中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
36期
1-6
,共6页
口腔护理%口腔卫生%气管插管%危重护理%文献计量学
口腔護理%口腔衛生%氣管插管%危重護理%文獻計量學
구강호리%구강위생%기관삽관%위중호리%문헌계량학
Oral care%Oral hygiene%Endotracheal intubation%Critical care%Bibliometrics
目的 了解我国经口气管插管患者口腔护理研究的进展情况,明确存在的问题,为今后的研究方向提供参考.方法 检索截至2013年12月的CNKI、万方、维普和CBM 4个数据库中有关经口气管插管患者口腔护理研究的文献,并采用文献计量学分析方法对检索结果进行系统分析.结果 共纳入1997年至2013年符合标准的文献309篇,主要收录于22种护理专业期刊中.经口气管插管患者口腔护理方法可大体归纳为5种:冲洗加擦洗法(95篇),传统棉球(棉棒)擦拭和/或纱布(球)擦拭法(58篇),牙刷刷洗法(54篇),冲洗法(51篇),喉镜协助法(7篇).54篇文献使用传统棉球作为护理工具,55篇文献使用牙刷,其中儿童(软毛)牙刷29篇,普通牙刷14篇,电动牙刷12篇.口腔护理溶液主要有生理盐水(49篇)、中药溶液(36篇)、氯己定(36篇)、抗生素(12篇)、聚维酮碘(17篇)、碳酸氢钠(9篇)等.结论 经口气管插管患者的口腔护理已经引起护理研究者的重视,但口腔护理方法、频次及护理工具的使用仍欠规范.今后需加强护理人员的系统培训,提高科研工作者的科研能力,开展大样本、高质量的研究,制定全国性口腔护理指南,提高我国危重患者口腔护理水平.
目的 瞭解我國經口氣管插管患者口腔護理研究的進展情況,明確存在的問題,為今後的研究方嚮提供參攷.方法 檢索截至2013年12月的CNKI、萬方、維普和CBM 4箇數據庫中有關經口氣管插管患者口腔護理研究的文獻,併採用文獻計量學分析方法對檢索結果進行繫統分析.結果 共納入1997年至2013年符閤標準的文獻309篇,主要收錄于22種護理專業期刊中.經口氣管插管患者口腔護理方法可大體歸納為5種:遲洗加抆洗法(95篇),傳統棉毬(棉棒)抆拭和/或紗佈(毬)抆拭法(58篇),牙刷刷洗法(54篇),遲洗法(51篇),喉鏡協助法(7篇).54篇文獻使用傳統棉毬作為護理工具,55篇文獻使用牙刷,其中兒童(軟毛)牙刷29篇,普通牙刷14篇,電動牙刷12篇.口腔護理溶液主要有生理鹽水(49篇)、中藥溶液(36篇)、氯己定(36篇)、抗生素(12篇)、聚維酮碘(17篇)、碳痠氫鈉(9篇)等.結論 經口氣管插管患者的口腔護理已經引起護理研究者的重視,但口腔護理方法、頻次及護理工具的使用仍欠規範.今後需加彊護理人員的繫統培訓,提高科研工作者的科研能力,開展大樣本、高質量的研究,製定全國性口腔護理指南,提高我國危重患者口腔護理水平.
목적 료해아국경구기관삽관환자구강호리연구적진전정황,명학존재적문제,위금후적연구방향제공삼고.방법 검색절지2013년12월적CNKI、만방、유보화CBM 4개수거고중유관경구기관삽관환자구강호리연구적문헌,병채용문헌계량학분석방법대검색결과진행계통분석.결과 공납입1997년지2013년부합표준적문헌309편,주요수록우22충호리전업기간중.경구기관삽관환자구강호리방법가대체귀납위5충:충세가찰세법(95편),전통면구(면봉)찰식화/혹사포(구)찰식법(58편),아쇄쇄세법(54편),충세법(51편),후경협조법(7편).54편문헌사용전통면구작위호리공구,55편문헌사용아쇄,기중인동(연모)아쇄29편,보통아쇄14편,전동아쇄12편.구강호리용액주요유생리염수(49편)、중약용액(36편)、록기정(36편)、항생소(12편)、취유동전(17편)、탄산경납(9편)등.결론 경구기관삽관환자적구강호리이경인기호리연구자적중시,단구강호리방법、빈차급호리공구적사용잉흠규범.금후수가강호리인원적계통배훈,제고과연공작자적과연능력,개전대양본、고질량적연구,제정전국성구강호리지남,제고아국위중환자구강호리수평.
Objective To know the progress of research in oral care of orotracheal intubated patients in China and to analyze the existing problems as well as provide the reference for further study.Methods Databases of CNKI,Wanfang,VIP and CBM were searched for literature on oral care for the orotracheal intubated patients by the end of December 2013,and the methods of bibliometrics were used to analyze the research results.Results Three hundred and nine articles that met the inclusion and exclusion criteria from 1997 to 2013 were collected.These papers were mainly included in 22 kinds of nursing journals.The methods of oral care for orotracheal intubated patients could be classified into five types:rinse and swabbing (95 papers),traditional cotton(cotton swab) cleaning or gauze swabbing (58 papers),toothbrushing (54 papers),oral rinse (51 papers),laryngoscope assistance (7 papers).With 54 articles using traditional cotton balls as oral care tool,55 papers using toothbrush,including children toothbrush of soft bristle (29 papers),ordinary toothbrush (14 papers) and electric toothbrush (12 papers).Oral care solution mainly included normal saline(49 papers),traditional Chinese medicine (36 papers),chlorhexidine(36 papers),antibiotics (12 papers),povidone iodine (17 papers),sodium bicarbonate (9 papers),etc.Conclusions The oral care of orotracheal intubated patients has attracted the attention of researchers,but the use of oral care methods,the frequency in oral care and oral care tools still owe specification.More attention should be paid to strengthen the training of nursing staff,to improve the scientific research ability of scientific research workers and to carry out large sample and high quality trials.An oral care guideline that fits into our national conditions should be built in an effort to improve the level of oral care in critical patients in our country.
