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IRCT2016072729100N1 IRCT 2016-10-15 Zahedan University of Medical Sciences, Vice chancellor for research The effect of a designed care plan on incidence of aspiration and ventilator associated pneumonia in intubated patients The effect of a designed care plan on incidence of aspiration and ventilator associated pneumonia in intubated patients hospitalized in the ICU in Ali Ebne Abitaleb Hospital, Zahedan 2016 2016-07-22 anticipated 70 Complete https://irct.ir/trial/23475 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention. 2-3 Aspiration pneumonia. Intervention 1: In the intervention group, designed care plan to reduce the incidence of aspiration which is composed of four parts, in the intervention days (three days from the second day after intubation) will be done. The care plan has the following steps: raising the head of the bed to 30 degrees or more, the determination and management of gastric residual volume, abdominal massage, and oral care. Intervention 2: The control group receives routine care in the prevention of VAP and incidence of aspiration.
public Parastoo Mohamadi
Mashahir sq,
Zahedan Iran (Islamic Republic of) +98 54 3343 0059 mohamadi_parastoo@yahoo.com Nursing and Midwifery Faculty scientific Dr Fariba Yaghoubinia
Mashahir sq.
Zahedan Iran (Islamic Republic of) +98 54 3343 0059 yaghoubinia@gmail.com Zahedan University of Medicine Iran (Islamic Republic of) The inclusion criteria of the study were: being 16–65 years of age؛ the second day of intubation؛ the MCPIS score more than 5 or equal؛ the patient dosnt have pneumonia, ARDA, COPD؛ using only standard formulas for feeding؛ monitoring with mechanical ventilation for at least 96 h. The patients with tracheostomy؛ abdominal wound؛ surgery؛ pregnancy and radiotherapy؛ ileus؛ diarrhea؛ and those using prokinetic agents؛ remove the NGT؛ changing the endothracheal tube were excluded from the study. 16 years 65 years Both j69 Aspiration pneumonia (due to): NOS food (regurgitated) gastric secretions milk vomit Other Other In the intervention group, designed care plan to reduce the incidence of aspiration which is composed of four parts, in the intervention days (three days from the second day after intubation) will be done. The care plan has the following steps: raising the head of the bed to 30 degrees or more, the determination and management of gastric residual volume, abdominal massage, and oral care. The control group receives routine care in the prevention of VAP and incidence of aspiration. Ventilator associated pneumonia. Timepoint: Before intervention and at the end of intervention. Method of measurement: In this study, pneumonia means the MCPIS score more than 5. The highest score is 10. If patients earn more than 5 point, the diagnosis of VAP is pretended. Aspirations. Timepoint: At the intervention days, before morning and evening massage. Method of measurement: In this study, the means of aspiration is the number of oral discharge PH that measures by test tapes. It measures each day before massage. The score less than 6 represents the aspiration. Gastric residual volume. Timepoint: in intervention days, at morning and evening, before gavage. Method of measurement: it means the volume of gastric content that measure by syring before each gavage. Age. Timepoint: before intervention. Method of measurement: based on patient documented data. Sex. Timepoint: before intervention. Method of measurement: according to phenotype. History of ICU addmition. Timepoint: before intervention. Method of measurement: Patient recent hospitalization in ICU Prior to his current hospitalization. Underlying disease. Timepoint: before intervention. Method of measurement: medical disease such as heart, renal, neurologic, gastric, and Pulmonary ecsept for COPD, ARDS, and pneumonia. Volume of nutritional solution. Timepoint: before gavage within interventional days. Method of measurement: The nutritional solution volume that is prescribed by doctors. Times of endotracheal suctioning. Timepoint: in each shift within interventional days. Method of measurement: The number of times that endotracheal suctioning can be performed by a nurse per shift. The patient's level of consciousness. Timepoint: During the intervention days, each hour. Method of measurement: GCS score of the patient in accordance with standard scale of Glasgow is controlled by a nurse every hour. Level of sedation. Timepoint: in each shift within interventional days. Method of measurement: RASS is a scale score that is measured by the nurse in each shift. The size of the endotracheal tube. Timepoint: before intervention. Method of measurement: Internal diameter of endotracheal tube. Endotracheal tube cuff pressure. Timepoint: in each shift within interventional days. Method of measurement: Endotracheal tube cuff pressure measured by the nurse on each shift by a manometer for measurement. Zahedan University of Medical Sciences, Vice chancellor for research Approved 2016-07-10 Ethics committee of Zahedan University of Medicin Khalidj fars blv, Hesabi square, Zahedan Zahedan Iran (Islamic Republic of)