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Register a new userEffects of Applying an Oral Care Policy to Oral Infection Rate for Intubated Critical Patients
تأثير تطبيق سياسة العناية بالفم على معدل حدوث الإنتان الفموي لدى مرضى الحالات الحرجة المنببين
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Tishreen University ورقة بحثية
Publication date
2014
fields
Dentistry
and research's language is
العربية
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Shamra Editor
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المقدمة: يعد الإنتان الفموي من الاضطرابات الشائعة في وحدات الرعاية المركزة، وخاصة لدى مرضى الحالات الحرجة المنببين. يساهم تطبيق سياسة الرعاية بالفم بشكل كبير في منع حدوث الإنتان، وقد أكدت جمعية نظافة الأسنان الأمريكية ADHA أن استخدام محلول غلوكونات الكلورهيكزيدين0.12% و محلول البوفيدون أيودين 1% ضمن إجراءات سياسة العناية بالفم يساهم إلى حد كبير في منع حدوث الإنتان الفموي.الهدف: أجريت هذه الدراسة لتحديد تأثير تطبيق سياسة العناية بالفم على معدل حدوث الإنتان الفموي لدى مرضى الحالات الحرجة المنببين. أدوات البحث و طرائقه:أجري البحث على عينة قوامها 45 مريضاً في وحدات الرعاية المركزة في مستشفى الباسل بطرطوس. تم تقييم حالة الفم ونتيجة تطبيق سياسات العناية بالفم في المجموعتين التجريبيتين الأولى والثانية والمجموعة الضابطة باستخدام مقياس بيك لتقييم الفم BOAS بعد 72 ساعة من تطبيق السياسات. النتائج: أوضحت النتائج فعالية تطبيق سياسة العناية بالفم. إذ انخفضت نسبة حدوث الإنتان بشكل ملحوظ (P=0.000*) في المجموعة التجريبية الأولى التي تلقت إجراءات السياسة التمريضية الأولى (محلول غلوكونات الكلورهيكزيدين0.12% ) و بدرجة أقل في المجموعة الثانية التي تلقت إجراءات السياسة التمريضية الثانية (محلول البوفيدون أيودين 1%) بينما كانت النتائج سلبية وأقل بكثير في المجموعة الضابطة التي تركت لروتين المستشفى (المحلول الملحي المعتدل). الاستنتاجات:تقترح معلومات الدراسة أن تطبيق سياسة العناية بالفم (غلوكونات الكلورهيكزيدين0.12%، و البوفيدون أيودين1%) يساهم في خفض معدل حدوث الإنتان الفموي لدى مرضى الحالات الحرجة المنببين
Introduction: oral infection is one of the most common disturbances in the intensive care units ICUs, especially with the critical intubated patients. Application of oral care policy works as a very important action in preventing the infection. ADHA improved that using of Chlorhexidine Gloconate 0.12% and Povidone Iodine 1% solutions in oral care can contribute to preventing oral infection. Goal: The aim of the present study was to investigate the effect of applying oral care policy to the oral infection rate with intubated patients. Materials and Methods: The study was conducted at the intensive care units of AL-Basel Hospital (Tartous), a convent sample of 45 patients. Beck Oral Assessment Scale was used to assess the oral status and results after 72 hours of applying oral care policies for the two experimental groups and the control groups. Results: our results demonstrate the important of applying oral care policy, rate of infection decreased in the first control group (p= 0.000*) which received first oral care policy procedures (Chlorhexidine Gloconate 0.12%); it was (Povidone Iodine 1%) in the second control group (normal saline 0.9%) in the last control group. Conclusions and Recommendations: our present study results recommend applying oral care policy (Chlorhexidine Gloconate 0.12%, Povidone Iodine 1%) because of its affect in preventing oral infections for critical intubated patients.
References used
(Younes S. Effectiveness of different tracheal tube cuff pressures to minimize aspiration in unconscious patients. Master thesis. Alexandria. University of Alexandria, faculty of nursing; (2004
McNeill H. Biting back at poor oral hygiene. Intensive and critical care nursing, 2002; 16 (6): 36-372
Stiefel K, et al. Improving oral hygiene for the seriously ill patient: implementing research-based practice. Med. Surg. Nursing, 2000; 9 (1): 40-46
Reilly O. Oral care of the critically ill: a review of the literature and guidelines for practice. Australian critical care, 2003; 16 (3): 101-110
Griffiths J, Jones V. Guidelines for the development of local standards of oral health care for dependent, dysphagic, critically and terminally ill patients. British society for disability and oral health, 2000
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Patients in the intensive care unit (ICU), especially ventilated patients, are
at considerable risk of developing ocular surface disease because the protective eye
mechanisms are damage, as decrease eyelid closure ,unable blinking, decreased produc
ing
tears, increased expose the eye to pathogen bacteria . These factors often result in incomplete
lid closure and expose and decay the eye, and this called the exposure keratopathy, which
appear that high rate with ventilated patients.
The eye care is a part of the providing care to every patient in critical care units.
Whereas the Unconscious and Sedation and paralysis patients are the most serious group and
the most need to the eye care for maintain the eye in a state of normal.objective:To determine
the effect kind of eye care policy on incidence rate of exposure keratopathyamong
mechanically ventilated patients.
Dysphagia considers the most important and common in neurological system patient
on critical care units. Objective: The aim of this study was to study the effect of nursing
care policy on dysphagia in neurological system patients in critical care u
nits. Material
and method: the study was conducted on 40 patients divided on four groups (Shaker
Exercise, Mendelsohn maneuver, [Shaker Exercise, and Mendelsohn maneuver] and
control group) in critical care units in the Assad university hospital and the National
Hospital whom have dysphagia. The data was collected by using the personal information
form, and the dysphagia severity scale. Results: This study showed that Shaker Exercise,
and Mendelsohn maneuver together were the most effective in reduce dysphagia levels and
recommended about importance of Shaker Exercise, and Mendelsohn maneuver for
patients with dysphagia.
Introduction: Sleep disturbance is common among patients in intensive care units (ICUs). Changes in clinical practice to promote sleep in the ICUs have been sporadic. The European Respiratory Society and the European Society of Intensive Care Medicin
e recognize that massage therapy may improve quality of sleep.
Goal: This study was conducted to identify the effects of back and face massage on sleep quality in ICU patients.
Material and Methods: A sample of 45 patients in intensive care units in Al-Assad University Hospital and Alwatani Hospital were recruited in the study. Both the massage and control participants were evaluated for sleep quality by Groningen sleep quality scale, 1 hour after administration of the protocol.
Results: The effectiveness of back and face massage, as quality of sleep,
is significantly improved (p=0.000) in the experimental back and face massage
groups (mean score 3.9981), and (mean score 4,4043) respectively, than in control group (mean score – 0.8117).
In conclusion, our data suggest that back and face massage therapy is effective in improving the quality of sleep in ICU patients
Upper abdominal surgery patients are considered more vulnerable to changes in pulmonary function and therefore to acute decrease in respiratory function. physical treatment techniques play an important role, especially deep breathing exercises and th
e use of incentive spirometry device as well as walking, which have an important role in improving pulmonary function. here lies the nursing role in the training of patients to use those technologies and encouraging them toapplyearlypostoperatively. The aims of the study is toassess the effect of implementing nursing policy (deep breathing exercises , the use of incentive spirometer and walking) on respiratory function among upper abdominal surgery patients.The sample comprised 45 patients chosen randomly from thetwogenders who were prepared to upper abdominal surgery in Al-Assad University Hospital,Each patient implemented nursing policy and assessed pulmonary functionby using a spirometer device and measured the degree of arterial blood oxygen saturation by Oxygenation –pulse measurement. We can notice from the results of this study that the implement of nursing policy contributed to the preservation of respiratory function in patients with the two experimental groups , particularly in the experimental group 2, which have the lower decrease in the pulmonary functions values and the degree of arterial blood oxygen saturation .
Fever is a common problem in intensive care unit (ICU) patients, A large proportion
of patients admitted to the ICU are likely to develop fever of unknown origin at some point
of their stay there. Objective: This study aimed to compare between the
effects of the
application of iced gastric lavage with the application of ice packs to reduce the
temperature among critically ill patients. Material and methods: the study was conducted
of (40) critically ill patients at ICU department at Al Assad University Hospital and Al
Wattani Hospital in Latakia city whose were intubated and there temperature degree
ranged from 39 °C to 40 °C lasting for more than 30 minutes ago. The sample was
randomly divided into two experimental groups. Two tools were used to collect data.
Results: This study showed that iced gastric lavage is more effective than using iced
packs to reduce the temperature among critically ill patients.
Recommendations: this study recommended to Apply iced gastric lavage alone or
with other methods to reduce the temperature degree among critically ill patients.
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