口鼻咽护理对胃管留置患者口鼻咽喉部舒适感及胃管脱出率的影响  

Effects of oral-nasopharynx nursing on the comfort of oral-nasopharynx and the rate of gastric tube prolapse of patients with gastric tube indwelling

作　　者：李华娟[1] 廖翠强[1] 

机构地区：[1]广东省茂名市人民医院胃肠外科,525000

出　　处：《国际护理学杂志》2016年第19期2723-2727,共5页international journal of nursing

摘　　要：目的探讨口鼻咽护理对胃管留置患者口鼻咽喉部舒适感及胃管脱出率的影响。方法病例为2012年11月至2014年11月本院留置胃管的住院患者86例，采用数字随机对照表分为两组，各43例。对照组给予常规护理，观察组在对照组基础上给予口鼻咽护理，记录两组鼻咽部黏膜受损、咽部舒适度、并发症发生率及胃管脱出、要求拔管的发生率，护理前后发放Kdeaha舒适状况量表（GCQ）、护理满意度量表。结果观察组0度鼻咽喉部黏膜损伤发生率为81．40％显著高于对照组的58．14％，鼻咽喉部舒适度4分概率为90.70％显著高于对照组46．51％，差异具有统计学意义（P〈0．05）。观察组护理后生理、心理、环境、社会文化显著高于对照组，具有统计学意义（P〈0．05）。观察组鼻咽部护理、口腔护理、并发症护理的护理满意度评分显著高于对照组，差异具有统计学意义（P〈0．05）。观察组咽喉疼痛、口腔溃疡、鼻腔不适发生率分别为6．98％、0．0％、2．33％显著低于对照组23．26％、9．30％、11．63％，胃管脱出、要求拔管概率2．33％、4．65％显著低于对照组16．28％、23,26％，具有统计学意义（P〈0．05）。结论口鼻咽护理可减轻胃管留置患者口鼻咽喉部不适感，预防导管脱出。Objective To explore the effects of oral-nasopharynx nursing on the comfort of oral-nasopharynx and the rate of gastric tube prolapse of patients with gastric tube indwelling. Methods A total of 86 cases of inpatients with indwelling gastric tube in our hospital from November 2012 to November 2014 were divided into two groups by ran- dom number table method, 43 cases in each group. The control group were given routine nursing. On the basis of the control group, the observation group were given oral-nasopharynx nursing. The nasopharyngeal mucosa damage, pharyngeal comfort, the incidence of complications and the incidence rates of gastric tube prolapse and requirement for extubation of the two groups were recorded. Kdcaha Comfort Status Scale （GCQ） and nursing satisfaction scale were issued before and after nursing. Results The incidence rate of grade-O nasopharyngeal mucosa injury of the observation group （81.40%） was significantly higher than that of 58. 14% of the control group. The probability of nasopharyngeal comfort （4 points） was 90. 70% , which was significantly higher than that of the control group （46. 51%） （P〈0. 05 ） . After nursing, the physiology, psychology, environment and social culture of the observation group were significantly higher than that of the control group （P〈0. 05 ） . The satisfaction scores of nasopharyngeal nursing, oral nursing and complications nursing of the observation group were significantly higher than that of the control group （ P〈0. 05 ） . The incidence rates of sore throat, mouth ulcers, nasal discomfort of the observation group （6.98% , 0. 0% , 2.33%） were significandy lower than that of the control group （23.26% , 9.30% 4. 65% ） and the probabilities of gastric tube prolapse and requirement for extubation （2. 33%, 4. 65% ） were significantly lower than that of the control group （ 16. 28%, 23.26% ） （P〈0. 05 ） . Conclusion Oral-nasopharynx nursing can relieve nasopharyngeal discomfort of patients with gastric tube indwe

关 键 词：留置胃管 口鼻咽护理 胃管脱出 舒适度 并发症 

分 类 号：R472[医药卫生—护理学]