Department of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
J Clin Nurs. 2011 Nov;20(21-22):3204-14. doi: 10.1111/j.1365-2702.2011.03819.x. Epub 2011 Aug 3.
This study investigated intensive care unit nurses' knowledge, attitudes and practices of oral care for intubated patients together with the associated factors of the same.
Effective oral care improves patient comfort and prevents oral infection. Although oral care is a common requirement of nursing practice, providing intubated patients with oral care is a challenging task.
A descriptive, cross-sectional design.
This study applied purposive sampling method at 12 adult intensive care units in one medical centre in northern Taiwan. Two hundred and five nurses were recruited. Data were collected by structured questionnaires which consisted of four sections: knowledge, attitudes and practices of oral care for intubated patients and demographic information for the nurses.
The average percentages indicating the intensive care unit nurses' oral care knowledge, attitudes and practices were 58·8, 79·4 and 49·8%, respectively. Higher scores on oral care knowledge were associated with nurses performing oral care more frequently. Nurses learning about oral care from reading related studies and materials of their own accord may increase the frequency with which they provide oral care to intubated patients. The nurses' age and the type of intensive care unit they work in were significant factors related to the frequency of performing practices related to oral care.
Findings show that nurses who have more resources for learning about oral care have greater knowledge about it and provide oral care to intubated patients more frequently.
Encouraging nurses to learn more about oral care using diverse educational resources will enhance their knowledge and improve their practice. Nursing administrators are encouraged to establish policies and procedures for oral care of intubated patients based on the type of patients cared for, in addition to holding in-service training, with a view to enhancing the quality of oral care for critically ill patients.
本研究调查了重症监护病房护士对插管患者口腔护理的知识、态度和实践，以及影响这些的相关因素。
有效的口腔护理可提高患者舒适度并预防口腔感染。尽管口腔护理是护理实践的常见要求，但为插管患者提供口腔护理是一项具有挑战性的任务。
描述性、横断面设计。
本研究采用目的抽样法，在台湾北部一家医疗中心的 12 个成人重症监护病房进行。共招募了 205 名护士。数据通过包含四个部分的结构化问卷收集：对插管患者进行口腔护理的知识、态度和实践，以及护士的人口统计学信息。
重症监护病房护士口腔护理知识、态度和实践的平均百分比分别为 58.8%、79.4%和 49.8%。口腔护理知识得分较高与护士更频繁地进行口腔护理有关。护士通过阅读相关研究和自行选择的材料来学习口腔护理，可能会增加为插管患者提供口腔护理的频率。护士的年龄和所在的重症监护病房类型是与进行口腔护理实践频率相关的显著因素。
研究结果表明，拥有更多学习口腔护理资源的护士对口腔护理的了解更多，并且更频繁地为插管患者提供口腔护理。
鼓励护士使用各种教育资源更多地了解口腔护理，将提高他们的知识水平并改善他们的实践。护理管理人员应根据所护理患者的类型，制定针对插管患者的口腔护理政策和程序，并开展在职培训，以提高危重症患者的口腔护理质量。
