Oral Care of Intubated Intensive Care Patient

Nigde Omer Halisdemir University

Status: Completed

Conditions: Mechanical Ventilation Complication; Salivation; Pneumonia; Dry Mouth

Treatments: Other: oral care bundle; Other: clinical oral care

Study type: Interventional

Funder types: Other

Identifiers

NCT06258603

19-5T/40

Details and patient eligibility

About

The aim of the research was to examine the effect of oral care bundle application on oral health, salivary pH (power of hydrogen), dry mouth and ventilator associated pneumonia in intubated patients compared to standard oral care.

Full description

Maintaining the integrity of the oral mucosa in intensive care unit patients is very important due to its close relationship with systemic health, disease risk and self-image, as well as comfort and nutrition. Serious problems develop in patients who have no or insufficient saliva movement or production, are unconscious, or have an artificial airway. Oral health problems, which begin with the deterioration of the saliva flow and content of intubated patients, lead to much more risky and costly situations that end in ventilator associated pneumonia. In the literature, it is seen that oral care practices performed in accordance with protocols increase the risk of complications and that bundle care practices used in different care areas increase the performance of care.In this randomized controlled study, people who were aged between 18 and 70, had received mechanical ventilation support, were intubated orally and in the first 24 hours of intubation, and had a stable hemodynamic status were included in the study.

Enrollment: 35 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• mechanical ventilation support,
• orally intubation
• in the first 24 hours of intubation,
• stable hemodynamic status

Exclusion criteria

• pneumonia
• Sjögren's Syndrome,
• radiotherapy and/or chemotherapy,
• oral care contraindications,
• head and neck trauma,
• platelet count below 50 thousand,
• could not be positioned appropriately,
• agitation

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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35 participants in 2 patient groups

Patients who received oral care bundle

Experimental group

Description:

"A oral care bundle" protocol created by the researchers and it was applied by a researcher to experimental group.

Treatment:

Other: oral care bundle

Patients receiving routine clinical oral care

Other group

Description:

Routine oral care protocol used in intensive care unit was applied to control group by the patient's primary nurse.

Treatment:

Other: clinical oral care