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

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 cau...

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Autores principales:	Diah Tika Anggraeni, Ayu Trisna Hayati, Aan Nur’aeni
Formato:	article
Lenguaje:	EN
Publicado:	Belitung Raya Foundation 2020
Materias:	intensive care units chlorhexidine pneumonia ventilator associated intubation oral health Nursing RT1-120
Acceso en línea:	https://doi.org/10.33546/bnj.971 https://doaj.org/article/a6ee83da8c0a487c88fb0d54e843a3de
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spelling	oai:doaj.org-article:a6ee83da8c0a487c88fb0d54e843a3de2021-12-02T11:05:23ZTHE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIThttps://doi.org/10.33546/bnj.9712477-40732477-4073https://doaj.org/article/a6ee83da8c0a487c88fb0d54e843a3de2020-02-01T00:00:00Zhttps://belitungraya.org/BRP/index.php/bnj/article/view/971https://doaj.org/toc/2477-4073https://doaj.org/toc/2477-4073Background: 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. Diah Tika AnggraeniAyu Trisna HayatiAan Nur’aeniBelitung Raya Foundationarticleintensive care unitschlorhexidinepneumoniaventilator associatedintubationoral healthNursingRT1-120ENBelitung Nursing Journal, Vol 6, Iss 1, Pp 21-26 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	intensive care units chlorhexidine pneumonia ventilator associated intubation oral health Nursing RT1-120
spellingShingle	intensive care units chlorhexidine pneumonia ventilator associated intubation oral health Nursing RT1-120 Diah Tika Anggraeni Ayu Trisna Hayati Aan Nur’aeni THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT
description	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.
format	article
author	Diah Tika Anggraeni Ayu Trisna Hayati Aan Nur’aeni
author_facet	Diah Tika Anggraeni Ayu Trisna Hayati Aan Nur’aeni
author_sort	Diah Tika Anggraeni
title	THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT
title_short	THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT
title_full	THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT
title_fullStr	THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT
title_full_unstemmed	THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT
title_sort	effect of oral care intervention on oral health status of intubated patients in the intensive care unit
publisher	Belitung Raya Foundation
publishDate	2020
url	https://doi.org/10.33546/bnj.971 https://doaj.org/article/a6ee83da8c0a487c88fb0d54e843a3de
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THE EFFECT OF ORAL CARE INTERVENTION ON ORAL HEALTH STATUS OF INTUBATED PATIENTS IN THE INTENSIVE CARE UNIT

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