摘要
目的制订ICU经口气管插管口腔护理实践指引(以下简称"指引"),探讨其应用效果。方法通过查阅病历资料、访谈医护人员及检索文献等方法,归纳分析经口气管插管口腔护理实践中的常见问题,并依据文献指南、医院内感染制度及临床实践需求制订"指引"。2014年1-10月,便利抽取浙江大学医学院附属第一医院综合ICU两个护理单元的127例经口气管插管患者为研究对象,其中单号楼层为对照组,采用常规口腔护理方法;双号楼层为观察组,在对照组基础上应用"指引"进行口腔护理。比较两组患者第1、3、5天当日首次口腔护理前的Beck口腔评分(Beck oral assessment scale,BOAS)及呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)的发生率。结果观察组患者第3、5天当日首次口腔护理前的BOAS评分及VAP的发生率均低于对照组,差异均有统计学意义(均P<0.05)。结论经口气管插管口腔护理实践指引有较好的临床指导作用,值得推广应用。
Objective To establish a clinical nursing practice guideline for orally intubated patients in ICU,and to discuss its application effect.Methods Through cases review,interviews with medical personnel and literature review,the common problems of oral care were analyzed and concluded.The practice guideline was formulated based on evidence-based guidelines,the nosocomial infection regulation and clinical practice demands.By convenience sampling,127 cases were selected,in which lives in the floors of odd numbers were selected as control group,and applied with conventional nursing,while the others were selected as observation group,and applied with oral care based on guideline.The scores of Beck Oral Assessment Scale（BOAS）on days 1,3,and 5before oral care and the incidence of ventilator-associated pneumonia（VAP）were compared between the two groups.Results The score of BOAS on day 3and 5before oral care and the incidence of VAP in the observation group were significantly lower than those of the control group（all P〈0.05）.Conclusions The clinical guideline is feasible and effective to guide oral care practice for orally intubated patients in ICU,which is worth for clinical application.
出处
《解放军护理杂志》
CSCD
2016年第7期50-54,共5页
Nursing Journal of Chinese People's Liberation Army
基金
浙江省教育厅科研基金资助项目(Y201225154)
关键词
经口气管插管
口腔护理
实践指引
安全管理
oral trachea cannula
oral hygiene
pratice guidelines
safety management
