广西壮族自治区三级医院ICU有创机械通气病人口腔健康现状及其影响因素  

Status quo and influencing factors of oral health of ICU patients with invasive mechanical ventilation from tertiary hospitals in the Guangxi Zhuang Autonomous Region

作　　者：唐龙[1] 张源慧[1] 陆翠谊 韦春淞 许勇 梁美娟[4] 周春峰 郑柏芳 韦艳春 TANG Long;ZHANG Yuanhui;LU Cuiyi;WEI Chunsong;XU Yong;LIANG Meijuan;ZHOU Chunfeng;ZHENG Baifang;WEI Yanchun(Affiliated Hospital of Guilin Medical University,Guangxi 541001 China)

机构地区：[1]桂林医学院附属医院,广西541001 [2]广西医科大学第二附属医院 [3]梧州市工人医院 [4]柳州市人民医院 [5]广西医科大学附属肿瘤医院 [6]桂林医学院附属口腔医院

出　　处：《护理研究》2024年第14期2490-2495,共6页Chinese Nursing Research

基　　金：广西壮族自治区卫生健康委员会课题,编号:Z-C20230866;2022年桂林市技术创新引导计划项目,编号:20220131-4。

摘　　要：目的:调查广西壮族自治区三级医院重症监护室(ICU)有创机械通气病人口腔健康现状,并分析其影响因素。方法:采用便利抽样法,于2023年7月抽取广西壮族自治区5所三级医院的204例ICU有创机械通气病人为研究对象。采用一般资料问卷、Beck口腔评估量表(BOAS)进行调查。结果:204例ICU有创机械通气病人BOAS评分为(7.79±2.86)分,口腔健康无受损者62例(30.39%)。随机森林模型结果显示,重要性评分较高的前5位变量为机械通气时长、是否使用专用漱口水、急性生理学与慢性健康状况评分系统Ⅱ(APACHEⅡ)评分、是否使用牙刷、是否口唇保湿。逐步回归分析结果显示,APACHEⅡ评分、是否使用牙刷、是否使用专用漱口水、是否口唇保湿是ICU有创机械通气病人口腔健康的主要影响因素(P<0.05)。结论:口腔健康受损的ICU有创机械通气病人比例较大,其受多种因素影响,建议采用综合干预措施以促进病人口腔健康。Objective:To investigate the status quo of oral health of ICU patients with invasive mechanical ventilation from tertiary hospitals in Guangxi Zhuang Autonomous Region,and to analyze its influencing factors.Methods:A total of 204 ICU patients with invasive mechanical ventilation from 5 tertiary hospitals in Guangxi Zhuang Autonomous Region were selected as the research subjects by convenience sampling method in July 2023.The general information questionnaire and Beck Oral Assessment Scale(BOAS)were used for the survey.Results:The BOAS score of ICU patients with invasive mechanical ventilation was(7.79±2.86)points,and 62 patients(30.39%)had no damage to oral health.The results of the random forest model showed that the 5 variables with the higher importance score were the duration of mechanical ventilation,whether to use specialized mouthwash or not,Acute Physiology and Chronic Health Evaluation ScoreⅡ(APACHEⅡ)score,whether to use a toothbrush or not,and whether to moisturize the lips or not.The results of stepwise regression analysis showed that APACHEⅡscore,whether to use a toothbrush or not,whether to use specialized mouthwash or not,and whether to moisturize the lips or not were the main influencing factors on the oral health of ICU patients with invasive mechanical ventilation(P<0.05).Conclusions:The proportion of ICU patients with invasive mechanical ventilation who suffer from oral health damage is relatively high,and it is influenced by multiple factors.It is recommended to adopt comprehensive intervention measures to promote the oral health of patients.

关 键 词：重症监护室(ICU) 有创机械通气 气管插管 口腔健康 影响因素 护理 

分 类 号：R473[医药卫生—护理学]