ICU经口气管插管病人口腔黏膜压力性损伤预防的循证实践

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AbstractObjective：TosummariethebestevidenceforpreventingoralmucosalpresureijuriesinICUpatientswithotrachalintubtion andtoevaluatethaplicationefectofapracticeprotocoldevelopedbasedonthisevidence.Methods：Literatureonthepreventioforal mucosalpresurijuriesinICUpatientsithrotrachealintubatoasretrieedfroUpDate，BMJestPractice，JIEvidenceased HealthcareCenteradprofesionaloranzationwebsis，ithteachprodfrodatabaseieptiontoMay3O3.oeah trainedinevidencebasedpracticidependentlyealuatedtequalityofteiteratueadextracteddataAnedenebasedpractiotool wasthendevelopedadimplementeditegeneralICUofatertiaryhspitalforoneyeartoassessitsfectivenessResults：Atotalof2 articlesweredddpreiatesreaedringst，baiget，e After the second round of implementation，high-risk patient identification rate increased from 62.1% to 91.7% .Compliance with endotracheal tube securement standards improved from 60.50% to 100.00% .Compliance with oral care standards rose from 42.70% to 100.00% .Incidence of oral mucosal pressure injuries decreased from 35.2% to 10.0% ，with stage 2+ injuries dropping from 14.8% to O.Healthcare staff knowledge scores improved from 12.5±2.3 to 18.6± 1.1.Conclusions： The evidence-based prevention strategies could effectively enhance the prevention oforalucosalpressureursinICUpatintsitotracealtubatioItouldiproeigskpatitentificationndadded care，reduce injury incidence，and elevate healthcare staffs knowledge as well.

Keywordsintensivecareunit;orotracheal intubation;pressure injury;oral mucosal; prevention;evidence-based nursing

关键词重症监护室；气管插管；压力性损伤；口腔黏膜；预防；循证护理 doi：10.12102/j.issn.1009-6493.2025.17.009

经口气管插管是重症监护室（ICU）危重症病人常用的有创通气方式，能够维持病人通气和氧合，但同时也存在引起口腔黏膜压力性损伤的风险。（剩余18674字）