PDF(Pubmed)
Abstract：
UNASSIGNED: Endotracheal intubation and mechanical ventilation are the most frequently used life-sustaining interventions in critical care. Prolonged intubation can lead to post-extubation dysphagia, affecting the individual\'s nutritional level and communication ability. Thereupon, this study aims to assess the effectiveness of swallowing and oral care interventions in resuming oral intake and increasing salivary flow in post-extubation patients.
UNASSIGNED: A randomized controlled trial was conducted in critical care units of a tertiary care setting, where 92 post-extubation patients who had undergone intubation for≥48 hours were enrolled. The intervention group received swallowing and oral interventions, including safe swallowing education (SSE), toothbrushing, salivary gland massage, oral cavity, and swallowing exercises. In contrast, the control group received standard oral care every 8th hour. Oral intake was assessed daily with the Functional Oral Intake Scale, and the salivary flow measurement was assessed with oral Schirmer\'s test on the 1st, 3rd, and 7th day after extubation.
UNASSIGNED: The baseline demographic and clinical characteristics showed that the groups were homogenous. The intervention group achieved total oral intake two days earlier than the control group. Findings also showed that the participants in the intervention group had a significant increase in salivary flow than in the control group on the 3rd and 7th days of the intervention.
UNASSIGNED: Swallowing and oral care interventions help post-extubation patients resume early oral intake and increase salivary flow after prolonged intubation. Hence, it improves the patient\'s outcome toward a healthy life.
UNASSIGNED: A randomized controlled trial was conducted in critical care units of a tertiary care setting, where 92 post-extubation patients who had undergone intubation for≥48 hours were enrolled. The intervention group received swallowing and oral interventions, including safe swallowing education (SSE), toothbrushing, salivary gland massage, oral cavity, and swallowing exercises. In contrast, the control group received standard oral care every 8th hour. Oral intake was assessed daily with the Functional Oral Intake Scale, and the salivary flow measurement was assessed with oral Schirmer\'s test on the 1st, 3rd, and 7th day after extubation.
UNASSIGNED: The baseline demographic and clinical characteristics showed that the groups were homogenous. The intervention group achieved total oral intake two days earlier than the control group. Findings also showed that the participants in the intervention group had a significant increase in salivary flow than in the control group on the 3rd and 7th days of the intervention.
UNASSIGNED: Swallowing and oral care interventions help post-extubation patients resume early oral intake and increase salivary flow after prolonged intubation. Hence, it improves the patient\'s outcome toward a healthy life.
摘要：
■气管插管和机械通气是重症监护中最常用的维持生命的干预措施。长时间插管会导致拔管后吞咽困难，影响个体的营养水平和沟通能力。于是,本研究旨在评估吞咽和口腔护理干预在拔管后患者恢复口服摄入和增加唾液流量方面的有效性.
■在三级护理机构的重症监护病房进行了一项随机对照试验，纳入92例插管时间≥48小时的拔管后患者.干预组接受吞咽和口腔干预,包括安全吞咽教育(SSE)，刷牙,唾液腺按摩，口腔,和吞咽练习。相比之下,对照组每8小时接受标准口腔护理.每天用功能性口服摄入量量表评估口服摄入量，唾液流量测量在1日通过口服Schirmer测试进行评估，3rd,拔管后第7天。
■基线人口统计学和临床特征表明各组是同质的。干预组比对照组提前2天达到总口服量。研究结果还显示，在干预的第3天和第7天，干预组的参与者的唾液流量比对照组显着增加。
■吞咽和口腔护理干预有助于拔管后患者恢复早期口服摄入，并在长时间插管后增加唾液流量。因此，它可以改善患者的健康生活。
■在三级护理机构的重症监护病房进行了一项随机对照试验，纳入92例插管时间≥48小时的拔管后患者.干预组接受吞咽和口腔干预,包括安全吞咽教育(SSE)，刷牙,唾液腺按摩，口腔,和吞咽练习。相比之下,对照组每8小时接受标准口腔护理.每天用功能性口服摄入量量表评估口服摄入量，唾液流量测量在1日通过口服Schirmer测试进行评估，3rd,拔管后第7天。
■基线人口统计学和临床特征表明各组是同质的。干预组比对照组提前2天达到总口服量。研究结果还显示，在干预的第3天和第7天，干预组的参与者的唾液流量比对照组显着增加。
■吞咽和口腔护理干预有助于拔管后患者恢复早期口服摄入，并在长时间插管后增加唾液流量。因此，它可以改善患者的健康生活。
