课件：口腔护理 ICU护士新认识.ppt

53名 学历 ICU工作时间 雇佣形式 53名护士基本情况 理学士 The First Affiliated Hospital of Bengbu Medical College in intensive medicine 机械通气患者提出护理频次 每班次检查口腔的次数 每班次每患者口腔护理的次数 应用专用口腔护理表格 The First Affiliated Hospital of Bengbu Medical College in intensive medicine 10项日常护理规程得分平均值和标准差 气管管理 口腔护理 皮肤护理 营养护理 导管维护 个人卫生 眼部护理 预防机体超负荷 记录单书写 肠道功能护理 The First Affiliated Hospital of Bengbu Medical College in intensive medicine 12种口腔护理材料和工具使用频次 纱布块 氯己定 生理盐水 口腔冲洗 The First Affiliated Hospital of Bengbu Medical College in intensive medicine 护士进行口腔护理障碍原因 人员不足 时间缺乏 担负书写任务 害怕感染转移 缺乏设备 气管插管存在 不重要 缺乏知识和能力 害怕吸引 不愉快 和我没关系 The First Affiliated Hospital of Bengbu Medical College in intensive medicine 口腔护理虽说排名第二，但其分值和其他皮肤护理，导管维护，营养护理，个人卫生分值差不多，并且远远落后于气道管理 The First Affiliated Hospital of Bengbu Medical College in intensive medicine 结果显示很有必要为护士开设口腔护理再培训课程 The First Affiliated Hospital of Bengbu Medical College in intensive medicine 47%的护士认为口腔护理不是非常重要 Grap MJ, Munro CL, Ashtiani B, Bryant S. Oral care interventions in critical care: frequency and documentation. Am J Crit Care. 2003;12(2):113–8. discussion 119. The First Affiliated Hospital of Bengbu Medical College in intensive medicine 有必要进行护士口腔护理再培训以及在预防呼吸道感染中担当一定的角色 The First Affiliated Hospital of Bengbu Medical College in intensive medicine 这篇研究中85%的参与者培训过应用机械通气患者口腔护理 而另外一篇报道70%的护士没有培训过应用机械通气患者口腔护理 Adib-Hajbaghery M, Ansari A, Azizi-Fini I. Intensive care nurses opinions and practice for oral care of mechanically ventilated patients. Indian J Crit Care Med. 2013;17(1):23–7. The First Affiliated Hospital of Bengbu Medical College in intensive medicine 又有研究报道：在英国，62%的护士说在这个领域内接受过培训 Jones H, Newton JT, Bower EJ. A survey of the oral care practices of intensive care nurses. Intensive Crit Care Nurs. 2004;20(2):69–76. The First Affiliated Hospital of Bengbu Medical College in intensive medicine 另外在一篇研究：在欧洲的ICU显示，77%的ICU护士接受过相关的培训 Rello J, Koulenti D, Blot S, Sierra R, Diaz E, De Waele JJ, et al. Oral care practices in intensive care units: a survey of 59