摘要
目的:对气管插管婴儿口腔护理的最佳证据进行汇总,并应用于临床实践。方法:证据汇总阶段共形成11条审查指标,审查对象为广州市某国家儿童区域医疗中心新生儿重症监护病房(NICU)收治的202例气管插管婴儿和59名医护人员,于2023年1、7、12个月时评估医护人员对审查指标的执行情况。将2022年1月—12月收治的108例婴儿列为对照组,2023年1月—12月收治的94例婴儿列为观察组,比较两组患儿循证实践前后呼吸机相关性肺炎(VAP)发生数、气管插管时间、住院时间和非计划性拔管发生数。结果:循证实践后,医护人员对审查指标的执行率明显提高(P<0.001)。观察组VAP发生数低于对照组,差异有统计学意义(P<0.05),而气管插管时间、住院时间和非计划性拔管率比较,差异无统计学意义(P>0.05)。结论:基于循证证据的气管插管婴儿口腔护理能降低患儿VAP发生率,提高医护人员对最佳实践证据的执行率。
Objective:To summarize the best evidence on oral care for tracheally intubated neonates and apply it to clinical practice.Methods:A total of 11 review indicators were developed in the evidence compilation phase,and 202 tracheally intubated infants admitted to the neonatal intensive care unit(NICU)of a national children′s regional medical center in Guangzhou City and 59 healthcare workers were reviewed.Assessment of healthcare workers′implementation of review indicators at 1,7,and 12 months in 2023.108 cases admitted from January-December 2022 were included as control group and 94 cases admitted from January-December 2023 were included as observation group.To compare the number of ventilator-associated pneumonia(VAP)occurrences,time of tracheal intubation,length of hospital stay,and number of unplanned extubation occurrences before and after evidence-based practice in two groups of children.Results:The implementation rate of the review indexes by healthcare workers was significantly improved after the evidence-based practice(P<0.001).The number of VAP occurrences in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05),while the comparison of tracheal intubation time,hospitalization time,and the number of unplanned extubation occurrences showed no statistically significant difference(P>0.05).Conclusion:Evidence-based oral care for neonates with tracheal intubation can reduce the incidence of VAP in children and improve the implementation rate of the best evidence-based evidence by healthcare professionals.
作者
贺芳
王亚珂
李灿莹
刘会
曹蕾
冯洁仪
王萍
邬德华
林艳
HE Fang;WANG Yake;LI Canying;LIU Hui;CAO Lei;FENG Jieyi;WANG Ping;WU Dehua;LIN Yan(Guangzhou Women and Children′s Medical Center,Guangdong 510000 China)
出处
《循证护理》
2024年第20期3634-3639,共6页
Chinese Evidence-Based Nursing
关键词
新生儿重症监护病房
气管插管
婴儿
口腔护理
循证实践
neonatal intensive care unit
tracheal intubation
infant
oral care
evidence-based practice
