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Oral Care in Trauma Patients Admitted to the ICU: Viewpoints of ICU Nurses

BACKGROUND: Many patients with severe traumatic injuries are admitted to intensive care units (ICU). These patients usually require prolonged mechanical ventilation. These interventions require oral intubation and leave the mouth open which consequently impairs the natural antimicrobial activity in...

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Autores principales: Javadinia, Seyed Alireza, Kuchi, Zahra, Saadatju, Alireza, Tabasi, Mohsen, Adib-Hajbaghery, Mohsen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4080614/
https://www.ncbi.nlm.nih.gov/pubmed/25032148
http://dx.doi.org/10.5812/traumamon.15110
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author Javadinia, Seyed Alireza
Kuchi, Zahra
Saadatju, Alireza
Tabasi, Mohsen
Adib-Hajbaghery, Mohsen
author_facet Javadinia, Seyed Alireza
Kuchi, Zahra
Saadatju, Alireza
Tabasi, Mohsen
Adib-Hajbaghery, Mohsen
author_sort Javadinia, Seyed Alireza
collection PubMed
description BACKGROUND: Many patients with severe traumatic injuries are admitted to intensive care units (ICU). These patients usually require prolonged mechanical ventilation. These interventions require oral intubation and leave the mouth open which consequently impairs the natural antimicrobial activity in the mouth and airways. These patients are also prone to ventilator-associated pneumonia (VAP). Evidence shows that paying attention to oral hygiene in patients under mechanical ventilation is important in helping to prevent VAP. OBJECTIVES: The present study was conducted to assess the viewpoints and performance of ICU nurses at Birjand hospitals towards oral care of patients under mechanical ventilation. PATIENTS AND METHODS: A cross-sectional study was conducted at ICUs of Imam-Reza and Vali-Asr hospitals, Birjand, Iran. Sampling was done through a census in which 53 ICU nurses participated. Descriptive statistics, Kolmogorov-Smirnov test, Mann-Whitney U tests and Kendall's correlation coefficient were used to analyze the data. RESULTS: A total of 53 nurses participated in this study. Most of the nurses had been trained to provide oral care during their university education. According to the participants' opinions, oral care with an average score of 5.72 ranked second among the 10 nursing care domains. The most frequent oral care provided was oral suctioning, normal saline irrigation, and chlorhexidine rinse with 95%, 90%, and 81.3% frequency, respectively. CONCLUSIONS: Nurses participating in this study considered oral care to be of prime importance. Most of the participants although trained in this area felt the need for continuing training courses.
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spelling pubmed-40806142014-07-16 Oral Care in Trauma Patients Admitted to the ICU: Viewpoints of ICU Nurses Javadinia, Seyed Alireza Kuchi, Zahra Saadatju, Alireza Tabasi, Mohsen Adib-Hajbaghery, Mohsen Trauma Mon Research Article BACKGROUND: Many patients with severe traumatic injuries are admitted to intensive care units (ICU). These patients usually require prolonged mechanical ventilation. These interventions require oral intubation and leave the mouth open which consequently impairs the natural antimicrobial activity in the mouth and airways. These patients are also prone to ventilator-associated pneumonia (VAP). Evidence shows that paying attention to oral hygiene in patients under mechanical ventilation is important in helping to prevent VAP. OBJECTIVES: The present study was conducted to assess the viewpoints and performance of ICU nurses at Birjand hospitals towards oral care of patients under mechanical ventilation. PATIENTS AND METHODS: A cross-sectional study was conducted at ICUs of Imam-Reza and Vali-Asr hospitals, Birjand, Iran. Sampling was done through a census in which 53 ICU nurses participated. Descriptive statistics, Kolmogorov-Smirnov test, Mann-Whitney U tests and Kendall's correlation coefficient were used to analyze the data. RESULTS: A total of 53 nurses participated in this study. Most of the nurses had been trained to provide oral care during their university education. According to the participants' opinions, oral care with an average score of 5.72 ranked second among the 10 nursing care domains. The most frequent oral care provided was oral suctioning, normal saline irrigation, and chlorhexidine rinse with 95%, 90%, and 81.3% frequency, respectively. CONCLUSIONS: Nurses participating in this study considered oral care to be of prime importance. Most of the participants although trained in this area felt the need for continuing training courses. Kowsar 2014-03-18 2014-04 /pmc/articles/PMC4080614/ /pubmed/25032148 http://dx.doi.org/10.5812/traumamon.15110 Text en Copyright © 2014, Kowsar Corp.; Published by Kowsar Corp. http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Javadinia, Seyed Alireza
Kuchi, Zahra
Saadatju, Alireza
Tabasi, Mohsen
Adib-Hajbaghery, Mohsen
Oral Care in Trauma Patients Admitted to the ICU: Viewpoints of ICU Nurses
title Oral Care in Trauma Patients Admitted to the ICU: Viewpoints of ICU Nurses
title_full Oral Care in Trauma Patients Admitted to the ICU: Viewpoints of ICU Nurses
title_fullStr Oral Care in Trauma Patients Admitted to the ICU: Viewpoints of ICU Nurses
title_full_unstemmed Oral Care in Trauma Patients Admitted to the ICU: Viewpoints of ICU Nurses
title_short Oral Care in Trauma Patients Admitted to the ICU: Viewpoints of ICU Nurses
title_sort oral care in trauma patients admitted to the icu: viewpoints of icu nurses
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4080614/
https://www.ncbi.nlm.nih.gov/pubmed/25032148
http://dx.doi.org/10.5812/traumamon.15110
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