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KMID : 1221920110040020027
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Journal of Korean Critical Care Nursing
2011 Volume.4 No. 2 p.27 ~ p.38
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Effect of Tooth-brushing on Oral Health and Ventilator-Associated Pneumonia of Critically III Patients
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Yun Hye-Young
Lee Eun-Sook
Kim Jung-Yeon
Kim Hyang-Sook
Kim Kyung-Ae
Kim Eun-Sung
Sohn Joo-Ohn
Kim Ka-Hee
Kim Min-Jung
Kim Ah-Ram
Park Sun-Jung
Chu Sung-Mi
Son Mi-Jung
Ha Eun-Jin
Oh Eui-Geum
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Abstract
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Purpose: The purpose of this study was to examine the effect of tooth-brushing oral care on oral health and ventilator-associated pneumonia of patients in Intensive Care Unit (ICU).
Methods: A total of 74 participants were recruited from a medical, surgical, or neurosurgical ICU at S Hospital in Seoul, Korea, from September of 2010 to January of 2011. An experimental group (n= 36) received oral care with tooth-brushing while a control group (n=38) received oral care with cotton ball and gauze. In both group, the oral care was done three times a day at least one minute for 7 days. Oral health was examined by the Modified Oral Assessment Guide before the intervention and each night.
Results: There is no difference between the groups in aspect of passage of time (p = .603), interaction between time and intervention (p =.300), the performance intervention (p = .766), and the incidence of VAP (p = .486).
Conclusion: The effect of oral care with tooth-brushing on oral health and VAP was not different from that of usual oral care in ICU. However, further study is necessary due to high attrition in this study.
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KEYWORD
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Oral health, Ventilator-associated pneumonia, Tooth-brushing
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