摘要
目的应用吞咽障碍患者口腔护理最佳证据,建立吞咽障碍患者口腔护理标准流程,提高吞咽障碍患者口腔护理质量。方法对吞咽障碍患者口腔护理相关主题的文献进行系统检索、质量评价,汇总高级别证据,并结合临床实践和专业判断,形成吞咽障碍患者口腔护理标准流程循证实践方案。采用非随机对照试验方法,将本院2个神经内科病房分为对照组和试验组,分别50例患者。对照组患者采用常规口腔护理方法,试验组患者采用吞咽障碍口腔护理循证实践方案。实施前后比较两组患者口腔护理规范率、口腔卫生状况评分、口臭发生率、口腔溃疡发生率及护士对口腔护理相关知识的掌握情况。结果两组患者口腔护理规范率、口腔卫生状况评分、口臭发生率、口腔溃疡发生率及护士对口腔护理相关知识的掌握情况比较,均P<0.05,差异具有统计学意义,以上指标均优于对照组。结论通过循证总结出的吞咽障碍患者口腔护理标准流程循证实践方案,规范了护理人员口腔护理,提高了吞咽障碍患者口腔护理质量,同时也提升了护理人员口腔护理相关知识,值得临床推广应用。
Objective To apply the best evidence of oral care for patients with dysphagia in the establishment of a standard oral care process for them and enhance the care effect. Methods Literature search in oral care-related topics on dysphagia was conducted for evaluating the quality and collecting high-level evidence. Combined with clinical practice and professional judgment, an evidence-based practice plan was worked out. The 2 neurological wards of our hospital where there were 50 in-patients respectively were randomly assigned as the control group and trial group. The control group used traditional oral nursing while the trial group used evidence-based plan. The two groups were compared in terms of standard rate of oral nursing, score of oral hygiene, incidence of halitosis, incidence of ulcers and the mastery of oral care knowledge. Results After the application of standardized oral care, the trial group had a higher oral care standard rate than that of the control group, and the differences were statistically significant( P<0.05);the score of oral hygiene was significantly higher than that of the control group(P <0.05);the incidences of halitosis and oral ulcers were lower than those in the control group(P<0.05) and the nurses in the trial group knew better about oral care knowledge than those of the control group(P<0.05). Conclusion The standardized plan for oral nursing helps to improve the quality of oral care for patients with dysphagia and meanwhile improve their awareness of oral care knowledge, and so it is worth clinical spreading.
作者
薄琳
陈宝玉
陈文秀
Bo Lin;Chen Baoyu;Chen Wenxiu(Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing,100730,China)
出处
《现代临床护理》
2020年第2期1-7,共7页
Modern Clinical Nursing
基金
北京协和医院院内基金,项目编号为XHHLKY201714。
关键词
吞咽障碍
口腔护理
循证实践
非随机对照试验方法
dysphagia
oral care
evidence-based practice
non-randomized controlled trial method
