山西省三级甲等医院急诊经口气管插管患者口腔护理现况调查

The current situation investigation on oral care of the tube intubation in the emergency department of the 3A hospital in Shanxi province

目的 调查山西省三级甲等医院急诊科室经口气管插管患者口腔护理现状,分析存在的问题,为提高临床操作规范提供依据与参考.方法 以微信问卷的形式,采用自行研制的调查问卷对山西省6所三级甲等医院急诊科190名符合要求的护士进行调查.结果 所调查的6所医院均未将经口气管插管患者口腔护理操作纳入护士考核项目;38.42％（73/190）的调查对象根据自己的临床经验对气管插管患者进行口腔评估;氯己定（70.00％,133/190）与0.9％氯化钠（65.79％,125/190）是临床最常用的口腔护理溶液;48.42％（92/190）的护理人员执行此操作的时间为6～10 min;91.58％（114/190）的护理人员认为口腔护理对此类患者的预后有着举足轻重的作用.结论 急诊科室对经口气管插管患者的口腔评估及口腔护理操作多以临床经验为主导,急需在以循证基础上建立统一的执行标准;护理人员对经口气管插管患者口腔护理的专业知识掌握度偏低,建议加强对急诊护理人员的培训,并将该操作纳入护理操作考核.

Objective To investigate the status quo of oral nursing in the emergency department of top three hospitals in Shanxi province, and to analyze the existing problems so as to provide the basis and reference for improving the clinical operation standard. Methods In the form of WeChat questionnaire, a questionnaire survey was conducted to investigate 190 nurses who met the requirements in emergency departments of 6 top three hospitals in Shanxi province. Results All the 6 hospitals surveyed did not incorporate oral care into the nurse examination program; 28.42%（73/190） of the subjects had oral assessments of endotracheal intubation according to their clinical experience;chlorhexidine （70.00%,133/190） and physiological saline （65.79%,125/190） were the most commonly used oral care solutions in clinic;48.42%（92/190） of nurses performed this operation for 6-10 min;91.58%（114/190） of nurses believed that oral care played an important role in the recovery of these patients. Conclusions The oral care and oral care of the patients in the emergency department are mostly clinical experience, so it is urgent to establish a unified standard of implementation on the basis of evidence. The professional knowledge of oral nursing of the patients undergoing oral trachea intubation is low, so it is suggested that the training of emergency nurses be strengthened and the operation should be included in the assessment of nursing operations.