集束化护理缓解重症监护室继发性口干症患者的临床研究

目的 探讨集束化护理缓解重症监护室(ICU)内长期禁食患者继发性口干症的效果。方法 选择2017年5-12月在上海某医院ICU内住院的患者42例,按信封法随机将其分为干预组和对照组各21例。对照组给予常规护理,干预组在常规护理的基础上给予集束化护理,即联合应用维生素C喷雾剂、薄荷水漱口及润唇膏。比较2组患者口干和口腔湿润情况。 结果 与对照组相比,干预组患者的口干及口腔湿润情况评分下降更多(t=5.66,P<0.01;t=4.66,P<0.01)。 结论 集束化护理大大减轻了ICU患者的继发性口干症,对继发性口干症患者是一种安全有效的干预。

To relieve secondary xerostomia of ICU patients using cluster nursing

Objective To explore the effect of cluster nursing on relieving the secondary xerostomia caused by the long-term abrosia among intensive care unit (ICU) patients. Methods Forty-two patients admitted to the ICU of a hospital in Shanghai between May and December 2017 were randomly divided into a control group and an intervention group according to the envelope method, each of 21. Both groups were given the routine nursing, while the intervention group was additionally provided with cluster nursing, including using the vitamin C spray, rinsing the mouth with peppermint water and wearing the lip moisturizer. The condition of feeling dry and thirsty before and after the intervention was compared between the two groups. Result Compared with the control group, the condition of feeling dry was significantly relieved and the moist of the oral cavity was significantly better in the intervention group (t=5.66,P<0.01; t=4.66, P<0.01). Conclusion The cluster nursing significantly relieve the secondary xerostomia of ICU patients and can be considered as a safe and effective intervention method.