: 1990, International Standard Book, 1990.
26 곽이경, 최영화, 최준용, 유현미, 이상오, 김홍빈, 한수하, 이미숙, 김효열, 김성란, 김태형, 박선희, 유소연, 최평균, 은병욱, 신명진, 최지연, 구현숙, 어영, 유진홍, "전국의료관련감염감시체계 중환자실 부문 결과보고: 2015년 7월부터 2016년 6월," 의료관련감염관리, 제22권, 제1호, pp.9-20, 2017.
27 M. H. Kollef, C. W. Hamilton, and F. R. Ernst, "Economic impact of ventilator-associated pneumonia in a large matched cohort," Infection Control and Hospital Epidemiology, Vol.33, No.3, pp.250-256, 2012.   DOI
28 송의림, 김숙영, "인공호흡기 관련 폐렴 예방 프로그램이 폐렴 발생률과 기관내 균집락화에 미치는 효과," 성인간호학회지, 제28권, 제6호, pp.628-636, 2016.   DOI
29 송주현, 김경희, "인공호흡기 회로 교환주기가 인공호흡기 관련 폐렴에 미치는 영향에 관한 메타분석," 임상간호연구, 제16권, 제3호, pp.111-121, 2010.
30 J. S. Eom, Impact of the intervention to prevent ventilator-associated pneumonia : a multi-center based study, Disease control center Academic research report. Aug. 2011.
31 김수영, 최미영, 신승수, 지선미, 박승희, 유지혜, 류다연, 박지정, 임상진료지침 실무를 위한 핸드북, 한국보건의료연구원, 2011.
32 P. Brendt, M. Schnekenburger, K. Paxton, A. Brown, and K. Mendis, "Endotracheal tube cuff pressure before, during, and after fixed-wing air medical retrieval," Prehospital Emergency Care, Vol.17, No.2, pp.177-180, 2013.   DOI
33 W. Crag, T. Ann, T. Stephanie, B. kimberly, J. Lori, W. Sue, and R. Kari, Health care protocol: prevention of ventilator-associated pneumonia, ICSI(Institute for Clinical Systems Improvement), 2011.
34 W. Alhazzani, W. Smith, J. Muscedere, J. Medd, and D. Cook, "Toothbrushing for critically ill mechanically ventilated patients: a systematic review and meta-analysis of randomized trials evaluating ventilator-associated pneumonia," Crit Care Med, Vol.41, No.2, pp.646-655, 2003.   DOI