Mannava Yamini, Nayak Sangeeta Umesh, Uppoor Ashita, Naik Dilip, Maddi Abhiram
Private Practitioner, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Department of Periodontology, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Indian J Dent Res. 2020 May-Jun;31(3):426-432. doi: 10.4103/ijdr.IJDR_611_16.
A cross-sectional study was conducted among intensive care unit (ICU) nurses in private hospitals in India to identify knowledge and practice of ICU nurses in the prevention of ventilator-associated pneumonia (VAP).
Knowledge of 135 nurses working in ICU was tested using a questionnaire consisting of 18 questions. Fourteen forms were excluded from the statistical analysis due to incomplete data entry by the participants. The data of 121 filled questionnaires were analyzed. The information letters, consent forms, and questionnaires were handed to ICU nurses by Research assistant. Data were coded and entered into SPSS version for descriptive and inferential statistics.
A majority of the participants perceived oral care as a necessity in all critically ill patients. Nurses were generally aware of the most likely mechanism of acquiring pneumonia. The type and frequency of oral care varied widely. Many of them stated that they had adequate supplies to provide oral care. Although a majority of nurses had some formal training in oral care, they would appreciate an opportunity to enhance and improve their knowledge and skills.
The methods of oral care provided vary widely. In summary, randomized controlled trial to date has demonstrated that tooth brushing is associated with a trend toward lower rates of VAP in intubated mechanically ventilated critically ill patients. But it is also to be noted that there was no clear difference between electric and manual tooth brushing. In-house training and workshop can provide required skills needed for the betterment of the treatment provided.
在印度私立医院的重症监护病房（ICU）护士中开展了一项横断面研究，以确定ICU护士在预防呼吸机相关性肺炎（VAP）方面的知识和实践情况。
使用一份包含18个问题的问卷对135名在ICU工作的护士的知识进行测试。由于参与者数据录入不完整，14份表格被排除在统计分析之外。对121份填写完整的问卷数据进行了分析。研究助理将信息信、同意书和问卷交给ICU护士。数据进行编码并录入SPSS软件进行描述性和推断性统计。
大多数参与者认为对所有重症患者进行口腔护理是必要的。护士们普遍了解获得肺炎最可能的机制。口腔护理的类型和频率差异很大。他们中的许多人表示有足够的用品来提供口腔护理。尽管大多数护士接受过一些口腔护理方面的正规培训，但他们希望有机会增强和提高自己的知识与技能。
所提供的口腔护理方法差异很大。总之，迄今为止的随机对照试验表明，刷牙与插管机械通气重症患者VAP发生率降低的趋势相关。但也应注意到，电动牙刷和手动牙刷之间没有明显差异。内部培训和研讨会可以提供改善所提供治疗所需的技能。
