Lei Shengxia, Liu Yan, Zhang Enkun, Liu Chuanxia, Wang Jing, Yang Lingling, Zhang Ping, Shi Ying, Sheng Xiaomin
Department of Critical Medicine, Funan County People's Hospital, Fuyang, Anhui Province, China.
BMC Nurs. 2023 Aug 29;22(1):293. doi: 10.1186/s12912-023-01464-w.
To explore the effect of oral comprehensive nursing intervention on mechanically ventilated patients in ICU.
Select 76 cases of mechanically ventilated patients in severe ICU admitted to our hospital from January 2022 to October 2022 as the research objects, and divide them into the control group and the observation group according to the way the patients receive oral care. 38 cases each. The patients in the control group received routine nursing intervention, and the patients in the observation group received comprehensive oral nursing intervention on the basis of the nursing of the control group. The clinical index data, oropharyngeal hygiene, pH value, blood gas analysis index levels, and the occurrence and death of ventilator-associated pneumonia were compared between the two groups of patients.
The hospitalization time of the two groups was compared (P > 0.05); the mechanical ventilation time and ICU stay time of the observation group were significantly lower than those of the control group (all, P < 0.05); the oral odor scores, The plaque index and soft scale index were significantly lower than those of the control group (all, P < 0.05); the pH value, PaO value, and SpO value of the observation group were significantly lower than those of the control group, and the PaCO value was significantly higher than that of the control group. group (all, P < 0.05); the incidence of VAP in the control group was 55.26%, and the mortality rate was 15.79%, the incidence rate of VAP in the observation group was 21.05%, and the mortality rate was 2.63%, and the incidence rate and mortality rate of VAP in the observation group were significantly lower in the control group (all, P < 0.05).
The application of nursing intervention can effectively promote the recovery of patients, improve the hygiene of patients' oropharynx, adjust the levels of pH and blood gas-related indicators in patients, and reduce VAP in patients. risk of morbidity and mortality.
探讨口腔综合护理干预对重症监护病房（ICU）机械通气患者的影响。
选取2022年1月至2022年10月我院重症ICU收治的76例机械通气患者作为研究对象，根据患者接受口腔护理的方式将其分为对照组和观察组，每组38例。对照组患者接受常规护理干预，观察组患者在对照组护理的基础上接受口腔综合护理干预。比较两组患者的临床指标数据、口咽卫生状况、pH值、血气分析指标水平以及呼吸机相关性肺炎的发生情况和死亡率。
比较两组患者的住院时间（P＞0.05）；观察组患者的机械通气时间和ICU住院时间均显著低于对照组（均P＜0.05）；观察组的口腔异味评分、菌斑指数和软垢指数均显著低于对照组（均P＜0.05）；观察组的pH值、PaO值和SpO值均显著低于对照组，PaCO值显著高于对照组（均P＜0.05）；对照组VAP发生率为55.26%，死亡率为15.79%，观察组VAP发生率为21.05%，死亡率为2.63%，观察组VAP的发生率和死亡率均显著低于对照组（均P＜0.05）。
应用护理干预可有效促进患者康复，改善患者口咽卫生状况，调节患者pH值及血气相关指标水平，降低患者发生VAP的风险及死亡率。
