Application of flushing and suction toothbrush in AECOPD patients with tracheal intubation
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.
acute exacerbation of chronic obstructive pulmonary disease(AECOPD)oral careventilator-associated pneumonia(VAP)tracheal intubation
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