Impact of oral care on thirst perception and dry mouth assessments in intensive care patients: An observational study.

OBJECTIVES

To investigate the impact of oral care on thirst perception and dry mouth assessments.

RESEARCH DESIGN

Single-centre observational study.

SETTING

Intensive care unit in a university hospital.

MAIN OUTCOME

We assessed thirst perception and dry mouth in adult patients before and after oral care. Thirst perception was assessed using a numerical rating scale and dry mouth was assessed using an oral moisture checking device and the modified Revised Oral Assessment Guide including tongue, mucous membranes and saliva.

RESULTS

Eighty-six patients were included. After oral care, thirst scores decreased by 1 (0 to 3, p < 0.01) and remained low only for one hour. Oral moisture was maintained at a normal level ≥ 27.0%, and mROAG was at a low level ≤ 4 before and after the oral care. The numerical rating score did not correlate with oral moisture (ρ = -0.01, p = 0.96) or the modified revised oral assessment guide (ρ = 0.09, p = 0.42). Among patients with thirst, 60 (70%) patients complained of thirst at the assessment timepoints, but only 17 (20%) patients complained independently.

CONCLUSION

Thirst perception was dissociated from dry mouth before and after oral care. Thirst must be frequently assessed and treated.