The Effect of Oral Care Intervention on Oral Health Status of Intubated Patients in the Intensive Care Unit

Anggraeni, Diah Tika; Hayati, Ayu Trisna; Nuraeni, Aan

doi:10.33546/bnj.971

Cited by 9 publications

(17 citation statements)

References 32 publications

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“…In their study, Kaya et al (26) showed that the use of chlorhexidine mouthwash alone improved oral health. Inconsistent with the present study's results, Anggraen et al (27) showed that the oral care program had a deteriorating effect on oral health in intubated patients during the study period. Also, the results of Prendergast's study (28) are inconsistent with the present study's results.…”

Section: Discussionsupporting

confidence: 59%

Effects of a Comprehensive Oral Care Program and a Combined Toothbrush and Mouthwash Program with 0.2% Chlorhexidine on Oral Health in Mechanically Ventilated Intubated Patients: A Clinical Trial

et al. 2021

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Background: Patients’ oral health is impaired in Intensive Care units (ICUs) due to loss of consciousness, open mouth, intubation, and mechanical ventilation. Objectives: The current study aimed to compare the effects of comprehensive and combined programs on oral health in patients under mechanical ventilation. Methods: This single-blind clinical trial with three groups was performed on 90 patients with mechanical ventilation admitted to ICUs of medical centers affiliated to the Zahedan University of Medical Sciences, Iran, in 2020. Patients under mechanical ventilation were randomly divided into three groups, including those receiving a comprehensive program, those receiving a combined program, and controls through permutated blocks. In the two intervention groups, oral care was performed for 5 minutes, three times per day, during the 5 days of the study with a specific method. The control group received routine oral care. The patients’ oral health was measured once before the intervention and then every day until the fifth day of the intervention using the Beck Oral Assessment scale. The data were analyzed using the analysis of variance and chi-square in IBM SPSS Statistics software version 26. Results: The mean oral health score in the three groups was not significantly different before the intervention and on the second day of the study (P > 0.05). However, on the third to fifth days of the study, the oral health score in the two intervention groups showed a significant decrease compared to the control group, indicating an oral health improvement in these groups (P = 0.001). The mean oral health score in the control group increased during the study days. Conclusions: Comprehensive care and combination methods can improve oral health in patients under mechanical ventilation. Nurses are recommended to use regular and codified oral care methods.

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Section: Discussionsupporting

confidence: 59%

Effects of a Comprehensive Oral Care Program and a Combined Toothbrush and Mouthwash Program with 0.2% Chlorhexidine on Oral Health in Mechanically Ventilated Intubated Patients: A Clinical Trial

et al. 2021

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“…Patients in critical care and nervous system disorders tend to experience impaired oral hygiene. Oral cavity infections can be a potential source of infection that can lead to various systemic diseases, especially in patients with an endotracheal tube (ETT) in the Intensive Care Unit (ICU) (Anggraeni, Hayati, & Nur'aeni, 2020). The ETT in the mouth of an intubated patient can be the entrance and site for bacterial colonization that causes Ventilator Associated Pneumonia (VAP) which is one of the causes of patient death in the ICU (Cooper, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Nurses as caregivers have an important role in providing oral care interventions to maintain oral health and prevent infection (Anggraeni et al, 2020). On the other hand, the level of knowledge of nurses and doctors regarding oral care to prevent bacterial colonization in the oral cavity and oropharynx is still low.…”

Section: Introductionmentioning

confidence: 99%

“…Oral hygiene care does not guarantee a person's oral health improves. The results of the research by Anggraeni et al, (2020) showed that the oral health status of intubated patients was getting worse, despite routine oral care interventions using chlorhexidine gluconate. Researchers recommend additional topical agents to keep mucous membranes moist, so that the oral health status of intubated patients will be better.…”

Section: Introductionmentioning

confidence: 99%

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Using An Electrical Toothache Salvadora Perisca To Increasing Oral Health Quality: A Manikin Trial

Satino

Setyorini

Darmawan

2022

jkg

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Background: The most effective way of oral care in patients with decreased consciousness is not yet known. Electrical toothace salvadora perisca has the potential to improve oral hygiene because it has an antibiotic effect, and is easy to use. Aim of study is to know the effect of electrical toothace salvadora perisca on oral health quality. Methods: A pre-experimental study in a laboratory using manikins in 2021. The study was conducted by 6 respondents in which each respondent performed 2 oral treatments using an electrical toothace salvadora perisca on the mouth of a manikin that had been dirty make-up using Ky Jelly. The toothbrush was operated for 1 minute evenly on the teeth, and foam sticks are used to clean the lips and oral mucosa. Oral hygiene was measured with a modified Beck Oral Assessment Scale (BOAS) instrument, and the scores of conditions before and after oral care were compared using the Wilcoxon test. Results: Wilcoxon test showed a value of 0.002, which means that there was a difference in the BOAS score between before and after treatment. Electric toothbrushes clean teeth better, and foam sticks are able to clean the inside and soft of the patient's mouth. Conclusion: Electrical toothace salvadora perisca can increasing oral health quality. The implication is need to find and try out the most effective way of doing oral care.

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“…Furthermore, the entry of bacteria into the respiratory tract can be caused by intraoral plaques and biofilm layers, increasing the risk of infection. [3][4][5][6] Inadequate oral hygiene increases the risk of mortality by causing fatal complications such as ventilator-associated pneumonia (VAP). [1][2][3][4][5] Oral care is a basic nursing care application in the ICU, and evidence-based application guidelines have been established.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effects of Two Oral Care Methods: A Pilot Study

Doğu

Banu²

2022

Int. J. Hum. Health Sci.

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Background: Scrubbing with toothbrush and gargling with chlorhexidine has been shown to be effective in reducing bacteria and preventing ventilator-associated pneumonia (VAP) in patients in the intensive care unit (ICU). However, we still lack established evidencebased practice for oral care specific to ICUs.Objective: To evaluate effect of two oral care practices in two different ICUs as measured by the previously developed Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS).Methods: This experimental pilot study was conducted with seven experiment group and seven control group of patients in the ICU setting.Data were collected using a patient information form, Richmond Sedation-Agitation Scale, Glasgow Coma Scale, pain score and ICOCFAS score. The research population consisted of inpatients in the ICU of a training and research hospital in Sakarya, Turkey.Results: After the application of two different oral care practices for seven days, there was no statistically significant difference between the groupsin before and after average total ICOCFAS scores, F(0.214, 14.570) =2.010 (p>0.05). However, when the group effect was kept constant, there was a significant difference between the measurements taken at the end of the seventh day,F(1.214, 14.570) =5.520 (p<0.05).Conclusion: Chlorhexidine combined with toothbrush scrubbing can reduce the incidence of ventilator-associated pneumonia (VAP). However, further studies are needed withlarger sample sizes and additional oral care plans for ICU patients on mechanical ventilation.ICU nurses should be continuously instructed on the importance of adequate dental biofilm removal, chlorhexidine solutions and toothbrush use. The ICOCFAS should be used to evaluate the oral care of patients in ICUs.International Journal of Human and Health Sciences Vol. 06 No. 04 Oct’22 Page: 412-419

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The Effect of Oral Care Intervention on Oral Health Status of Intubated Patients in the Intensive Care Unit

Cited by 9 publications

References 32 publications

Effects of a Comprehensive Oral Care Program and a Combined Toothbrush and Mouthwash Program with 0.2% Chlorhexidine on Oral Health in Mechanically Ventilated Intubated Patients: A Clinical Trial

Effects of a Comprehensive Oral Care Program and a Combined Toothbrush and Mouthwash Program with 0.2% Chlorhexidine on Oral Health in Mechanically Ventilated Intubated Patients: A Clinical Trial

Using An Electrical Toothache Salvadora Perisca To Increasing Oral Health Quality: A Manikin Trial

Comparison of the Effects of Two Oral Care Methods: A Pilot Study

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