Improved oral care method andits applications for adult patients with orotracheal intubation mechanical ventilation
Objective To explore the application effect of improved oral nursing method for adult patients with oral tracheal intubation mechanical ventilation.Methods From January 1,2021 to December 30,2021,220 patients with oral tracheal intubation mechanical ventilation in our hospital were selected as a control group by using convenient sampling.The oral care method was washing + wiping + suction tube connected with negative pressure suction.From January 1,2022 to December 30,2022,163 patients with me-chanical ventilation through oral tracheal intubation were selected as a test group.The oral care method was wiping + washing + saliva ejector connected with negative pressure suction.The incidence of oral odor,residual oral dirt,overflow of oral fluid during operation,and sliding out of saliva ejector/sputum suction tube as well as the incidence of ventilator-associated pneumonia were compared between the two groups.Results There was no statistically significant difference in the incidence of ventilator-associated pneumonia between the two groups.However,there were statistically significant differences in the incidence of oral odor,residual oral dirt,overflow of oral fluid during operation,and sliding out of saliva ejector/sputum suction tube between the two groups(P<0.05).100%of operators were willing to choose the saliva ejector connected to negative pressure suction for oral care waste liquid(P<0.05).Conclusions The improvement of oral care method for adult patients with oral tracheal intubation mechanical ventilation can improve the quality of oral care and patients'comfort.It saves the costs and improves the work efficiency.It has a certain promotion and application value.
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