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新型口腔护理方法对ICU经口气管插管患者口腔状况的影响

Effects of new type oral nursing on oral status among patients with orotracheal intubation in ICU
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摘要 目的探讨新型口腔护理方法对ICU经口气管插管患者口腔状况的影响.方法采用便利抽样法,选取2017年6月—2018年1月商丘市第一人民医院ICU收治的51例行经口气管插管机械通气治疗的患者为对照组,以2018年2—10月收治的55例患者为观察组.对照组采用传统口腔护理方法,观察组患者采用Bass刷牙法+纱布擦洗的新型口腔护理方法,干预前后比较两组患者Beck口腔评分、口臭评分和口腔出血情况.结果两组患者入ICU时Beck口腔评分、口臭评分比较差异无统计学意义(P>0.05),护理1周后观察组患者Beck口腔评分、口臭评分低于对照组,差异均有统计学意义(P<0.05).观察组患者口腔出血情况好于对照组,但差异无统计学意义(P>0.05).结论新型口腔护理方法能改善ICU气管插管患者口腔状况和口臭,提高口腔护理质量. Objective To explore the effects of new type oral nursing on oral status among patients with orotracheal intubation in intensive care unit(ICU).Methods Based on convenience sampling,we selected 51 patients with orotracheal intubation and mechanical ventilation in ICU at First People's Hospital of Shangqiu in control group from June 2017 to January 2018,and 55 patients in observation group from February 2018 to October 2018.Control group carried out traditional oral nursing,while observation group adopted the new type oral nursing which used Bass brushing method combined with scrubbing by gauze.Before and after intervention,we compared the score of Beck Oral Assessment Scale,score of halitosis and oral bleeding of patients between two groups.Results There were no statistical differences in the scores of Beck Oral Assessment Scale and halitosis of patients between two groups on admission in ICU(P>0.05).One week after nursing,the scores of Beck Oral Assessment Scale and halitosis of patients in observation group were lower than those in control group with statistical differences(P<0.05).The oral bleeding of patients in observation group was better than that in control group with no statistical difference(P>0.05).Conclusions The new type oral nursing can improve oral status,halitosis and quality of oral nursing among ICU patients with orotracheal intubation.
作者 程小丽 Cheng Xiaoli(Emergency Intensive Care Unit,First People's Hospital of Shangqiu of He'nan Province,Shangqiu 476100,China)
出处 《中华现代护理杂志》 2019年第15期1926-1929,共4页 Chinese Journal of Modern Nursing
关键词 重症监护病房 口腔护理 气管插管 口腔状况 Intensive care units Oral nursing Tracheal intubation Oral status
作者简介 通信作者:程小丽,Email:727205635@qq.com.
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