口腔护理辅助清洁器在临床应用中的效果观察

Effect observation of a kind of assistant cleaner for oral care in clinical application

目的:评价一种口腔护理辅助清洁器用于不能经口进食的重症患者的临床应用效果。方法:选取急诊科80例不能经口进食的患者,采用随机抽样的方法将其分为观察组和对照组,每组40例。观察组在口腔护理前先应用自制的口腔护理辅助清洁器为患者清洁口腔,再用浸有生理盐水的棉球擦拭口腔;对照组直接采用浸有生理盐水的棉球擦拭口腔,观察并分别记录两组患者进行口腔护理的操作时间及口腔清洁情况。结果:观察组口腔护理前的准备时间长于对照组,差异有统计学意义(t=4.282,P<0.05),但口腔护理操作时间及总用时明显少于对照组,差异有统计学意义(t=31.3,P<0.05);观察组较对照组能够更有效的清洁口腔异味、清除厚重的舌苔、减少痰痂残留并且显著降低口腔并发症的发生,差异有统计学意义(t=32.111,P<0.05)。结论:在口腔护理前应用口腔护理辅助清洁器辅助清洁口腔,既可有效为重症患者改善口腔卫生情况,又可缩短护士为重症患者进行口腔护理的时间及减少弯腰操作时间,节省护理时间和人力。

Objective： To explore the clinical effect of a kind of assistant cleaner for oral care of severe patients who couldn＇t eat through mouth. Methods： 80 patients who couldn＇t eat through mouth were divided into observation group（n=40 cases） and control group（n=40 cases）. The oral cavity of patients of observation group were cleaned by using self-made assistant cleaner before oral care, and then cotton ball with physiological saline（NS） were used to scrub their oral cavity. While the patients of control group were directly scrubbed by using cotton ball with NS. The operation time and oral clean situation of the two groups were observed and recorded. Results： The preparing time before oral care of observation group was significantly longer than that of control group（t=4.282, P〈0.05）, while the operation time of oral care and total time of observation group was significantly shorter than that of control group（t=31.3, P〈0.05）. The method of observation group could more effectively clean oral peculiar smell, eliminate massive furred tongue and reduce residual sputum scab than that of control group. And it could significantly reduced complication of oral cavity than that of control group（t=32.111, P〈0.05）. Conclusion： The application of assistant cleaner before oral care not only can effectively improve oral hygiene condition for severe patients, but also can shorten the time of oral care of nurses for these patients and reduce the operation time of stoop. Therefore, it is a new method with advantage of saving time and saving labour.