提升加護病房口咽氣管內管留置病人口腔清潔之正確性
Improving the Accuracy of the ICU
Oropharynx Trachea Tube
Intubating Patients’ Oral Hygiene
Chun-Lan Hsieh, Yen-Yun Tasi, Jung-Shan Hsu**, Li-Chen Chen***
ABSTRACT
Trauma patients in ICU are often intubated to maintain a patent airway, yet orotracheal
intubated patients frequently develop oral inflammation, mucosal lesions, ulcers, and bad breath
due to persisted mouth opening and the resultant dryness. Provision of adequate oral care to
intubated patients could eliminate bad breath and reduces oral mucosal damage. In an ICU
in a northern Taiwan medical center, delivery of accurate oral hygiene nursing was reported
to only 66.3% of cases. Measures to improve this suboptimal condition were introduced,
including (1) revising oral hygiene nursing routine; (2) arranging oral care training program;
(3) increasing display of oral care rhyming verse; (4) changing oral cleaning tools; (5) utilizing
new orotracheal tube fixer; and (6) introducing plaque grading system. These measures brought
about an improvement in accurate oral hygiene nursing delivery to 98.6%, with no patients
developing grade IV or V dental plaques. Of all the orotracheally-intubated patients, 91.2% had
healthy oral mucosa. These measures have thus been proven effective in improving the quality
in oral hygiene nursing in the critically ill patients. (Tzu Chi Nursing Journal, 2013; 12:1, 8897)
Keywords: ICU, oral care, orotracheal intubation
Head Nurse, Chang Gung Memorial Hospital, Linkou; RN, Chang Gung Memorial Hospital, Linkou*; Deputy Head
Nurse, Chang Gung Memorial Hospital, Linkou**; Supervisor, Chang Gung Memorial Hospital, Linkou***
Accepted: September 20 2012
Address correspondence to: Li-Chen Chen
No.5, Fusing St., Gueishan Township, Taoyuan County 333, Taiwan
Tel: 886-3-328-1200; E-mail: [email protected]
Volume 12 . Number 1 . February 2013 第十二卷 第一期
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