强化口腔卫生护理在降低卒中患者相关性肺炎发病率的应用效果

Application of intensive oral care in reducing the incidence of stroke-associated pneumonia

目的:探究强化口腔卫生护理在降低卒中患者相关性肺炎(SAP)发病率的应用效果。方法:选取78例脑卒中患者为研究对象,依据护理干预方式不同分为对照组与研究组,每组各39例。对照组患者接受常规口腔卫生护理干预;研究组患者接受强化口腔卫生护理干预,两组均干预1个月。比较两组患者口腔卫生情况、SAP发生率、平均住院时间、平均住院费用及生活质量。结果:干预后,研究组患者口腔卫生优良率高于对照组(92.31%vs.74.36%,P<0.05);SAP发生率低于对照组(10.26%vs.28.21%,P<0.05);平均住院费用少于对照组[(9957.42±183.75)元vs.(10384.27±261.49)元,P<0.05];生活质量各维度评分均高于对照组[(52.13±9.27)、(50.15±9.02)、(51.63±9.47)、(49.86±9.05)及总分(203.77±35.83)vs.(46.85±8.12)、(45.26±8.24)、(46.28±8.25)、(44.32±8.71)及总分(182.71±30.35)分,P<0.05]。结论:强化口腔卫生护理可以降低卒中患者相关性肺炎发病率,提高其生活质量。

Objective:To explore the application effect of intensive oral care in reducing the incidence of stroke associated pneumonia(SAP).Methods:78 stroke patients were selected as the research subjects,and divided into the control group and the study group according to different nursing intervention methods,with 39 cases in each group.The control group received routine oral care,and the study group received intensive oral care,with both groups receiving 1 month of intervention.The situation of oral hygiene,the incidence of SAP,average length of hospital stay,average hospitalization expenses,and quality of life were compared between the two groups of patients.Results:The excellent and good rate of oral hygiene in the study group(92.31%)was higher than that in the control group(74.36%,P<0.05).The incidence of SAP in the study group(10.26%)was lower than that in the control group(28.21%,P<0.05).The average hospitalization expenses of the study group[(9957.42±183.75)yuan]was less than that of the control group[(10384.27±261.49)yuan,P<0.05].The scores of different dimensions of quality of life and the total score of the study group[(52.13±9.27),(50.15±9.02),(51.63±9.47),(49.86±9.05)and total score(203.77±35.83)]were higher than those of the control group[(46.85±8.12),(45.26±8.24),(46.28±8.25),(44.32±8.71)and total score(182.71±30.35),P<0.05].Conclusion:Intensive oral care can reduce the incidence of SAP,and improve the quality of life of stroke patients.