综合护理干预在ICU经口气管插管清醒患者口渴状况中的应用  

Application of comprehensive nursing intervention in thirst condition of awakepatients in ICU after oral tube intubation

作　　者：王晓静 杨成成 何飞[1] 张伍萍 郭雅雅 Wang Xiaojing;Yang Chengcheng;He Fei;Zhang Wuping;Guo Yaya(Ward One of Intensive Care Unit,the Second People's Hospital of Hefei,Hefei 230000,China)

机构地区：[1]合肥市第二人民医院重症监护室一病区,合肥230000

出　　处：《国际护理学杂志》2024年第18期3298-3302,共5页international journal of nursing

摘　　要：目的探讨综合护理干预在ICU经口气管插管清醒患者口渴状况中的应用效果。方法选取2023年2~11月于合肥市第二人民医院就诊的82例ICU经口气管插管清醒患者。将2023年2~6月使用常规护理模式(传统棉签蘸水湿润口唇)的42例患者设为常规组, 将2023年7~11月使用综合护理干预措施(冰水喷雾+薄荷醇保湿剂涂抹干预+穴位点按)的40例患者设为试验组。比较两组患者干预过程中不同时间点的口渴程度[口渴感数字评分表(TINRS)评分]、口腔湿润情况评分, 以及干预前后的静态全唾液流率(UWS)、舒适度以及护理满意度。结果干预3 h后、干预6 h试验组患者TINRS评分、口腔湿润程度评分低于常规组, 差异均有统计学意义(均P<0.05);干预后试验组UWS高于常规组, 差异有统计学意义(P<0.05);干预后试验组患者舒适度评分低于常规组, 差异有统计学意义(P<0.05);试验组患者的护理满意度为90.00%(36/40)高于常规组的71.43%(30/42), 差异有统计学意义(P<0.05)。结论综合护理干预可改善ICU经口气管插管清醒患者口渴状况, 有效缓解患者口渴症状并提升护理满意度。Objective To explore the effects of comprehensive nursing intervention on the thirst of awake patients with orotracheal intubation in ICU.Methods A total of 82 ICU patients who were treated in the Second Peo-ple's Hospital of Hefei from February to November 2023 were selected.In the study,42 patients who received conven-tional care(traditional moistening lips with wet cotton swabs)from February to June 2023 were designated as the control group,while 40 patients who received comprehensive nursing interventions(ice water spray,menthol moisturizing agent application and acupoint compression)from July to November 2023 were designated as the experimental group.The scores of thirst[thirst sensation numeric rating scale(TINRS)] and oral moistness during intervention,static unstimu-lated whole saliva rate(UwS),comfort level and nursing satisfaction were compared between the two groups at different time points during the intervention.Results After 3 hours and 6 hours of intervention,the TINRS score and oral mois-turization score of the experimental group were lower than those of the conventional group,and the differences were statistically significant(P<0.05).After intervention,the UWS in the experimental group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the comfort score of patients in the experimental group was lower than that in the conventional group,and the difference was statistically significant(P<0.05).The nursing satisfaction of patients in the experimental group was 90.00%(36/40),which was higher than that of 71.43%(30/42)in the conventional group,and the difference was statistically significant(P<0.05).Conclu-sions Comprehensive nursing intervention can improve the thirst status of ICU patients who are awake after oral cathe-terization,effectively relieve thirst symptoms and enhance nursing satisfaction.

关 键 词：综合护理干预 口渴状况 ICU经口气管插管 

分 类 号：R472[医药卫生—护理学]