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在大学教学医院实施护理口腔健康护理协议:一个集群随机化阶梯形设计
Laura Schafthuizen1, Lotte Spruit-Bentvelzen1, Monique van Dijk1
1Department of Internal Medicine, Section Nursing Science, Erasmus University Medical Centre, Rotterdam, the Netherlands.
International journal of dental hygiene
|September 18, 2023
概括
一个新的口腔护理协议提高了护士的知识,但不是态度. 然而,对日常生活活动 (ADL) 依赖患者的口腔护理的坚持在实施后意外下降.
科学领域:
- 护理实践 护理实践
- 医疗保健 实施 科学 科学
背景情况:
- 口腔护理在护理中至关重要,但由于时间,知识差距和负面态度等障碍,经常被忽视.
- 忽视口腔护理可以导致不良事件,突出需要改进的做法.
研究的目的:
- 评估实施新的基于证据的口腔护理协议对护士的知识,态度和坚持的影响.
- 评估护理学生,毕业护士和患者口腔护理实践的变化.
主要方法:
- 采用了一个集群随机化,阶梯研究设计.
- 通过使用信息,视频和提醒,实施了基于证据的口腔护理协议.
- 通过47项问卷测量护士的知识和态度;在依赖日常生活活动 (ADL) 的患者中评估了协议的遵守.
主要成果:
- 在实施后,护士的知识分数显著提高,从68.8到72.3.
- 护士对口腔护理的态度没有显著改善.
- 在永久牙和假牙患者中,牙刷协议的遵守率下降.
结论:
- 新的协议导致护士对口腔护理的知识和态度略有增加.
- 在实施后,在依赖ADL的患者中观察到口腔护理坚持程度的不明原因下降.
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