Objective: This study aims to evaluate adherence to a nursing bundle for the prevention of ventilator-associated pneumonia (VAP) in intensive care, analysing the differences between operated and non-operated patients. Materials and Methods: A literature review was conducted using the PubMed database and a retrospective analysis of data from 25 patients admitted to the Multipurpose Intensive Care Unit of the Mazzoni Hospital in Ascoli Piceno. Age, length of stay, presence of surgery, and compliance with a care bundle consisting of standardised nursing practices were considered. Results: Average compliance with the bundle was 56.1%, higher than the values reported in the literature (e.g. SPIN-UTI: 21% complete compliance). Patients who underwent surgery had an average compliance rate of 58.7%, compared to 55.1% for those who did not undergo surgery. The average length of stay was longer in patients who underwent surgery (28.3 days) than in those who did not (21.0 days). However, none of the differences observed reached statistical significance. Discussion: Greater adherence in surgical patients may reflect a more rigorous application of preventive practices in complex clinical settings. No direct correlation was observed between greater compliance and reduced length of stay, probably due to the limited sample size. Conclusions: The study highlights a good level of implementation of preventive practices compared to the data available in the literature. The systematic adoption of care bundles can contribute to improving the quality of intensive care. Further research with larger samples is needed to confirm these results.
Obiettivo: Questo studio si propone di valutare l’aderenza a un bundle infermieristico per la prevenzione della polmonite associata alla ventilazione meccanica (VAP) in terapia intensiva, analizzando le differenze tra pazienti operati e non operati. Materiali e Metodi: È stata condotta una revisione della letteratura tramite la banca dati PubMed e un’analisi retrospettiva dei dati di 25 pazienti ricoverati presso la Terapia Intensiva Polivalente dell’Ospedale Mazzoni di Ascoli Piceno. Sono stati considerati età, durata della degenza, presenza di intervento chirurgico e conformità a un bundle assistenziale composto da pratiche infermieristiche standardizzate. Risultati: La conformità media al bundle è stata del 56,1%, superiore ai valori riportati in letteratura (es. SPIN-UTI: 21% di conformità completa). I pazienti sottoposti a intervento chirurgico hanno registrato una compliance media del 58,7%, rispetto al 55,1% dei non operati. La degenza media è risultata più lunga nei pazienti operati (28,3 giorni) rispetto ai non operati (21,0 giorni). Tuttavia, nessuna delle differenze osservate ha raggiunto la significatività statistica. Discussione: La maggiore aderenza nei pazienti chirurgici può riflettere una più rigorosa applicazione delle pratiche preventive nei contesti clinici complessi. Non è stata osservata una correlazione diretta tra maggiore conformità e riduzione della degenza, probabilmente a causa della limitata numerosità del campione. Conclusioni: Lo studio evidenzia un buon livello di implementazione delle pratiche preventive rispetto ai dati disponibili in letteratura. L’adozione sistematica di bundle assistenziali può contribuire al miglioramento della qualità dell’assistenza in terapia intensiva. Ulteriori ricerche con campioni più ampi sono necessarie per confermare questi risultati.
INTRODUZIONE DEL BUNDLE VAP IN UNA TERAPIA INTENSIVA POLIVALENTE; APPLICAZIONE E ADERENZA.
POLI, MATTEO
2024/2025
Abstract
Objective: This study aims to evaluate adherence to a nursing bundle for the prevention of ventilator-associated pneumonia (VAP) in intensive care, analysing the differences between operated and non-operated patients. Materials and Methods: A literature review was conducted using the PubMed database and a retrospective analysis of data from 25 patients admitted to the Multipurpose Intensive Care Unit of the Mazzoni Hospital in Ascoli Piceno. Age, length of stay, presence of surgery, and compliance with a care bundle consisting of standardised nursing practices were considered. Results: Average compliance with the bundle was 56.1%, higher than the values reported in the literature (e.g. SPIN-UTI: 21% complete compliance). Patients who underwent surgery had an average compliance rate of 58.7%, compared to 55.1% for those who did not undergo surgery. The average length of stay was longer in patients who underwent surgery (28.3 days) than in those who did not (21.0 days). However, none of the differences observed reached statistical significance. Discussion: Greater adherence in surgical patients may reflect a more rigorous application of preventive practices in complex clinical settings. No direct correlation was observed between greater compliance and reduced length of stay, probably due to the limited sample size. Conclusions: The study highlights a good level of implementation of preventive practices compared to the data available in the literature. The systematic adoption of care bundles can contribute to improving the quality of intensive care. Further research with larger samples is needed to confirm these results.| File | Dimensione | Formato | |
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Descrizione: introduzione del bundle vap in una terapia intensiva polivalente; applicazione e aderenza
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https://hdl.handle.net/20.500.12075/24206