Effects of the Use of Guidelines for Prevention of Hospital-Acquired Pneumonia for Orthopedic Patients, Buriram Hospital

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Nittaya Teeraviroj Sujitra Sukphadung Kraiwut Sooksanit


Background: Pneumonia in the hospital (Hospital-Acquired Pneumonia: HAP) is the most commonly infection that can found in the hospital and make the longer length of stay and high costs. Some people get into the crisis from being infected in the bloodstream and may be dead. The incidence found 0.9 : 1,000 patient days in non-ventilated patients.
Objective: To study the incidence of HAP and to compare HAP before and after use HAP prevention guidelines.
Methods: Action research is divided into 4 phases: Phase 1 : brainstorm by multidisciplinary approach use morbidity & mortality and root cause analysis in HAP cases and dead case from HAP. Review guideline, empirical training 20 professional nurses about prevention of HAP. Summary and establishes HAP prevention guidelines. Phase 2 : Implementation. Phase 3: Evaluate. Phase 4 To improve by learning, evaluate and summary the guidelines for prevention HAP. The samples are 20 nurses with multidisciplinary and 30 Orthopedics patients at Buriram Hospital age 60 years and over, both male and female with hip fracture were purposive selected. This study conducted between July - December 2016. Data were analyzed using frequency, percentage, mean and standard deviation.
Results: The finding showed that the samples were use HAP prevention guidelines 93.7%. No HAP was found. Compared with pre-study in hip fracture patients from the year 2013-2015, HAP were found 0.4, 0.9 and 0.6 per 1,000 patient days in non-ventilated patients respectively.
Conclusion: The results of this study suggest that professional nurses include multidisciplinary should focus on HAP prevention by use HAP prevention guidelines especially in the elderly patient. Evaluate the result continuously and review by multidisciplinary if found the incidence of HAP case.
Key words: Hospital-Acquired Pneumonia, HAP, Guidelines


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