摘要
目的深入了解重症监护室(intensive care unit,ICU)护士长对气管插管患者口腔护理的管理体验。方法采用质性研究中的现象学研究法,对上海市7所三级甲等医院10个不同ICU的10名护士长进行半结构式深入访谈。结果目前气管插管患者口腔护理现状较混乱,操作规范不具针对性,且与临床实践脱节,尚无系统的口腔护理评估、评价及培训体系,护理工具实用性欠缺,一线ICU护理人员配备不足且工作负荷大;但护理管理层及临床护士对口腔护理的认知及重视程度已有所提升。结论亟需构建基于循证的气管插管患者口腔护理临床实践指南,改进口腔护理用具,完善ICU口腔护理管理体系,以提升临床护理实践质量。
Objective To explore the oral care experience of head nurses in nursing of intensive care unit （ICU） patients with endotracheal intubation. Methods The phenomenologieal methodology was used in the study. Semi-structured in-depth interviews of 10 head nurses from 10 ICUs of 7 tertiary hospitals in Shanghai were conducted. Results The status quo of oral care for intubated patients was in confusion. The operation standards were lack of specific evaluation and not in line with clinical practice. Yet there was no standard system for oral care assessment, evaluation and training of ICU nurses. The oral care appliances were not practical. The ICU nurses were shorthanded along with heavy workload. But the awareness and attention on oral care in head nurses and clinical nurses had been improved. Conclusion It is urgent to compile evidence-based clinical practice guidelines for oral care of the patients with endotracheal intubation, improve oral care appliances and ICU management system, to promote the quality of clinical nursing practice.
作者
唐慧婷
卢惠娟
杨晓莉
曹艳佩
TANG Hui-ting LU Hui-juan YANG Xiao-li CAO Yan-pei(School of Nursing, Fudan University, Shanghai 200032, China Huashan Hospital, Fudan University, Shanghai 200040, China)
出处
《上海护理》
2017年第2期24-28,共5页
Shanghai Nursing
基金
复旦大学护理科研基金项目(编号:FNF201011)
关键词
气管插管
口腔护理
重症监护室
护士长
护理管理
定性研究
访谈
Endotracheal intubation
Oral care
Intensive care unit
Head nurse
Nursing management
Qualitative research
Interview
