广西壮族自治区三级医院ICU有创机械通气病人口腔健康现状及其影响因素

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基金项目 广西壮族自治区卫生健康委员会课题，编号：Z⁃C20230866；2022年桂林市技术创新引导计划项目，编号：20220131⁃4

作者简介 唐龙，副主任护师，本科

通讯作者 韦艳春，E⁃mail：510800604@qq.com

引用信息 唐龙，张源慧，陆翠谊，等.广西壮族自治区三级医院ICU有创机械通气病人口腔健康现状及其影响因素[J].护理研究，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： 510800604@qq.com

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：调查广西壮族自治区三级医院重症监护室（ICU）有创机械通气病人口腔健康现状，并分析其影响因素。（剩余9648字）