Evidence-based practice of oral care for infants with tracheal intubation
HE Fang
WANG Yake
LI Canying
LIU Hui
CAO Lei
FENG Jieyi
WANG Ping
WU Dehua
LIN Yan
Abstract：Objective:To summarize the best evidence on oral care for tracheally intubated neonates and apply it to clinical practice.Methods:A total of 11 review indicators were developed in the evidence compilation phase,and 202 tracheally intubated infants admitted to the neonatal intensive care unit(NICU)of a national children's regional medical center in Guangzhou City and 59 healthcare workers were reviewed.Assessment of healthcare workers'implementation of review indicators at 1,7,and 12 months in 2023.108 cases admitted from January-December 2022 were included as control group and 94 cases admitted from January-December 2023 were included as observation group.To compare the number of ventilator-associated pneumonia(VAP)occurrences,time of tracheal intubation,length of hospital stay,and number of unplanned extubation occurrences before and after evidence-based practice in two groups of children.Results:The implementation rate of the review indexes by healthcare workers was significantly improved after the evidence-based practice(P＜0.001).The number of VAP occurrences in the observation group was lower than that in the control group,and the difference was statistically significant(P＜0.05),while the comparison of tracheal intubation time,hospitalization time,and the number of unplanned extubation occurrences showed no statistically significant difference(P＞0.05).Conclusion:Evidence-based oral care for neonates with tracheal intubation can reduce the incidence of VAP in children and improve the implementation rate of the best evidence-based evidence by healthcare professionals.
Keywords：neonatal intensive care unittracheal intubationinfantoral careevidence-based practice
Publication Date：2024-10-31
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 3634-3639 )