This study originally was designed as an RCT,with patients assigned to the intervention group whose teeth were brushed with a suction toothbrush every 8 hours,or to the control group in which they received “usual care,”which could include daily toothbrushing along with Toothette mouth care as needed.The desired sample size was 200 ventilator-dependent patients or 2,000 ventilator days.Ventilator days were already being counted by the respiratory department;counting patients to include in the project was difficult,because one patient could be on the ventilator for 1 day or for 13 days,so it was decided to use whichever number came first,ventilator days or patients.The setting for this study was a critical care unit in a large teaching hospital.Enrollment and data collection began in October 2005.After an expedited review determined this study posed no threat to patient care and was simply a part of routine nursing care,the hospital’s institutional review board (IRB) granted permission to proceed.Nurses were instructed about the importance of oral care;each was given laminated cards with basic instructions.They were told to brush the patient’s teeth,tongue,and hard palate with a toothbrush and toothpaste for at least 1 minute at 22:00,06:00,and 14:00.They were then to use a Toothette to swab the patient’s teeth,tongue,and hard palate for at least 1 minute and to apply a moisturizing ointment to the patient’s lips every 4 hours.The mouth and pharynx of the patient were suctioned as needed with an enclosed Yankauer suction catheter,which was disposed of every 24 hours.Oral assessment of the patient was to be performed every 12 hours and included a full inspection of the oral cavity,gums,lips,and teeth.A commercially prepared oral-care kit with two toothbrushes,one disposable Yankauer catheter,a toothpaste/plaque remover,and a 24-hour supply of Toothettes was chosen.
- chenLv 77 年前最佳解答
This study originally was designed as anRCT, .... ........
Toothette mouth care as needed.
The desired sample size was 200ventilator-dependent patients or . 2,000 ventilator days.
Ventilator days were already being countedby the respiratory department; 隨機對照試驗 [randomizedcontrolled trial] 訂定
. 為本研究最初設計, 病患分配成若干預組,
. 使用 一種潔牙用具 ,刷刷牙齒 或由“常規護理”
. 每 日刷牙之口腔護理 ，
. 依 呼吸器有效採樣量 為200, 日呼吸計入 2,000
. 每 8小 時給予對照,
. 該 項由 呼吸內科負責承辦 .counting patients to include in the projectwas difficult, because one patient could be ............. in a large teaching hospital.Enrollment and data collection began inOctober 2005.上該計畫案針對 呼吸計量之 患者,
. 因呼吸為 1 天或 13 天可能有不適合之困難 度. 做為決定使用呼吸機 之病人 呼吸那一組為先。 2005年10月開始 採集招驗病患和數據。 並在 一家大型教學醫院的重症監護病房
. 設置這項研究。 After an expedited review .......to proceed.
Nurses were instructed about ...... with basic instructions.快速審查後確定這項研究毫無威脅 病人護理 ,
. 也是認定為, 常規護理的一部分，該院的機構審查委員會（IRB）獲准繼續。
. 各自製成單片 關於口腔保健的重要性基本卡。They were told to brush the patient’steeth, tongue, and hard palate with .........指示[護士] 告知病人要刷 牙齒 , 舌頭和硬腭 至少 1分鐘, 牙齒 22: 00 舌頭 06:00 硬腭14:00 。 They were then to use a Toothette to swab......... ...with an enclosed
Yankauer suction catheter,...... of every 24 hours.使用 一種潔牙用具[Toothette] 擦刷病人的 牙齒，舌頭，
而可每4小時 保濕軟膏應用到患者的嘴唇 。
. 抽吸病人的口腔 設備可用. 24 小時..Oral assessment of the patient was to be.........Yankauer catheter, a toothpaste/plaqueremover, and a 24-hour supply of Toothettes was chosen進行口腔評估患者每12 小時，包括了全面檢查口腔，
. 牙齦，嘴唇，牙齒。口腔護理工具包, 準備兩把一般牙刷 或, 24小時備用 一種為 用完即丟棄的楊克氏（Yankauer）導管刷
. 該 潔牙用具[Toothette] 是為不錯選擇參考資料： S. H. Chen. 系統工程酒師的居酒屋