循证支持下针对性护理在经口气管插管口腔护理中的应用方法及效果

Application method and effect of targeted nursing in oral nursing for oral tracheal intubation under evidence-based support

目的探讨循证支持下针对性护理在经口气管插管口腔护理中的应用效果。方法选取ICU经口气管插管患者100例为研究对象,按照1∶1的比例随机分为实验组与对照组,各50例。对照组采用口腔常规护理,实验组在口腔护理中实施循证支持下的针对性护理。比较两组患者口臭、口腔污染度、牙菌斑指数评分、口腔溃疡发生率及口腔清洁评分。结果实验组牙菌斑指数低于对照组,口臭发生率(2.0%)低于对照组(22.0%),口腔污染程度低于对照组,口腔清洁度评分低于对照组(P<0.05)。实验组口腔溃疡发生率(0)低于对照组(4.0%),但差异无统计学意义(P>0.05)。结论循证支持下针对性护理应用于经口气管插管口腔护理中,能够降低患者的口臭发生率、口腔污染程度及口腔溃疡发生率,减少牙菌斑指数,提高口腔清洁度。

Objective To explore the application effect of targeted nursing in oral nursing for oral tracheal intubation under evidence-based support. Methods 100 patients receiving orotracheal intubation in ICU were selected as study subjects. According to the ratio of 1:1, they were randomLy divided into experimental group and control group, with 50 cases in each group. The control group was given routine oral nursing care. The experimental group was given targeted nursing care under evidence-based support in oral nursing care. The bad breath, oral contamination, plaque index score, incidence rate of oral ulcer and oral cleanliness score were compared between the two groups. Results The plaque index in the experimental group was lower than that in the control group, and the incidence rate of bad breath(2.0%) was lower than that in the control group(22.0%). The degree of oral contamination was lower than that in the control group. The oral cleanliness score was lower than that in the control group(P<0.05). The incidence of oral ulcers in the experimental group(0) was lower than that in the control group(4.0%), but the difference was not statistically significant(P>0.05). Conclusion Evidence-based targeted nursing in the oral nursing care of oral tracheal intubation can reduce the incidence rate of bad breath, oral contamination degree and incidence rate of oral ulcer, reduce plaque index and improve oral cleanliness.