Application and comparison of three kinds of care appliances on tracheal intubation patients′oral care
10.3760/cma.j.issn.1674-2907.2015.33.036
- VernacularTitle:三种护理用具在气管插管患者口腔护理中的应用效果比较
- Author:
Lihong WANG
1
;
Yanzhi DING
;
Guoying WANG
;
Jingli ZHU
;
Yanxia LIU
Author Information
1. 河北医科大学第二医院急诊科
- Keywords:
Oral care;
Tracheal intubation;
Nursing appliance;
Comfort level
- From:
Chinese Journal of Modern Nursing
2015;21(33):4077-4079
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the most suitable appliance for patients′ orotracheal intubation applied by nurses in emergency ICU. Methods A total of 90 EICU patients who admitted to our hospital from January 2013 to September 2013 were randomly divided into three groups, named A, B and C, 30 cases in each group. Appliances for patients in group A were traditional forceps and tweezers; implement for group B was disposable long cotton swabs;the tools for group C were soft bristled toothbrush for children oral cavity nursing. The three groups were observed for the patients′ degree of subjective comfort, oral cleanliness, ventilator-associated pneumonia rates and also nurses′operation time. Results Patients in group C (20 cases) and group A (10cases) and group B (15 cases) felt oral comfort (H=9. 840,P<0. 05). Patients in group C had oral cavity residual (5 cases), oral lesions (3 cases), the incidence of VAP (3 cases), which all were lower than that of the group A and B (χ2 =7. 479,4. 812,7. 422,P<0. 05);in the group C, nurses used total (11. 53 ± 1. 26) min operation time lower than that in group A and group B (F=22. 250,P<0. 05). Conclusions The application of children′s soft bristled toothbrush is the most suitable appliance of oral nursing for patients with orotracheal intubation, and it can clean oral cavity effectively and operate conveniently.
