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目的探究重症加强护理病房(ICU)护士口腔护理预防呼吸机相关性肺炎(VAP)的现状因素。方法 180例在编ICU护士为研究对象,使用本院自制调查问卷对其展开相关调查。结果经口插管患者:35.4%的护士使用生理盐水棉球擦拭,42.3%的护士使用含漱液冲洗,15.8%的护士使用浓度为3%的H2O2溶液冲洗。经鼻插管患者:36.7%的护士使用生理盐水棉球擦拭,45.2%的护士使用含漱液冲洗;5.9%的护士使用浓度为3%的H2O2溶液冲洗。行气管切开术患者:36.8%的护士使用生理盐水棉球擦拭,33.5%的护士使用含漱液冲洗;15.2%的护士使用浓度为0.12%的氯已定溶液冲洗。结论院方相关人员应为护士制定出符合当前实际需要的气管插管患者口腔护理制度与程序,强化ICU护士的专业化培训力度,令气管插管者的具体操作更符合操作流程,提升护士按照护理标准操作的主观能动性,完善院内护理设备,令护士充分的运用自己的护理知识,为患者提供优质服务。
Objective To explore the status quo of intensive care unit intensive care unit (OIC) nurses oral ventilator-associated pneumonia (VAP). Methods A total of 180 nurses in ICU were enrolled in this study. Results Oral intubation: 35.4% of nurses wipe cotton balls with saline, 42.3% of nurses rinsed with gargle, and 15.8% of nurses rinsed with 3% H2O2. Nasal intubation patients: 36.7% of nurses wipe cotton balls with saline, 45.2% of nurses rinse with gargle; 5.9% of nurses using a concentration of 3% H2O2 solution rinse. Tracheotomy patients: 36.8% of nurses wipe cotton balls with saline, 33.5% of nurses rinse with gargle; 15.2% of nurses use a concentration of 0.12% chlorine solution has been set to flush. Conclusion The hospital staff should work out the oral care system and procedure for nurses in line with the actual needs of tracheal intubation patients and strengthen the professional training of ICU nurses so that the specific operation of tracheal intubation more in line with operational procedures to enhance nurses in accordance with Care subjective initiative standard operation, improve hospital care equipment, nurses make full use of their own nursing knowledge, to provide patients with quality service.