Oral care practices for patients in Intensive Care Units: A pilot survey.

Autor: Miranda AF; Department of Preventive Dentistry, Post Graduation, Program in Health Sciences, University of Brasilia, Brazil; Department of Dentistry for Special Patients, Geriatric and Hospital Dentistry, Catholic University of Brasilia, Brazil., de Paula RM; Department of Dentistry for Special Patients, Geriatric and Hospital Dentistry, Catholic University of Brasilia, Brazil., de Castro Piau CG; Department of Preventive Dentistry, Post Graduation, Program in Health Sciences, University of Brasilia, Brazil., Costa PP; Department of Periodontology, State University of Londrina, Paraná, Brazil., Bezerra AC; Department of Preventive Dentistry, Post Graduation, Program in Health Sciences, University of Brasilia, Brazil.
Jazyk: angličtina
Zdroj: Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine [Indian J Crit Care Med] 2016 May; Vol. 20 (5), pp. 267-73.
DOI: 10.4103/0972-5229.182203
Abstrakt: Objective: To assess the level of knowledge and difficulties concerning hospitalized patients regarding preventive oral health measures among professionals working in Intensive Care Units (ICUs).
Study Population and Methods: A cross-sectional survey was conducted among 71 health professionals working in the ICU. A self-administered questionnaire was used to determine the methods used, frequency, and attitude toward oral care provided to patients in Brazilian ICUs. The variables were analyzed using descriptive statistics (percentages). A one-sample t-test between proportions was used to assess significant differences between percentages. t-statistics were considered statistically significant for P < 0.05. Bonferroni correction was applied to account for multiple testing.
Results: Most participants were nursing professionals (80.3%) working 12-h shifts in the ICU (70.4%); about 87.3% and 66.2% reported having knowledge about coated tongue and nosocomial pneumonia, respectively (P < 0.05). Most reported using spatulas, gauze, and toothbrushes (49.3%) or only toothbrushes (28.2%) with 0.12% chlorhexidine (49.3%) to sanitize the oral cavity of ICU patients (P < 0.01). Most professionals felt that adequate time was available to provide oral care to ICU patients and that oral care was a priority for mechanically ventilated patients (80.3% and 83.1%, respectively, P < 0.05). However, most professionals (56.4%) reported feeling that the oral cavity was difficult to clean (P < 0.05).
Conclusion: The survey results suggest that additional education is necessary to increase awareness among ICU professionals of the association between dental plaque and systemic conditions of patients, to standardize oral care protocols, and to promote the oral health of patients in ICUs.
Databáze: MEDLINE
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