重症监护病房护士口腔护理的调查研究
A Survey Study of Oral Care Given by Nurses in Intensive Care Units.
作者信息
Yavuz Muhammet Burak, Orhan Ekim Onur, Eksi Cemre, Ainola Mari, Nurmi Katariina, Eklund Kari K, Beklen Arzu
机构信息
Department of Periodontology, Faculty of Dentistry, Eskisehir Osmangazi University, Eskisehir, Turkey.
Department of Endodontics, Faculty of Dentistry, Eskisehir Osmangazi University, Eskisehir, Turkey.
出版信息
Risk Manag Healthc Policy. 2025 Apr 26;18:1429-1440. doi: 10.2147/RMHP.S513905. eCollection 2025.
PURPOSE
The study aims to analyze whether having a specialty certification (SC) among intensive care unit (ICU) nurses is associated with their knowledge, attitudes, and practices regarding oral care and related complications during hospitalization.
PATIENTS AND METHODS
This cross-sectional study included 188 ICU nurses in Eskisehir, Turkey, between April and June 2021. A 20-item questionnaire was used to assess demographic data, knowledge, attitudes, and practices regarding oral care. Chi-square tests (p = 0.05) were used to analyze relationships.
RESULTS
A highly significant proportion of nurses having SC were satisfied with the level of oral hygiene instructions they had received, = 12.29, d.f. = 1, n = 188, p < 0.001, and the factor of awareness of its benefits associated with SC education, = 6.55, d.f. = 1, = 0.010. Nurses who spend less time on oral hygiene performed less oral examinations, = 16.73, d.f. = 4, p = 0.002, and there was an inverse relationship between the number of ICU patients per nurse and the time spent on oral care per patient, = 33.24, d.f. = 8, p < 0.001. The majority of nurses carried out oral care for 2-5 minutes per patient daily (n = 72, 38.29%). SC nurses preferred manual toothbrush with toothpaste over foam stick or sodium carbonate, = 4.16, d.f. = 1, p = 0.04. Regardless of the specialization, a highly significant relationship was observed between the duration of oral care and the experience of nurse in ICU, d.f. = 4, p < 0.001.
CONCLUSION
Having SC significantly affects ICU nurses' ability and willingness to prioritize oral care to improve patients' oral hygiene.
目的
本研究旨在分析重症监护病房（ICU）护士拥有专业认证（SC）是否与其在住院期间关于口腔护理及相关并发症的知识、态度和实践相关。
患者与方法
这项横断面研究纳入了2021年4月至6月期间土耳其埃斯基谢希尔的188名ICU护士。使用一份包含20个条目的问卷来评估人口统计学数据、关于口腔护理的知识、态度和实践。采用卡方检验（p = 0.05）来分析相关性。
结果
拥有SC的护士中，很大比例对所接受的口腔卫生指导水平感到满意，χ² = 12.29，自由度 = 1，n = 188，p < 0.001，且与SC教育相关的对其益处的认知因素，χ² = 6.55，自由度 = 1，p = 0.010。花费在口腔卫生上时间较少的护士进行的口腔检查也较少，χ² = 16.73，自由度 = 4，p = 0.002，并且每名护士护理的ICU患者数量与为每名患者花费在口腔护理上的时间呈负相关，χ² = 33.24，自由度 = 8，p < 0.001。大多数护士每天为每名患者进行2至5分钟的口腔护理（n = 72，38.29%）。拥有SC的护士比起泡沫棒或碳酸钠更喜欢使用带牙膏的手动牙刷，χ² = 4.16，自由度 = 1，p = 0.04。无论专业如何，在口腔护理时长与护士在ICU的工作经验之间均观察到高度显著的相关性，自由度 = 4，p < 0.001。
结论
拥有SC显著影响ICU护士优先进行口腔护理以改善患者口腔卫生的能力和意愿。
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