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护士在机械通风患者的口腔护理方面的知识,态度和实践:一个范围审查
Raynee Kumilau1, Deena Clare Thomas1, Rose A Nain1
1Department of Nursing, Faculty of Medicine and Health Sciences, UMS Road, 88450, Kota Kinabalu, Sabah, Malaysia.
Intensive & critical care nursing
|March 8, 2026
概括
护士对机械通风患者的口腔护理知识和积极态度适度,但存在不一致的做法. 标准化口腔护理协议和评估工具对于改善重症监护病房的患者安全和感染预防至关重要.
科学领域:
- 关键护理护理 关键护理护理
- 预防感染 预防感染
- 患者安全 患者安全
背景情况:
- 机械通风需要仔细的口腔护理,以防止并发症.
- 护士的知识,态度和实践 (KAP) 对于有效的口腔护理提供至关重要.
- 在重症监护机构中,基于证据的口腔护理实施面临着各种挑战.
研究的目的:
- 综合护士KAP关于机械通风患者口腔护理的现有证据.
- 确定影响重症监护中的基于证据的口腔护理实施的因素和障碍.
主要方法:
- 范围审查遵循乔安娜·布里格斯研究所 (JBI) 的方法和PRISMA-ScR指南.
- 在多个数据库 (PubMed,Scopus等) 进行了搜索. 对于跨部门研究 (2015-2025年).
- 包括检查护士KAP对机械通风患者口腔护理的研究;数据以描述性合成.
主要成果:
- 27项研究显示,护士知识中等,对口腔护理的态度积极.
- 实践不一致,在生物膜管理和VAP预防方面存在知识差距.
- 这些障碍包括工作量,缺乏标准化的协议,培训不足和资源有限.
结论:
- 护士表现出合理的知识,但在对通风患者口腔护理的态度和做法方面存在显著的变化.
- 非标准化的评估工具阻碍了可比性,强调了需要验证的工具.
- 标准化口腔护理评估和协议可以提高能力,改善实践,并提高患者安全和感染预防.
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