廣西壯族自治區(qū)三級醫(yī)院ICU有創(chuàng)機(jī)械通氣病人口腔健康現(xiàn)狀及其影響因素

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基金項目 廣西壯族自治區(qū)衛(wèi)生健康委員會課題，編號：Z?C20230866；2022年桂林市技術(shù)創(chuàng)新引導(dǎo)計劃項目，編號：20220131?4

作者簡介 唐龍，副主任護(hù)師，本科

通訊作者 韋艷春，E?mail：[email protected]

引用信息 唐龍，張源慧，陸翠誼，等.廣西壯族自治區(qū)三級醫(yī)院ICU有創(chuàng)機(jī)械通氣病人口腔健康現(xiàn)狀及其影響因素[J].護(hù)理研究，2024，38（14）：2490?2495.

Status quo and influencing factors of oral health of ICU patients with invasive mechanical ventilation from tertiary hospitals in the Guangxi Zhuang Autonomous Region

TANG Long， ZHANG Yuanhui， LU Cuiyi， WEI Chunsong， XU Yong， LIANG Meijuan， ZHOU Chunfeng， ZHENG Baifang， WEI Yanchun

Affiliated Hospital of Guilin Medical University， Guangxi 541001 China

Corresponding Author  WEI Yanchun， E?mail： [email protected]

Abstract  Objective：To investigate the status quo of oral health of ICU patients with invasive mechanical ventilation from tertiary hospitals in Guangxi Zhuang Autonomous Region，and to analyze its influencing factors.Methods：A total of 204 ICU patients with invasive mechanical ventilation from 5 tertiary hospitals in Guangxi Zhuang Autonomous Region were selected as the research subjects by convenience sampling method in July 2023.The general information questionnaire and Beck Oral Assessment Scale（BOAS） were used for the survey.Results：The BOAS score of ICU patients with invasive mechanical ventilation was （7.79±2.86）points，and 62 patients（30.39%） had no damage to oral health.The results of the random forest model showed that the 5 variables with the higher importance score were the duration of mechanical ventilation，whether to use specialized mouthwash or not，Acute Physiology and Chronic Health Evaluation Score Ⅱ（APACHE Ⅱ） score，whether to use a toothbrush or not，and whether to moisturize the lips or not. The results of stepwise regression analysis showed that APACHE Ⅱ score，whether to use a toothbrush or not，whether to use specialized mouthwash or not，and whether to moisturize the lips or not were the main influencing factors on the oral health of ICU patients with invasive mechanical ventilation（P<0.05）.Conclusions：The proportion of ICU patients with invasive mechanical ventilation who suffer from oral health damage is relatively high，and it is influenced by multiple factors.It is recommended to adopt comprehensive intervention measures to promote the oral health of patients.

Keywords    intensive care unit， ICU； invasive mechanical ventilation； tracheal intubation； oral health； influencing factors； nursing

摘要  目的：調(diào)查廣西壯族自治區(qū)三級醫(yī)院重癥監(jiān)護(hù)室（ICU）有創(chuàng)機(jī)械通氣病人口腔健康現(xiàn)狀，并分析其影響因素。（剩余9648字）