CAJ | 학술논문

目的：调查新入职护理人员接受预防呼吸机相关性肺炎（ VAP）口腔护理知识培训前后对口腔护理认知度情况，以增强其对预防VAP的口腔护理认知度。方法选取某三级甲等综合医院新入职108名护理人员，自行设计问卷，调查培训前后其对预防VAP口腔护理知识认知情况并对结果进行统计分析。结果培训前后预防VAP口腔护理目标认知率分别为31．5％，100．0％，差异有统计学意义（χ2＝112．563，P＜0．01）；培训前口腔相关护理、吸痰护理、气管插管护理重要性评分分别为（5．9±2．7），（7．9±2．0），（7．6±2．8）分，培训后分别为（9．5±0．4），（8．4±1．5），（8．9±1．0）分，差异均有统计学意义（t值分别为16．438，32．165，11．147；P＜0．01）；培训前后0．12％氯己定使用频率分别为（53．8±3.1）％，（97．4±1．7）％，差异有统计学意义（t＝21．603，P＜0．01）。结论对新入职护理人员进行系统口腔护理理论知识培训可提高其对预防VAP口腔护理知识认知度。
목적：조사신입직호리인원접수예방호흡궤상관성폐염（ VAP）구강호리지식배훈전후대구강호리인지도정황，이증강기대예방VAP적구강호리인지도。방법선취모삼급갑등종합의원신입직108명호리인원，자행설계문권，조사배훈전후기대예방VAP구강호리지식인지정황병대결과진행통계분석。결과배훈전후예방VAP구강호리목표인지솔분별위31．5％，100．0％，차이유통계학의의（χ2＝112．563，P＜0．01）；배훈전구강상관호리、흡담호리、기관삽관호리중요성평분분별위（5．9±2．7），（7．9±2．0），（7．6±2．8）분，배훈후분별위（9．5±0．4），（8．4±1．5），（8．9±1．0）분，차이균유통계학의의（t치분별위16．438，32．165，11．147；P＜0．01）；배훈전후0．12％록기정사용빈솔분별위（53．8±3.1）％，（97．4±1．7）％，차이유통계학의의（t＝21．603，P＜0．01）。결론대신입직호리인원진행계통구강호리이론지식배훈가제고기대예방VAP구강호리지식인지도。
Objective To investigate the improvement of newly recruited nurses'oral nursing cognition after the oral nursing training which focuses on the prevention of VAP .Methods Chosen 108 newly recruited nurses in one third grade class A hospital , utilized self-designed questionnaire to investigate the improvement of cognition on oral nursing for the VAP prevention and analyzed the results .Results There was a dramatical improvement after the training of oral nursing about VAP prevention; the cognition rate were 31.5%( before training) and 100.0%(after training), the difference had statistical significance (χ2 =112.563,P<0.01). Before the training , the importance score of oral nursing care , sputum aspirating nursing , and trachea cannula nursing's assessment were (5.9 ±2.7), (7.9 ±2.0) and (7.6 ±2.8) respectively;but after the training, the score improved to (9.5 ±0.4), (8.4 ±1.5) and (8.9 ±1.0) respectively, the differences had statistical significance(t=16.438,32.165 ,11.147,respectively;P<0.01);before and after the training, the frequency of using chlorhexidine were (53.8 ±3.1)%and (97.4 ±1.7)%,the difference had statistical significance (t=21.603,P<0.01).Conclusions Trained newly recruited nursing staff oral care knowledge was a efficient method to improve the cognition of VAP prevention .