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  Citation Number 2
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YOĞUN BAKIM ÜNİTELERİNDE MEKANİK VENTİLATÖRE BAĞLI HASTALARDA VENTİLATÖR İLİŞKİLİ PNÖMONİ (VİP)’Yİ ÖNLEMEYE İLİŞKİN AĞIZ BAKIMI ETKİNLİĞİNİN İNCELENMESİ: SİSTEMATİK BİR DERLEME
2021
Journal:  
Yoğun Bakım Hemşireliği Dergisi
Author:  
Abstract:

AMAÇ: Bu çalışmanın amacı, ventilatör ilişki pnömoniyi önlemede ağız bakımı etkinliğini değerlendiren mevcut literatürün gözden geçirilmesi ve çalışmalardan elde edilen verilerin sistematik biçimde incelenmesidir. GEREÇ VE YÖNTEM: Çalışmanın evrenini, 2001-2017 tarihleri arasında “Google Scholar”, “Pubmed”, “Cochrane”, “Google Akademik” ulusal ve uluslararası veri tabanları taranarak ulaşılan makaleler oluşturmuştur. İncelemede “ventilatör ilişkili pnömoni (VİP), “ventilator associated pneumonia (VAP) prevention”, “ventilatör ilişkili pnömoni (VİP) ve ağız bakımı”, “ventilator associated pneumonia (VAP) prevention and oral care” anahtar kelimeleriyle VİP önleme protokol ve uygulamalarının sonuçlara etkisini değerlendiren, yayın dili Türkçe ve İngilizce olan ve tam metni bulunan makaleler seçilmiştir. Bu makalelerden araştırma kriterlerini karşılayan toplam 20 çalışma incelemenin örneklemini oluşturmuştur. BULGULAR: Çalışmaya dâhil edilen makalelerde, randomize kontrollü, prospektif-randomize kontrollü, yarı deneysel, pilot-randomize kontrollü, çift kör-randomize plasebo kontrollü, çift kör-prospektif-randomize kontrollü, prospektif, çift kör- randomize kontrollü araştırma tasarımlarının kullanıldığı saptanmıştır. Bu sistematik derleme ile ventilatör ilişkili pnömoninin önlemesinde kullanılan klinik protokol ve koruyucu önlemlerden “klorheksidin”, “arıtılmış su”, “klorheksidinli swab”, “oral jel”, “sodyum bikarbonat”, “listerine”, “hidrojen peroksit”in ağız bakımında kullanılması etkili olduğu bulunmuştur. SONUÇ: Bu sistematik derleme sonucunda elde edilen çalışmaların 9’unda kullanılan VİP’yi önlemede klinik protokol ve önleyici uygulamaların VİP sonuçlarına etki etmediği, 11’inde ise kullanılan klinik protokol ve önleyici uygulamaların VİP sonuçlarına olumlu yönde katkı sağladığı görülmüştür.

Keywords:

The study of the effects of the oral treatment in patients associated with mechanical ventilation (VIP) in the busy medical units: a systematic evaluation
2021
Author:  
Abstract:

The aim of this study is to review the existing literature that assesses the effectiveness of oral care in the prevention of ventilator relationship pneumonia and systematically study the data obtained from the studies. The universe of the study was created by articles that were achieved by scanning the national and international databases of "Google Scholar", "Pubmed", "Cochrane", "Google Academic" between 2001 and 2017. In the review "Ventilator associated pneumonia (VIP), "Ventilator associated pneumonia (VAP) prevention", "Ventilator associated pneumonia (VIP) and oral care", the keywords "Ventilator associated pneumonia (VAP) prevention and oral care" have been selected articles that assess the impact of the VIP prevention protocols and applications on the results, the publication language is Turkish and English and has full text. These articles have formed a sample of a total of 20 research studies that meet the research criteria. Results: In the paper included, randomized controlled, prospective-randomized controlled, semi-experimental, pilot-randomized controlled, double blind-randomized plasebo controlled, double blind-prospective-randomized controlled, prospective, double blind-randomized controlled research designs were found. The clinical protocol and protective measures used in the prevention of ventilator-related pneumonia with this systematic aggregation have been found to be effective in the use of "chlorhexidine", "dried water", "chlorhexidine swab", "oral gel", "sodium bikarbonate", "listerine", "hydrogen peroxide" in oral care. The results of this systematic aggregation have shown that clinical protocols and preventive practices in the prevention of the VIP used in 9 of the studies have not affected the results of the VIP, and that the clinical protocols and preventive practices used in 11 have contributed positively to the results of the VIP.

Keywords:

Investigation Of Ventilator-related Pneumonia (vip) Intensive Care In Intensive Care Units, Investigating The Intervention Of Ventilator-related Pneumonia (vip): A Systematic Review
2021
Author:  
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Yoğun Bakım Hemşireliği Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

Metrics
Article : 114
Cite : 322
2023 Impact : 0.108
Yoğun Bakım Hemşireliği Dergisi