循证护理在预防气管插管患者口腔感染中的应用  

Application of Evidence-based Nursing in Preventing Oral Infections in Patients Undergoing Tracheal Intubation

作　　者：上官美琴[1] 赵娜[1] SHANGGUAN Meiqin;ZHAO Na(First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院,江西南昌330006

出　　处：《中国医药指南》2023年第18期136-139,共4页Guide of China Medicine

基　　金：江西省教育厅科技项目200172-基于循证成人经口气管插管患者口腔护理方式的选择及标准操作方案的构建。

摘　　要：目的分析循证护理在预防气管插管患者口腔感染中的应用效果。方法选取我院急诊重症监护室于2022年6月至2022年12月收治的72例经口气管插管成年患者作为研究对象,将其按照随机数字表法分为对照组(36例,采用常规护理)与观察组(36例,(样本量太少)采用循证护理。对比两组的护理效果。结果两组患者在采取相应护理措施后均取得一定效果,但观察组在采用循证护理后,操作护士的执行意愿评分及执行率、不良事件发生率均优于采用常规护理的对照组,差异均有统计学意义(P<0.05)。结论在预防气管插管患者口腔感染中采用循证护理可取得较佳效果,可有效提升护理人员认知度与执行率,降低患者口腔感染风险和呼吸机相关肺炎的发生率。Objective To analyze the application effect of evidence-based nursing in preventing oral infections in patients undergoing tracheal intubation.Methods Seventy-two adult patients who underwent tracheal intubation in the emergency intensive care unit of our hospital from June 2022 to December 2022 were selected as the study subjects.They were randomly divided into a control group(36 cases,using routine care)and an observation group(36 cases,using evidence-based nursing if the sample size was too small)using a random number table method.Compare the nursing outcomes between the two groups.Results Both groups of patients achieved certain results after taking corresponding nursing measures,but the observation group showed better willingness to perform,incidence of adverse events,and incidence of ventilator-associated pneumonia(VAP)among the operating nurses after adopting evidence-based nursing compared to the control group,with statistically significant differences(P<0.05).Conclusion The use of evidence-based nursing in the prevention of oral infections in patients with tracheal intubation can achieve better results,effectively improve the awareness and execution rate of nursing staff,reduce the risk of oral infections.

关 键 词：气管插管 口腔感染 循证护理 应用效果 

分 类 号：R473.78[医药卫生—护理学]