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引文資料
題名:
口腔照護頻次對氣管內管留置病人口腔健康之成效
書刊名:
榮總護理
作者:
吳紹歆
/
彭素貞
作者(外文):
Wu, Shaw-shin
/
Pong, Su-chen
出版日期:
2012
卷期:
29:3
頁次:
頁225-233
主題關鍵詞:
口腔照護頻次
;
口腔健康程度
;
氣管內管
;
Oral care
;
Oral health
;
Endotracheal tube
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
2
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
2
共同引用:
2
點閱:1
經口放置氣管內管會影響病人口腔健康,而口腔照護是重症護理工作中的基礎護理實務,有效地口腔照護可增進病人舒適度與預防口腔感染。本研究旨在於比較不同口腔照護頻次對於放置氣管內管病人在口腔健康程度之差異。本研究採類實驗性設計,於某醫學中心加護病房進行收案,對照組及實驗組各30名。由重症護理人員依據「口腔照護標準流程」分別對實驗組之個案進行每日三次之口腔照護,而對照組則給予每日一次,每日使用口腔健康評估表(Oral Assessment Guide, OAG)評估口腔健康程度。研究結果顯示兩組病人之口腔健康程度整體分數沒有顯著差異,然在口腔照護第八天,兩組病人之舌頭/口腔黏膜項目呈現顯著差異。建議制定口腔照護常規中可增加口腔潤濕頻次,來增加舌頭/ 口腔粘膜的健康程度,進而促進重症病人口腔健康。
以文找文
Oral endotracheal tube plays an important role in the oral health of critically ill patients. Oral health care is also a basic nursing procedure in critical nursing care. An effective oral health care will improve patients' comfort and prevent oral infection. The purpose of our study is to compare with the different oral care frequency in the oral health of intubated patients. Quasiexperimental design was used and patients were enrolled from a medical intensive care unit of a medical center. 30 participants were enrolled into an experimental group and control group respectively. According to the "oral care standard procedure guideline", nursing staff performed oral care three times a day for patients in the experimental group and once daily for patients in the control group. Oral health was evaluated daily by oral assessment guide (OAG). The results demonstrated no differences in overall score between both patient groups. However, the score in tongue/oral mucosa item was significantly different on the 8th day between both patient groups. In order to promote the oral health of critically ill patients, we recommend increasing the frequency of oral moistening in routine oral care procedure in order to promote tongue/oral mucosa's health.
以文找文
期刊論文
1.
Rello, J.、Koulenti, D.、Blot, S.、Sierra, R.、Diaz, E.、De Waele, J. J.、Rodriguez, A.(2007)。Oral care practices in intensive care units: A survey of 59 European ICUs。Intensive Care Medicine,33(6),1066-1070。
2.
Ames, N. J.、Sulima, P.、Yates, J. M.、McCullagh, L.、Gollins, S. L.、Soeken, K.、Wallen, G. R.(2011)。Effects of systematic oral care in critically ill patients: A multicenter study。American Journal of Critical Care,20(5),103-114。
3.
Andersson, P.、Persson, L.、Hallberg, I. R.、Renvert, S.(1999)。Testing an oral assessment guide during chemotherapy treatment in a Swedish care setting: A pilot study。Journal of Clinical Nursing,8(2),150-158。
4.
Berry, A. M.、Davidson, P. M.(2006)。Beyond comfort: Oral hygiene as a critical nursing activity in the intensive care unit。Intensive & Critical Care Nursing,22(6),318-328。
5.
Chan, E. Y.(2009)。Oral decontamination for ventilator-associated pneumonia prevention。Australian Critical Care,22(1),3-4。
6.
Chan, E. Y.、Hui-Ling Ng, I.(2011)。Oral care practices among critical care nurses in Singapore: A questionnaire survey。Applied Nursing Research,25(3),197-204。
7.
Cutler, C. J.、Davis, N.(2005)。Improving oral care in patients receiving mechanical ventilation。American Journal of Critical Care,14(5),389-394。
8.
DeKeyser Ganz, F.、Fink, N. F.、Raanan, O.、Asher, M.、Bruttin, M.、Nun, M. B.、Benbinishty, J.(2009)。ICU nurses' oral-care practices and the current best evidence。Journal of Nursing Scholarship,41(2),132-138。
9.
Feider, L. L.、Mitchell, P.、Bridges, E.(2010)。Oral care practices for orally intubated critically ill adults。American Journal of Critical Care,19(2),175-183。
10.
Huskinson, W.、Lloyd, H.(2009)。Oral health in hospitalised patients: Assessment and hygiene。Nursing Standard,23(36),43-47。
11.
Jaber, S.、Amraoui, J.、Lefrant, J. Y.、Arich, C.、Cohendy, R.、Landreau, L.、Eledjam, J. J.(2006)。Clinical practice and risk factors for immediate complications of endotracheal intubation in the intensive care unit: A prospective, multiple-center study。Critical Care Medicine,34(9),2355-2361。
12.
Munro, C. L.、Grap, M. J.、Jones, D. J.、McClish, D. K.、Sessler, C. N.(2009)。Chlorhexidine, toothbrushing, and preventing ventilator-associated pneumonia in critically ill adults。American Journal of Critical Care,18(5),428-437。
13.
Prendergast, V.、Jakobsson, U.、Renvert, S.(2012)。Effects of a standard versus comprehensive oral care protocol among intubated neuroscience ICU patients: Results of a randomized controlled trial。The Journal of Neuroscience Nursing,44(3),134-146。
14.
Ross, A.、Crumpler, J.(2007)。The impact of an evidence-based practice education program on the role of oral care in the prevention of ventilator-associated pneumonia。Intensive & Critical Care Nursing,23(3),132-136。
15.
Stout, M.、Goulding, O.、Powell, A.(2009)。Developing and implementing an oral care policy and assessment tool。Nursing Standard,23(49),42-48。
16.
Eagye, K. J.、Nicolau, D. P.、Kuti, J. L.(2009)。Impact of Superinfection on hospital length of stay and costs in patients with ventilator associated pneumonia。Seminars in Respiratory and Critical Care Medicine,30,116-123。
17.
Eilers, J.、Berger, A. M.、Petersen, M. C.(1988)。Development, testing, and application of the oral assessment guide。Oncology Nursing Forum,15(3),325-330。
18.
姚俐音、張承圭、馬素華、王彥雯、陳佳慧(20111200)。Brushing Teeth with Purified Water to Reduce Ventilator-Associated Pneumonia。The Journal of Nursing Research,19(4),289-297。
延伸查詢
19.
姚俐音、張丞圭、王玠仁、蔡慧琇、陳佳慧(20081100)。預防呼吸器相關肺炎的照護策略。臺灣醫學,12(6),707-712。
延伸查詢
學位論文
1.
許淑盆(2006)。比較不同口腔照護方案對氣管內管留置病人口腔黏膜改變之成效(碩士論文)。輔仁大學,臺北市。
延伸查詢
2.
陳筱蓉(2007)。成人加護病房病人疾病嚴重度與口腔狀況相關性之探討(碩士論文)。高雄醫學大學,高雄市。
延伸查詢
3.
張靜雯(2005)。重症單位的老人壓力感受與相關因素及照護需求之探討(碩士論文)。中國醫藥大學,臺中市。
延伸查詢
其他
1.
行政院衛生署(20091001)。成人使用氣管內管口腔照護之臨床指引,http://son.web.ym.edu.tw/front/bin/download.phtml?Part=TJBCC。
延伸查詢
2.
Bauman, K. A.,Hyzy, R. C.(20120116)。Endotracheal tube management and complications,http://www.uptodate.com.ezproxy.vghtc.gov.tw:2048/contents/endotracheal-tube-managementand-complications?source=search_result&search=Endotracheal+Intubation&selectedTitle=6%7E150。
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