scholarly journals THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT

2020 ◽  
Vol 6 (1) ◽  
pp. 21-26
Author(s):  
Diah Tika Anggraeni ◽  
Ayu Trisna Hayati ◽  
Aan Nur'aeni

Background: Oral infections can be a potential source of infection resulting in a variety of systemic diseases, especially in intubated patients in an Intensive Care Unit (ICU). Endotracheal tube (ETT) of the intubated patient’s mouth can be an entry point and place of bacteria colonization that causes ventilator-associated pneumonia which is one of the causes of the patient’s death in ICU. Nurses as caregivers have an important role in providing oral care intervention to maintain oral health and prevent the infection.Objective: This study aimed to analyze the effect of oral care intervention on oral health status of intubated patients in the ICU. Methods: This was a pre-experimental study with one group pre-test post-test design. A consecutive sampling was used to select 18 intubated patients in the ICU of Al Islam hospital in Bandung. Oral health status was evaluated by Beck Oral Assessment Scale (BOAS). Descriptive analysis was used for the univariate analysis and t-test was used for bivariate analysis.         Results: The results showed that oral health scores before and after intervention were 11.94 and 13.28 (p=.004). The BOAS subscales had a significant worsening of the lips, gingiva, oral mucosa and saliva (p<.05), while there was an improvement in teeth subscale after oral care intervention (p<.001).Conclusion: The results suggested that the oral health status of intubated patients had worsened, despite routinely oral care intervention using chlorhexidine gluconate. Mucosa care may become an essential part of the oral care intervention for intubated patients. Therefore, additional topical agent is needed to maintain the moisture of the mucosal membrane, so that the oral health status of intubated patients will be better.  

2018 ◽  
Vol 20 (3) ◽  
pp. 244-251
Author(s):  
Vajihe Atashi ◽  
Ahmadreza Yazdannik ◽  
Hosein Mahjobipoor ◽  
Hojjatollah Yousefi ◽  
Reza Bekhradi ◽  
...  

2019 ◽  
Vol 4 (3) ◽  
pp. 25-31
Author(s):  
Renata De Moura Cruz QUINTANILHA ◽  
Mara Regina Rocha PEREIRA ◽  
Silvia Paula De OLIVEIRA ◽  
Cláudia De S. Thiago RAGON ◽  
Michelle AGOSTINI ◽  
...  

Author(s):  
Bhakti Datar ◽  
Amit Kumar ◽  
Bhumika Badiyani

Good oral care and adapting to proper tooth brushing technique can be a difficult task for the visually impaired individuals. Unlike the normal individuals, visually impaired ones cannot suspect the early dental problem in their oral cavity till it is symptomatic simply because they cannot visualize the intricacies of it. Hence, assessment of the oral health status in the visually impaired individuals and teaching them preventive oral care are extremely important for them. Objective: The study was undertaken to compare and assess the oral health status of the visually impaired students before and after giving them oral care instructions. Materials and Methods: A group of 120 visually impaired students was selected. They were subjected to simple dental examination and were given oral care instructions verbally. Proper tooth-brushing technique was taught to them individually. The subjects were evaluated as per the need of dental restorations, extractions, orthodontic treatment, oral prophylaxis and good dentition subjects needing no dental treatment. The same subjects were re-evaluated after four months under similar guidelines. The data collected from both the phases of dental examination was compared and subjected to analysis. Results: The present study did not show much of improvement of statistical significance though it did not show much of worsening in the oral health status of the visually impaired subjects as well. Summary and conclusion: The study emphasizes the serious need for repetitive and collective efforts with multi-dimensional cross-involvement for the better oral health status of the visually impaired individuals in the society. Key Words: Visually impaired, oral health, instructions, tooth-brushing technique.


2017 ◽  
Vol 30 (2) ◽  
pp. 69-73 ◽  
Author(s):  
Abdullah Haghighi ◽  
Vida Shafipour ◽  
Masoumeh Bagheri-Nesami ◽  
Afshin Gholipour Baradari ◽  
Jamshid Yazdani Charati

RSBO ◽  
2017 ◽  
Vol 14 (3) ◽  
pp. 135-41
Author(s):  
Fernanda Haverroth Schunemann ◽  
Soraia Hopfner Canani ◽  
Constanza Marín

Hospitalized children can present some complications if they do not present a correct oral care during hospitalization. Objective: This study aimed to perform an oral evaluation of children and adolescents hospitalized in an intensive care unit of a children’s hospital at southern Brazil. Material and methods: 49 subjects were examined, aged from 0 to 17 years old, using the modified Oral Assessment Guide (OAGm). The lips, corner of the mouth, gums, oral mucosa, saliva, tongue, and teeth were examined. Each category was classified in a numeric scale from 1 to 3, where 1 means the better condition and 3 the worse. Results: The results showed alterations in the lips, tongue, oral biofilm, and saliva in most of the subjects. The OAGm value indicated a worse oral condition in older children. The OAGm values for children with teeth were higher than that for edentulous children, this difference was statistically significant (p<0.05). Conclusion: It could be concluded that children hospitalized in an intensive care unit show deficiency in oral health when assessed through OAGm.> p<0.05). Conclusion: It could be concluded that children hospitalized in an intensive care unit show deficiency in oral health when assessed through OAGm.


2021 ◽  
Vol 11 (1) ◽  
pp. 42
Author(s):  
Aya Yoshino ◽  
Yoshihiko Nakamura ◽  
Yuhei Irie ◽  
Taisuke Kitamura ◽  
Tohru Takata ◽  
...  

The oral health of coronavirus disease 2019 (COVID-19) patients in the intensive care unit (ICU) is an important issue in treatment of respiratory failure. We retrospectively investigated the oral health history of severe COVID-19 patients who received extracorporeal membrane oxygenation (ECMO) from April 2020 to December 2020 using the oral assessment guide from Fukuoka University (OAG-F). Nineteen consecutive patients (median age: 62 years) were divided into two groups according to survival (survivors, n = 12; non-survivors, n = 7). A univariate analysis revealed no significant differences between the groups in sex, age, body mass index (BMI), or the number of remaining teeth, whereas the ECMO assistance of non-survivors (median: 34 days) was prolonged in comparison to survivors (median: 8 days; p < 0.05). Among the factors of OAG-F, significant differences were observed between the groups in the conditions of the saliva, mucous membrane, and gingiva. The total scores in non-survivors (median: 19) were significantly higher in comparison to survivors (Median: 15.5), suggesting that the frequency of oral health deterioration was higher in non-survivors (p < 0.05). Taken together, these findings suggest that poor oral health is associated with mortality in COVID-19 patients receiving ECMO in the ICU.


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