Effect of supra - cuff suctioning on ventilator - associated pneumonia in female medical Patients with mechanical ventilator, Phaholpolpayahaseana Hospital, Kanchanaburi

Abstract

The purposes of this quasi-experimental were to compare the incidence of ventilator -associated pneumonia among patients receiving care following the pneumonitis prevention practices associated with ventilator (WHAPO) in combination with supra-cuff suctioning and patients who were cared for according to the ventilator - only prevention of pneumonia practice. The participants were 60 patients on ventilators within the first four day after admission in the female medical units of a hospital during May, 2020 to October, 2020 and were selected by purposive sampling. The 30 participants of the control group received the ventilator associated pneumonia prevention Model: WHAPO. On the other hand, the 30 participants of the experimental group received the ventilator associated pneumonia prevention model: WHAPO combined with supra - cuff suctioning. The research instrument was general data patient record, the ventilator associated pneumonia prevention model: WHAPO and supra - cuff suctioning. Data were analyzed using descriptive statistics, frequency, percentage, mean, standard deviation and the incidence rate of ventilator associated pneumonia. The result showed that the incident rate of VAP in control group was 6 times or 13.33 times/1,000 ventilator days. The experimental group was 4 times or 9.41 times/1,000 ventilator days.  Therefore, the result of this study showed that supra - cuff suction can reduce incident rate of VAP  among patients on ventilators in the meal medical units.