revistas-articulo-ingles

Authors

Mª Aurora Rodríguez Borrego, Aurea Mª Gutiérrez Alejandro, Mercedes Domínguez Gómez, Rosa Mª Marcos Camina, Jorge Calvo Buey, Mª Ángeles Antolinez Herrero

Position

Enfermeras de la Unidad de Cuidados Intensivos del Hospital Río Carrión de Palencia.

Contact address

Mª Aurora Rodríguez Borrego. C/ Labrador nº 8, 4º C. 34004 Palencia.

Contact email: aurorarb@teleline.es

Abstract

The available bibliography on nosocomial pneumonia (NP) describes, among others, the following risks factors: patients receiving assisted ventilation, nasogastric intubation, and enteral feeding. These patients receive the nursing diagnosis (NANDA XIV) of Infective Protection for which NIC (1996) mentions intervention as a “risk identification”. The objectives of this study are: 1) To determine the incidence of NP in the unit. 2) To determine the incidence of nasogastric intubation/enteral nutrition-related NP in patients undergoing assisted mechanical ventilation.
Design: descriptive, retrospective study. Population: patients admitted in the ICU of a general hospital with 14 beds between january and november 2002, total 685. Sample: patients undergoing assisted ventilation: 155. Variables: dependent: NP. independent: age, gender days on assisted ventilation, nasogastric tubing, and enteral feeding. Data collection forms: SAPS II, NEMS. Codification: SPSS program. Data analysis: attainment of absolute and relative frequencies, contingency tables.

Number of patients (no. of P) with AV: 155, no. of P with nasogastric tubing: 39 25,16%, no. of P with AV-related infection: 35 22,58%, No. of P with enteral feeding and assisted ventilation-related infection: 25 71,42%. P<0.00001. Gender and assisted ventilation-related infection: Male 22 62,85%. Female 13 37,14%. Mean of days on assisted ventilation is 6,38. Mean age is 65,80.
Identifying the risk as clearly established in our unit of nasogastric intubation, assisted ventilation and enteral feeding, the next step leads us to establish continued monitoring in such situation prior to the establishment of corrective measures, such as a semisitting position for as long as the patient´s status allows it.