循证护理在经口气管插管口腔护理中的应用  

The Clinical Application of Evidence-based Nursing in Orotracheal Intubation in Patients with Oral Health Care

作　　者：王银娥[1] 徐云侠[1] 丁慧[1] 陈莲芳[1] 王玲[1] 

机构地区：[1]安徽省蚌埠医学院第一附属医院ICU,233004

出　　处：《中华全科医学》2010年第11期1471-1472,共2页Chinese Journal of General Practice

摘　　要：目的探讨循证护理在经口气管插管患者口腔护理中的临床应用效果。方法将经口气管插管患者82例,随机分为常规组与循证组各41例,常规组采用常规口腔冲洗法,循证组采用循证护理方法,确定临床实践中的问题,检索有关医学文献,根据循证获得的证据,对患者实施最佳的护理,并观察其效果。结果两组经口气管插管患者的污垢残留、口臭、口腔溃疡、呼吸机相关性肺炎(VAP)、清洁等问题比较,差异有统计学意义。结论循证护理作为一种理想的实践活动,应用于经口气管插管患者的护理,能显著降低口腔内的污物残留,减少牙菌斑的生长,降低VAP的发生。Objective To investigate the clinical application of evidence-based nursing in orotracheal intubation in patients with oral health care.Methods 82 patients of orotracheal intubation were randomly divided into normal group（41 patients） and evidence-based group（41 patients）.Normal group were treated with conventional oral rinse,and evidence-based group with evidence-based nursing methods： problems in clinical practice was identified and the related information from the medical literature was retrieved.According to the informaton,the patients were given the best care and the effect observed.Results Between the two groups of orotracheal intubation in patients with residual dirt,bad breath,mouth ulcers,clean,and the respiratory-associated pneumonia（VAP） and other issues,the differences were significant（P0.05）.Conclusion As an ideal method applied to orotracheal intubation in patients with care,evidence-based nursing practice can significantly reduce the residual dirt inside the oral cavity,the growth of plaque and the incidence of VAP.

关 键 词：循证护理 经口气管插管 护理 

分 类 号：R473.52[医药卫生—护理学]