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护士对机械通气患者口腔护理实践的认知与态度。

Nurses' perception and attitudes towards oral care practices for mechanically ventilated patients.

作者信息

Alja'afreh Mahmoud A, Mosleh Sultan M, Habashneh Sakhaa S

机构信息

Department of Adult Health Nursing, Faculty of Nursing, Mutah University, Alkarak, Jordan. E-mail.

出版信息

Saudi Med J. 2018 Apr;39(4):379-385. doi: 10.15537/smj.2018.4.21749.

Abstract

OBJECTIVES

To explore the perception and attitudes of intensive care unit (ICU) nurses towards oral care practice for mechanically ventilated (MV) patients.

METHOD

A descriptive cross-sectional design was used in this study. A convenience sample of 96 ICU nurses completed a questionnaire on their perception and  attitudes towards oral care. The study setting was 3 representative Jordanian hospitals in Al-Karak and the capital, Amman, over a 6-month period between February and September 2016.

RESULTS

Ninety-six nurses participated in the study. The response rate was 76.8%. The results revealed that 65% only follow a specific oral care protocol. Nurses did not adhere to minimal standards. Although nurses' attitude towards oral care was strongly positive, 68% of them perceived it as an unpleasant task and 29% agreed that they had insufficient training; 78% agreed to learn more about the best way to perform oral care. Standard descriptive statistics were calculated for all baseline information (sociodemographic characteristics). Binary variables were expressed as proportions, and normally distributed continuous variables as means and standard deviations.

CONCLUSION

The poor perception and attitudes of ICU nurses regarding oral care for MV patients require the urgent attention of clinical administrators. In-hospital training regarding oral care protocol could improve nurses' perception and attitudes.

摘要

目的

探讨重症监护病房(ICU)护士对机械通气(MV)患者口腔护理实践的认知和态度。

方法

本研究采用描述性横断面设计。便利抽样选取96名ICU护士,完成一份关于其对口腔护理认知和态度的问卷。研究地点为约旦位于卡拉克和首都安曼的3家代表性医院,时间跨度为2016年2月至9月的6个月期间。

结果

96名护士参与了本研究。应答率为76.8%。结果显示,仅65%的护士遵循特定的口腔护理方案。护士未遵守最低标准。尽管护士对口腔护理的态度非常积极,但68%的护士认为这是一项令人不快的任务,29%的护士认为自己培训不足;78%的护士同意学习更多关于口腔护理最佳方法的知识。对所有基线信息(社会人口统计学特征)进行标准描述性统计。二元变量以比例表示,正态分布的连续变量以均值和标准差表示。

结论

ICU护士对MV患者口腔护理的认知和态度较差,需要临床管理人员的紧急关注。关于口腔护理方案的院内培训可以改善护士的认知和态度。

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