口腔综合护理干预对ICU机械通风患者的影响:一项随机对照研究
Shengxia Lei1, Yan Liu1, Enkun Zhang1
1Department of Critical Medicine, Funan County People's Hospital, Fuyang, Anhui Province, China.
BMC nursing
|August 28, 2023
概括
综合性口腔护理干预显著减少了ICU患者的机械呼吸时间,ICU停留时间,以及呼吸器相关肺炎 (VAP) 发生率和死亡率. 这种干预改善了口腔喉卫生和关键生理指标.
科学领域:
- 关键护理医学 关键护理医学
- 护理科学 护理科学
- 呼吸系统疗法 呼吸系统疗法
背景情况:
- 在重症监护室 (ICU) 接受机械通风的患者有很高的并发症风险,包括呼吸器相关的肺炎 (VAP).
- 保持最佳的口腔关卫生对于预防VAP和改善这种脆弱人群中的患者结果至关重要.
研究的目的:
- 与日常护理相比,评估全面口腔护理干预措施的有效性.
- 评估这种干预对机械通风ICU患者的临床结果,口腔关卫生和生理参数的影响.
主要方法:
- 一项涉及76名机械通风ICU患者的研究,分为对照组 (常规护理) 和观察组 (综合口腔护理).
- 干预措施包括对照组的常规护理和观察组的常规护理之外的全面口腔护理.
- 临床数据的比较,口腔液卫生指标,pH值,血液气体分析和VAP发病率/死亡率在不同组之间.
主要成果:
- 与对照组相比,观察组显示机械通风持续时间和ICU停留时间显著减少.
- 综合口腔护理导致口腔气味得分,斑块指数和软度指数的显著改善.
- 观察组的关键生理改善包括更好的pH,PaO2和SpO2水平,与对照组相比,VAP发病率 (21.05%比55.26%) 和死亡率 (2.63%比15.79%) 显著降低.
结论:
- 综合口腔护理干预有效改善机械通风ICU患者的口腔关卫生和患者康复.
- 这种干预积极影响pH和血液气体指标,有助于改善患者的治疗结果.
- 实施全面的口腔护理可显著降低VAP发病率和死亡率的风险.
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