鼻饲患者不同口腔护理方法效果临床观察.docVIP

鼻饲患者不同口腔护理方法效果临床观察 　　【摘要】 目的 针对长期鼻饲患者寻找一种患者更加舒适、更加有效的口腔护理方法。方法 随机对86例患者进行口腔护理,按随机分成两组,双数者为实验组(44例),单数为对照组(42例),实验组用3 cm×3 cm 8层棉纱块对口腔进行清洁护理,对照组用棉球口腔清洁护理,并进行舒适度、口腔清洁度评价及观察口臭、恶心等情况。两组性别、年龄、病情比较差异无统计学意义( P0.05)。结果 新的口腔护理方法通过自行设计的问卷调查患者的主观感觉、护士的评估和口腔分泌物细菌培养3个方面进行比较,用纱块做口腔护理明显优于棉球作口腔护理,两组比较差异有统计学意义。(P0.05)。结论 新的口腔护理方法的清洁效果明显优于传统的清洁效果,更适合长期鼻饲的患者。 　　【关键词】 鼻饲患者;口腔护理;疗效观察 　　 　　Nasal feeding effects of oral care in patients with different clinical observation 　　LIANG Jian.Jiangmen City Second People’s Hospital, Guangdong 529000,China 　　【Abstract】 Objective Looking for a more comfortable, more effective method of oral care to patients with long-term tube feeding. Methods 86 patients randomly oral care patients were randomly divided into two groups, double the number of persons for the experimental group (44 cases), single number for the control group (42 cases), experimental group 3 cm×3 cm 8-layer cotton yarn pieces of the oral cleaning care, control group, oral hygiene care with cotton balls and carry out comfort, cleanliness evaluation and observation of oral bad breath, nausea, and so on. Two groups of gender, age, condition was no was no significant difference (P 0.05). Results The new oral care through self-designed questionnaire, the patient’s subjective feelings, nurses assessment and oral secretions of three aspects of bacterial culture compared to yarn pieces to do much better than cotton for oral care oral care, two groups compared are different. (P0.05).Conclusion The new method of oral care cleaning effect than conventional cleaning effect, more suitable for long-term tube feeding patients. 　　【Key words】 Nasal feeding patients; Oral care; Clinical Observation 　　 　　鼻饲患者因不能经口进食、口腔分泌物减少、口腔黏膜干燥、易致细菌繁殖,引起口腔粘膜溃疡、糜烂、口腔炎等。所以,加强对长期鼻饲患者口腔护理非常重要。传统的口腔护理均采用棉球进行口腔粘膜及牙齿各面的擦拭,但在临床应用过程中,我们发现效果不理想,且操作时视野不清,开口困难[1],患者感觉不适。为此,我科自2008年1月起,用纱块代替棉球为44例鼻饲患者进行口腔护理,效果满意。现报告如下: 　　1 资料和方法 　　1.1 临床资料 选取2008年1月至2009年10月在内科住院的长期鼻饲患者,本组86例,其中男52例,女34例;年龄21~86岁,按随机数字表分为两组,双数者为实验组(44例