Influence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled study

Abstract Objective To explore the effect of oral comprehensive nursing intervention on mechanically ventilated patients in ICU. Methods Select 76 cases of mechanically ventilated patients in severe ICU admitted to our hospital from January 2022 to October 2022 as the research objects, and divide the...

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Main Authors: Shengxia Lei, Yan Liu, Enkun Zhang, Chuanxia Liu, Jing Wang, Lingling Yang, Ping Zhang, Ying Shi, Xiaomin Sheng
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-023-01464-w
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author Shengxia Lei
Yan Liu
Enkun Zhang
Chuanxia Liu
Jing Wang
Lingling Yang
Ping Zhang
Ying Shi
Xiaomin Sheng
author_facet Shengxia Lei
Yan Liu
Enkun Zhang
Chuanxia Liu
Jing Wang
Lingling Yang
Ping Zhang
Ying Shi
Xiaomin Sheng
author_sort Shengxia Lei
collection DOAJ
description Abstract Objective To explore the effect of oral comprehensive nursing intervention on mechanically ventilated patients in ICU. Methods Select 76 cases of mechanically ventilated patients in severe ICU admitted to our hospital from January 2022 to October 2022 as the research objects, and divide them into the control group and the observation group according to the way the patients receive oral care. 38 cases each. The patients in the control group received routine nursing intervention, and the patients in the observation group received comprehensive oral nursing intervention on the basis of the nursing of the control group. The clinical index data, oropharyngeal hygiene, pH value, blood gas analysis index levels, and the occurrence and death of ventilator-associated pneumonia were compared between the two groups of patients. Results The hospitalization time of the two groups was compared (P > 0.05); the mechanical ventilation time and ICU stay time of the observation group were significantly lower than those of the control group (all, P < 0.05); the oral odor scores, The plaque index and soft scale index were significantly lower than those of the control group (all, P < 0.05); the pH value, PaO 2 value, and SpO 2 value of the observation group were significantly lower than those of the control group, and the PaCO 2 value was significantly higher than that of the control group. group (all, P < 0.05); the incidence of VAP in the control group was 55.26%, and the mortality rate was 15.79%, the incidence rate of VAP in the observation group was 21.05%, and the mortality rate was 2.63%, and the incidence rate and mortality rate of VAP in the observation group were significantly lower in the control group (all, P < 0.05). Conclusion The application of nursing intervention can effectively promote the recovery of patients, improve the hygiene of patients’ oropharynx, adjust the levels of pH and blood gas-related indicators in patients, and reduce VAP in patients. risk of morbidity and mortality.
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spelling doaj.art-ab551a14f1c24d0f99a72f52ce6e85c12023-11-19T12:51:40ZengBMCBMC Nursing1472-69552023-08-012211710.1186/s12912-023-01464-wInfluence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled studyShengxia Lei0Yan Liu1Enkun Zhang2Chuanxia Liu3Jing Wang4Lingling Yang5Ping Zhang6Ying Shi7Xiaomin Sheng8Department of Critical Medicine, Funan County People’s HospitalDepartment of Critical Medicine, Funan County People’s HospitalDepartment of Critical Medicine, Funan County People’s HospitalDepartment of Critical Medicine, Funan County People’s HospitalDepartment of Critical Medicine, Funan County People’s HospitalDepartment of Critical Medicine, Funan County People’s HospitalDepartment of Critical Medicine, Funan County People’s HospitalDepartment of Critical Medicine, Funan County People’s HospitalDepartment of Critical Medicine, Funan County People’s HospitalAbstract Objective To explore the effect of oral comprehensive nursing intervention on mechanically ventilated patients in ICU. Methods Select 76 cases of mechanically ventilated patients in severe ICU admitted to our hospital from January 2022 to October 2022 as the research objects, and divide them into the control group and the observation group according to the way the patients receive oral care. 38 cases each. The patients in the control group received routine nursing intervention, and the patients in the observation group received comprehensive oral nursing intervention on the basis of the nursing of the control group. The clinical index data, oropharyngeal hygiene, pH value, blood gas analysis index levels, and the occurrence and death of ventilator-associated pneumonia were compared between the two groups of patients. Results The hospitalization time of the two groups was compared (P > 0.05); the mechanical ventilation time and ICU stay time of the observation group were significantly lower than those of the control group (all, P < 0.05); the oral odor scores, The plaque index and soft scale index were significantly lower than those of the control group (all, P < 0.05); the pH value, PaO 2 value, and SpO 2 value of the observation group were significantly lower than those of the control group, and the PaCO 2 value was significantly higher than that of the control group. group (all, P < 0.05); the incidence of VAP in the control group was 55.26%, and the mortality rate was 15.79%, the incidence rate of VAP in the observation group was 21.05%, and the mortality rate was 2.63%, and the incidence rate and mortality rate of VAP in the observation group were significantly lower in the control group (all, P < 0.05). Conclusion The application of nursing intervention can effectively promote the recovery of patients, improve the hygiene of patients’ oropharynx, adjust the levels of pH and blood gas-related indicators in patients, and reduce VAP in patients. risk of morbidity and mortality.https://doi.org/10.1186/s12912-023-01464-wOral careICUMechanical ventilation
spellingShingle Shengxia Lei
Yan Liu
Enkun Zhang
Chuanxia Liu
Jing Wang
Lingling Yang
Ping Zhang
Ying Shi
Xiaomin Sheng
Influence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled study
BMC Nursing
Oral care
ICU
Mechanical ventilation
title Influence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled study
title_full Influence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled study
title_fullStr Influence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled study
title_full_unstemmed Influence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled study
title_short Influence of oral comprehensive nursing intervention on mechanically ventilated patients in ICU: a randimized controlled study
title_sort influence of oral comprehensive nursing intervention on mechanically ventilated patients in icu a randimized controlled study
topic Oral care
ICU
Mechanical ventilation
url https://doi.org/10.1186/s12912-023-01464-w
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