الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 93 |  |  |
| | | from | 93 | | |
Abstract
Ventilator-Associated Pneumonia (VAP) refers to nosocomial pneumonia occurring 48 hours or more after initiation of mechanical ventilation (MV). It is associated with significant attributable morbidity and mortality. In addition, it prolongs the duration of hospitalization, and it is associated with increased health care costs. Caring of the mechanically ventilated patient is a fundamental component of a nurse’s clinical practice in ICUs. This care requires prompt and accurate decisions so that life-protecting and lifesaving therapy can be appropriately applied.
Chest physiotherapy is the term for a group of treatments designed to eliminate secretions thus helps to decrease work of breathing, promote the expansion of the lungs, and prevent the lungs from collapse. It includes gravity-assisted drainage, manual lung hyperinflation (bagging), suctioning, positioning, chest wall percussion and chest wall vibration are commonly used intensive care procedures.
Regarding conventional chest physiotherapy methods which are used in the ICU, the mechanical chest vibration by using chest vibrating device is a very important method to dislodge the mucus and help it move out of the airways. Different combinations of chest physiotherapy assist in the re-expansion of the atelectatic lung, confer short-term improvement in total lung-thorax compliance and expiratory flow rates, and reduce the incidence of ventilator-associated pneumonia. Thus, critical care nurses have a vital role in developing best practice to prevent VAP.
The aim of this study:
The aim of this study was conducted to assess the effect of multimodality chest physiotherapy interventions on prevention of ventilator associated pneumonia among mechanically ventilated patients.
Materials & Method
A Quasi-experimental research design was used to conduct this study that was carried out at Damanhur Medical National Institute hospital namely general ICU I and general ICU II of Damanhur Medical National Institute hospital. A convenience sample of 60 adult patients from the starting day of invasive mechanical ventilation was included in the study during the period of data collection from October till the end of February 2021. Patients who haemo-dynamic instability, patients who are contraindicated to VAP bundle e.g. (spinal cord injury and bleeding risk) and patients who are contraindicated to chest physiotherapy e.g. (chest trauma, spinal cord injury, untreated pneumothorax, uncontrolled hypertension, pulmonary embolism, and empyema) were excluded from the sample.
To accomplish the aim of the current study; Two tools were used to collect the data of this study. Tool one: ” Outcomes of Multimodality Chest Physiotherapy Assessment ” and tool two: ”Ventilator Associated Pneumonia bundle observation checklist” Tool one was developed by the researcher after reviewing related literature to assess the effect of multimodality chest physiotherapy interventions. It consists of three parts. Part I: Demographic and clinical data record.