三种护理用具在气管插管患者口腔护理中的应用效果比较  被引量:9

Application and comparison of three kinds of care appliances on tracheal intubation patients' oral care

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作  者:王丽红[1] 丁彦芝 王国英[1] 朱静利 刘艳霞[1] 

机构地区:[1]河北医科大学第二医院急诊科,石家庄050000

出  处:《中华现代护理杂志》2015年第33期4077-4079,共3页Chinese Journal of Modern Nursing

基  金:基金项目:河北省医学科学研究课题(20130476)

摘  要:目的探讨适合急诊重症监护室(EICU)护士为经口气管插管患者进行口腔护理的用具。方法选择2013年1月-9月EICU入院的90例患者随机分为常规组、棉签组和软牙刷组3组,每组各30例。3组口腔护理用具分别为传统的血管钳及镊子、一次性长棉签、小儿软毛牙刷进行口腔护理操作,观察3组患者的主观舒适度、口腔护理效果、呼吸机相关性肺炎(VAP)的发生率及护士操作所用时间。结果软牙刷组患者口腔舒适20例,棉签组15例,常规组10例,3组比较差异有统计学意义(H=9.840,P〈0.05)。软牙刷组患者¨腔护理后发现口腔残留异物5例,口腔损伤3例;发生VAP3例,均低于常规组、棉签组;3组比较差异有统计学意义(x^2值分别为7.479,4.812,7.422;P〈0.05)。软牙刷组护士操作总时间(11.53±1.26)min,低于常规组、棉签组,3组比较差异有统计学意义(F=22.250,P〈0.05)。结论应用小儿软毛牙刷是气管插管患者最舒适的V1腔护理用具,并且有效清洁口腔、操作简便。Objective To explore the most suitable appliance for patients' orotracheal intubation applied by nurses in emergency ]CU. Methods A total of 90 EICU patients who admitted to our hospital from January 2013 to September 2013 were randomly divided into three groups, named A, B and C, 30 cases in each group. Appliances for patients in group A were traditional forceps and tweezers; implement for group B was disposable long cotton swabs; the tools for group C were soft bristled toothbrush for children oral cavity nursing. The three groups were observed for tile patients' degree of subjective comfort, oral cleanliness, ventilator- associated pneumonia rates and also nurses' operation time. Results Patients in group C (20 cases) and group A (10cases) and group B (15. cases) felt oral cotnfort (H =9. 840,P 〈0. 05). Patients in group C had oral cavity residual (5 cases), oral lesions (3 cases), the incidence of VAP (3 cases) , which all were lower than that of the group A and B (x^2 = 7. 479,4. 812,7. 422 ,P 〈 0. 05) ; in the group C, nurses used total ( 11.53 ±1.26) min operation time lower than that in group A and group B (F = 22. 250, P 〈 0. 05). Conclusions The application of children's soft bristled toothbrush is the most suitable appliance of oral nursing for patients with orotracheal intubation, and it can clean oral cavity effectively and operate conveniently.

关 键 词:口腔护理 气管插管 护理用具 舒适度 

分 类 号:R472[医药卫生—护理学]

 

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