Effects of oral care provided with three different tools in patients receiving mechanical ventilation<p>Mekanik ventilatöre bağlı hastalarda üç farklı araçla verilen ağız bakımının etkisi

Authors

  • Hüsna Özveren Kırıkkale University
  • Hülya Uçar Nuh Naci Yazgan University

Keywords:

Oral Care, Mechanical Ventilator, Oral Care Tools, Oral Mucosa, Ağız Bakımı, Mekanik Ventilatör, Sakşınlı Diş Fırçası, Ağız bakım araçları, ağız mukozası

Abstract

Aim: This study was conducted to investigate the effects of oral care provided suction toothbrush, suction sponge stick and sponge stick in patients receiving mechanical ventilation.

Material and method: The study was conducted as a quasi-experimental study. Thirty patients who were over 18 years of age and receiving mechanical ventilation comprised the study sample. The patients who met the inclusion criteria were divided into three groups: the suction toothbrush group, the suction sponge stick group and the sponge stick group. The patients in the three groups were provided oral care by the researcher twice a day at 12-hour intervals for 5 days. To collect the data, the socio-demographic characteristics form, the patient follow-up form, the Oral Assessment Follow-up Form and the microbiological follow-up form were used.

Results: The comparison of the patients’ mean scores obtained from the oral assessment scale on the 1st and 6th days in terms of oral care tools revealed a statistically significant difference (p <0.05). The difference was due to the scores of the suction-toothbrush group.

Conclusion: In this study, it was determined that oral care performed regularly on the basis of a standard protocol had a positive effect on the oral mucosa health, and that the suction toothbrush was particularly the most effective oral care tool for the protection and maintenance of the oral mucosa health.

Extended English abstract is in the end of Full Text PDF (TURKISH) file.

 

Özet

Amaç: Araştırma mekanik ventilatöre bağlı hastalarda sakşınlı diş fırçası, sakşınlı süngerli çubuk ve süngerli çubukla verilen ağız bakımının etkisini incelemek amacıyla yapılmıştır.

Materyal Metot: Araştırma, yarı deneysel olarak yapılmıştır. Araştırmanın örneklemini, 18 yaşından büyük ve mekanik ventilatöre bağlı olan 30 hasta oluşturmuştur. Örneklem kriterlerine uyan hastalar sakşınlı diş fırçası, sakşınlı süngerli çubuk, süngerli çubuk olmak üzere üç gruba ayrılmıştır. Araştırmacı tarafından, her üç grupta yer alan hastalara 5 gün boyunca günde 2 kez 12 saat aralıklarla ağız bakımı verilmiştir. Verilerin toplanmasında; hastalara ait tanıtıcı özellikler formu, hasta izlem formu, ağız değerlendirme izlem formu ve mikrobiyolojik izlem formu kullanılmıştır. Bulgular: Hastaların ağız bakım araçlarına göre 1. gün ve 6. gün ağız değerlendirme ölçeği puan ortalamaları karşılaştırıldığında aradaki fark istatistiksel olarak önemli bulunmuştur (p<0.05). Farklılığın sakşınlı diş fırçası grubundan kaynaklandığı saptanmıştır.

Sonuç: Bu çalışmada, standart bir protokolle yapılan düzenli ağız bakımının ağız mukoza sağlığını olumlu etkilediği ayrıca sakşınlı diş fırçasının ağız sağlığının korunması ve sürdürülmesinde en etkili ağız bakım aracı olduğu belirlenmiştir.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Author Biographies

Hüsna Özveren, Kırıkkale University

MSc, PhD. Assoc. Professor, Kırıkkale University, Faculty of Health Science, Department of Nursing

Hülya Uçar, Nuh Naci Yazgan University

MSc, PhD. Professor, Nuh Naci Yazgan  University, Faculty of Health Science, Department of Nursing

References

Abidia, R. (2007). Oral care in the intensive care unit: a review. The Journal of Contemporary Dental Practice, 8: 1-8.

Augustyn, B. (2007). Ventilator-associated pneumonia. Critical Care Nursing, 4: 32-39.

Berry, A.M., Davidson, P.M., Nicholson, L., Pasqualotto, C., & Rolls, K. (2011). Consensus-Based clinical guidelines for oral hygiene in the critically ill. Intensive and Critical Care Nursing, 27: 180–185.

Berry, A.M. (2013). Comparison of Listerine and sodium bicarbonate oral cleansing solutions on dental plaque colonisation and incidence of ventilator associated pneumonia in mechanically ventilated patients: A randomised control trial. Intensive and Critical Care Nursing, 29: 275-281

Berry, A. & Davidson, P. ( 2006). Beyond Confort: Oral Hygiene as a Critical Nursing Activity in the İntensive Care Unıt. İntensive and Critical Care Nursing, 22: 318-328.

Boop, M., Darby, M., Loftin, K., & Broscious, S. (2006) Effect of daily oral care with 0.12% chlorhexidine gluconate and a standart oral care protocol on the development of nosocomial pneumonia in intubated patients: a pilot study. J Dent Hygiene, 80: 9.

Chan, E.Y., & Hui-Ling, Ng. I. (2012). Oral care practices among critical care nurses in Singapore: a questionnaire survey. Applied Nursing Research, 25: 197-204.

Coffin, S.E., Klompas, M., Classen. D. et al. (2008). Strategies to prevent ventilator-associated pneumonia in acute care hospitals. Strategies, 29: 31-40.

Costello, T., & Coyne, I. (2008). Nurses’Knowledge of mounth care practices. British Journal of Nursing, 17: 264-268.

Craven, D. (2006). Preventing Ventilator-Associated Pneumonia in Adults. Chest, 1: 251-259.

Cutler, C., & Davis, N. (2005). İmproving oral care in patients receiving mechanical ventilation. American Journal of Critical Care,14: 389-394.

Cutler, L.R., & Sluman, P. (2014). Reducing ventilator associated pneumonia in adult patients through high standards of oral care: A historical control study. Intensive and Critical Care Nursing, 30: 61-68

Eilers, J., Berger, A., & Petersen, M. (1988). Development, testing and application of the oral asssesment guide. Oncology Nursing Forum, 15: 325-330.

El-Rabbany, M., Zaghlol, N., Bhandari, M., & Azarpazhooh, A. (2015) Prophylactic oral health procedures to prevent hospital acquired and ventilator associated pneumonia: A systematic review. International Journal of Nursing Studies, 52: 452-464

Fields, L. (2008). Oral care ıntervention to reduce ıncidence of ventilator-associated pneumonia in the neurologic ıntensive care unit. Journal of Neuroscience Nursing, 40: 291-298.

Fourrier, F., Pottier, E., Boutigny, H., Delvallez, M., Jourdain, M., & Chopin, C. (2000). Effects Of Dental Plaque Antiseptic Decontamination on Bacterial Colonization and Nosocomial İnfections İn Critically İll Patients. İntensive Care Med, 26: 1239-1247.

Fourrier, F. Dubois, D. Pronnier, P. Herbecq, P. et al. (2005). Effect of gingival and dental plaque antiseptic decontamination on nosocomial infections acquired in the intensive care unit: a double-blind placebo- controlled multicenter study. Critical Care Med, 33: 1728-1735.

Grap, M.J., Munro, C.L., Unoki, T., Hamilton, V.A., & Ward, K.R. (2012). Ventilator-associated pneumonia: the potential critical role of emergency medicine in prevention. J Emerg Med, 42: 353-362.

Grap, J., Munra, C., Elswick, R., Sessler, C., & Ward, K.R. (2004). Duration of action of a single, early oral application of chlorhexidine on oral microbial flora in mechanically ventilated patients: a pilot study. Heart Lung, 33: 83-91.

Hua, F., Xie, H., Worthington, Furness, S., Zhang, Q., & Li, C. (2016). Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. Cochrane Database Syst Rev, 10

Li, L., Ai, Z., Li, L., Zheng, X., & Jie, L. (2015). Can routine oral care with antiseptics prevent ventilator associated pneumonia in patients receiving mechanical ventilation? An update meta-analysis from 17 randomised control trials. Int J Clin Exp Med, 8: 1645-1657

Liao, Y.M., Tsai, J.R. & Chou, F.H. (2014). The effectiveness of an oral health care program for preventing ventilator associated pneumonia. İntensive and Critical Care Nursing, 20: 89-97.

McNeill, H. (2000 ). Biting Back of Poor Oral Hygiene. İntensive and Critical Care Nursing, 16: 362-367.

Munro, C. (2014); Oral health: Something to smile about. American Journal of Critical Care, 23: 282-288.

Muscedere, J.G., Martin, C.M., & Heyland, D.K. (2008). The impact of ventilatorassociated pneumonia on the Canadian health care system. J Crit Care, 23: 5-10.

Özveren H. Mekanik ventilatöre bağlı hastalarda ağız bakımı. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2010;17(2): 92-99

Pearson, L., & Hutton, J.A. (2002). Controlled trial to compare the ability of foam swabs and toothbrushes to remove dental plaque. Journal of Advanced Nursing, 39: 480-489.

Rello, J., Koulenti, D., Blot, S., Sierra, R., Diaz, E., De Waele, J.J., Macor, A., Agbaht, K. & Rodriguez, A. (2007). Oral Care Practices in İntensive Care Units: A Survey of 59 European ICU’s.İntensive Care Med, 33 (6), 1066-1070.

Ross, A., & Crumpler, J. (2007).The impact of an evidence-based practice education program on the role of oral care in the prevention of ventilator-associated pneumonia. İntensive and Critical Care Nursing, 23: 132-136.

Safdar, N., Dezfulian, C., Collard, H. R., & Saint, S. (2005). Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med, 33: 2184-93.

Schleder, B., Stott, K., & Lylod, R. (2002). The effect of a comprehensive oral care protocol on patients at risk for ventilator-associated pneumonia. Advocate Health Care, 4: 27-30.

Vall´es. J., Pobo, A., Garc´ıa-Esquirol, O., Mariscal, D., Real, J., & Fernández, R. (2007). Excess ICU mortality attributable to ventilatorassociated pneumonia: the role of early vs late onset. Intensive Care Med, 33: 1183-1197

Yao, L.Y., Chang, C.K., Maa, S.H., Wang, C., & Chen, C.C. (2011). Brushing teeth with purified water to reduce ventilator-associated pneumonia. J Nurs Res, 19: 289-296.

Yates, J. (2002 ). The Rol of a Meticulous Oral Hygiene Program in Reducing Oral Assessment

Scores, Mucosal Plaque Scores, Colonization of Dental Plaque And Exposotion to Pathogn Colonization That May Lead to Nosocomial Respiratory İnfections in A Selected ICU Patient Population, George MasonUniversity

Yeung, K.Y., & Chui, Y.Y. (2010). An exploration of factors affecting Hong Kong ICU nurses in providing oral care. Journal of Clinical Nursing, 19: 3063-3072.

Yüceer, S., & Demir, S. (2009). Yoğun Bakım Ünitesindeki Nozokomiyal Enfeksiyonların Önlenmesi ve Hemşirelik Uygulamaları. Dicle Tıp Dergisi, 36 (3), 226-233.

Downloads

Published

2017-12-23

How to Cite

Özveren, H., & Uçar, H. (2017). Effects of oral care provided with three different tools in patients receiving mechanical ventilation&lt;p&gt;Mekanik ventilatöre bağlı hastalarda üç farklı araçla verilen ağız bakımının etkisi. Journal of Human Sciences, 14(4), 4507–4519. Retrieved from https://j-humansciences.com/ojs/index.php/IJHS/article/view/4948

Issue

Section

Nursing and Midwifery