摘要
目的了解国内三甲医院重症监护室危重疾病患者口腔护理情况,为提高危重疾病患者口腔护理水平提供依据和建议。方法采用信访、向危重病人口腔护理专家咨询和走访等调查方式,获得国内危重疾病患者口腔护理现状信息。结果本次调查共发放调查问卷184份,回收有效问卷79份,有效回收率42.93%。所有回复者均认为口腔护理对于危重疾病患者很重要,有98.7%的重症监护室采取了不同的方式进行护理前评估,包括检查口腔基本情况及口腔分泌物提取,评估实施者主要为床旁责任护士(63.3%)。目前使用最多的口腔护理方式为棉球擦洗法(62.5%),护理频率每日2～3次,每次平均时间9.1±5.1min,主要使用的口腔护理液有生理盐水(76.0%)、碳酸氢钠(22.8%)、呋喃西林(13.9%)、双氧水(13.9%)等。结论目前国内口腔护理水平相差较大,应加强针对循证口腔护理的培训,有必要建立危重疾病患者口腔护理的全国统一规范。
Objective To explore the type and frequency of oral care practice in intensive care units（ICUs） in China's Mainland,and to provide evidence and suggestions for improving oral care practice.Methods Three survey methods,including mailing questionnaires to ICUs of Grade 3A hospitals,consulting experts in this field and visiting accessible ICUs,were used to survey current oral care practice in China's Mainland.Results A total of 184 questionnaires were given to the subjects,of which 79 effective ones were collected,and the response rate was 42.93%.All 79 respondents considered oral care very unimportant,and 98.7% of the ICUs performed oral care in different ways.Currently,the cotton ball wipe-off method was the most frequently used for oral care（62.5%）,with an average（9.1± 5.1） min per time,twice or three times daily.The mouthwashes often used were saline（76.1%）,solutions containing sodium bicarbonate（22.8%）,furacilin（13.9%）,and hydrogen dioxide（13.9%）.Conclusion The oral care practice for the critically-ill patients in ICUs of China is unsatisfactory,although it is perceived as an important item in nursing care.More evidence-based training should be given and it is necessary to establish a national oral care guideline for critically-ill patients.
出处
《中国循证医学杂志》
CSCD
2010年第6期665-669,共5页
Chinese Journal of Evidence-based Medicine
基金
大学生创新实验计划支持
关键词
危重疾病
重症监护室
口腔护理
问卷调查
Critical illness
Oral care
Intensive care unit
Questionnaire
作者简介
张绮，女（1988年～），七年制硕士研究生。Email：zhangqi198801@sina．com
通讯作者
