Survey of oral care practices in US intensive care units
Survey of oral care practices in US intensive care units
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DOI：
10.1016/j.ajic.2003.05.001
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发表时间：
2004-05-01
影响因子：
4.9
通讯作者：
McCurren, C
中科院分区：
文献类型：
--
作者：
Binkley, C;Furr, LA;McCurren, C
背景资料：研究表明，包括牙刷和局部抗菌剂在内的口腔护理可改善医疗受损患者的口腔健康，并可降低包括肺炎在内的医院感染的发生率。本调查研究旨在确定美国重症监护病房（ICU）口腔护理的类型和频率以及医护人员的态度、信念和知识。方法：随机选择美国大陆102个ICU进行调查，556名受访者参与; 97%的受访者为注册护士。频率和类型的口腔护理提供，态度和信念，和知识和培训口腔careersmeasured.Results：92%的受访者认为口腔护理是一个高度优先的口腔护理的主要方法涉及使用泡沫棉签，保湿剂，漱口水。近80%的受访者很少使用牙刷和牙膏。大多数护士表示需要研究证明的口腔护理标准，并希望了解更多的结论：在这个随机抽样的ICU，口腔护理方法是不符合目前的研究和口腔护理协议。将口腔护理研究转化为ICU的实践，可以提高护理质量，降低呼吸机相关性肺炎的发生率。
Background: Research has shown that oral care involving toothbrushes and topical antimicrobials improves the oral health of medically compromised patients and may reduce the incidence of nosocomial infections including pneumonia. This survey research was undertaken to determine the type and frequency of oral care in intensive care units (ICUs) in the United States and the attitudes, beliefs, and knowledge of health care workers.Methods: A randomly selected survey of 102 ICUs within the continental United States participated with 556 respondents; 97% of respondents were registered nurses.Measurements: Frequency and type of oral care provided, attitudes and beliefs, and knowledge and training in oral care were measured.Results: Ninety-two percent of respondents perceived oral care to be a high priority The primary methods of oral care involved the use of foam swabs, moisturizers, and mouthwash. Toothbrushes and toothpaste were used infrequently by almost 80% of respondents. The majority of nurses indicated a need for research-proven oral care standards and desired to learn more.Conclusions: In this random sample of ICUs, oral care methods were not consistent with current research and oral care protocols. The translation of oral care research into practice in the ICU may improve the quality of care and decrease the incidence of ventilator-associated pneumonia.