广西壮族自治区三级医院ICU有创机械通气病人口腔健康现状及其影响因素OA北大核心CSTPCD

Objective:To investigate the status quo of oral health of ICU patients with invasive mechanical ventilation from tertiary hospitals in Guangxi Zhuang Autonomous Region,and to analyze its influencing factors.Methods:A total of 204 ICU patients with invasive mechanical ventilation from 5 tertiary hospitals in Guangxi Zhuang Autonomous Region were selected as the research subjects by convenience sampling method in July 2023.The general information questionnaire and Beck Oral Assessment Scale(BOAS)were used for the survey.Results:The BOAS score of ICU patients with invasive mechanical ventilation was(7.79±2.86)points,and 62 patients(30.39%)had no damage to oral health.The results of the random forest model showed that the 5 variables with the higher importance score were the duration of mechanical ventilation,whether to use specialized mouthwash or not,Acute Physiology and Chronic Health Evaluation Score Ⅱ(APACHE Ⅱ)score,whether to use a toothbrush or not,and whether to moisturize the lips or not.The results of stepwise regression analysis showed that APACHE Ⅱ score,whether to use a toothbrush or not,whether to use specialized mouthwash or not,and whether to moisturize the lips or not were the main influencing factors on the oral health of ICU patients with invasive mechanical ventilation(P<0.05).Conclusions:The proportion of ICU patients with invasive mechanical ventilation who suffer from oral health damage is relatively high,and it is influenced by multiple factors.It is recommended to adopt comprehensive intervention measures to promote the oral health of patients.