冲吸式牙刷在AECOPD气管插管患者口腔护理中的应用
Application of flushing and suction toothbrush in AECOPD patients with tracheal intubation
兰莫莉 1胡俊 1潘玉燕 1廖莹1
作者信息
- 1. 广西医科大学附属柳州市人民医院呼吸与危重症医学科,广西柳州 545006;广西柳州市哮喘和慢性阻塞性肺疾病诊治及研究重点实验室,广西柳州 545006
- 折叠
摘要
目的 探讨冲吸式牙刷在慢性阻塞性肺疾病急性加重(AECOPD)气管插管患者口腔护理中的应用效果.方法 选取 2020 年 8 月至 2021 年 11 月在柳州市人民医院呼吸重症监护病房(RICU)接受治疗的 50 例AECOPD患者为研究对象,根据随机数字表分为对照组(n=25)和观察组(n=25),对照组采用口护包护理,观察组采用冲吸式牙刷护理.比较两组护理用时、护士满意度、口腔出血和呼吸机相关性肺炎(VAP)、灌洗液培养结果.结果 观察组护理用时[(8.39±2.19)min]较对照组[(12.50±2.13)min]短,护士满意度评分[(27.3±3.2)分]较对照组[(20.2±5.3)分]高,口腔出血发生率[12.0%(3/25)]较对照组[36.0%(9/25)]低,组间比较差异有统计学意义(P<0.05 或 0.01);观察组病原菌检出率(36.0%)及VAP发生率(12.0%)均低于对照组,但比较差异无统计学意义(P>0.05).结论 与口护包相比,冲吸式牙刷能够缩短护理用时,护士满意度高,口腔并发症少,但对VAP、病原菌培养结果影响不明显.
Abstract
Objective To investigate the effect of flushing and suction toothbrush in oral care of patients with tracheal in-tubation during acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Methods 50 cases of AECOPD who received treatment in the Respiratory Intensive Care Unit(RICU)of Liuzhou People's Hospital from August 2020 to No-vember 2021 were selected as study subjects.They were divided into control group(n=25)and observation group(n=25)based on random number table.The control group received oral care with a protective bag,while the observation group re-ceived oral care with flushing and suction toothbrush.And then,nursing time,nurse satisfaction,oral bleeding,ventilator-associated pneumonia(VAP),and lavage fluid culture results between the two groups were compared.Results The nursing time of the observation group([8.39±2.19]min)was shorter than that of the control group([12.50±2.13]min),the nurse satisfaction score([27.3±3.2]points)was higher than that of the control group([20.2±5.3]points),and the the incidence of oral bleeding(12.0%[3/25])was lower than that of the control group(36.0%[9/25]),and difference between groups was statistically significant(P<0.05 or 0.01).The detection rate of pathogenic bacteria(36.0%)and VAP incidence rate(12.0%)in the observation group were lower than those in the control group,but the difference was not sta-tistically significant(P>0.05).Conclusion Compared with oral care packs,the flushing and suction toothbrush can short-en nursing time,increase nurse satisfaction,and reduce oral complications.However,its impact on VAP and pathogen cul-ture results is not significant.
关键词
慢性阻塞性肺疾病急性加重期/口腔护理/呼吸机相关性肺炎/气管插管Key words
acute exacerbation of chronic obstructive pulmonary disease(AECOPD)/oral care/ventilator-associated pneumonia(VAP)/tracheal intubation引用本文复制引用
基金项目
广西卫生健康委自筹经费科研课题(Z20200325)
出版年
2024
国家科技期刊平台
NSTL
万方数据