Department of Dental Hygiene, College of Software and Digital Healthcare Convergence, Yonsei University, Wonju 26493, Korea.
Department of Dental Hygiene, Yeoju Institute of Technology, Yeoju 12652, Korea.
Int J Environ Res Public Health. 2022 May 19;19(10):6197. doi: 10.3390/ijerph19106197.
Oral care reduces the incidence of ventilator-associated pneumonia. In addition, it is important that critically ill patients to maintain their oral health in order to restore their quality of life and to receive adequate nutrition after recovery.
The purpose of this study was to evaluate the effect of professional oral hygiene care (POHC) on the oral health status of patients using a ventilator.
Fifty-seven ventilated trauma patients were admitted to a tertiary medical institution. For 5 days, the dental hygienist performed POHC every 24 h along with routine oral hygiene care (ROHC) every 8 h for the experimental group (Exp.) ( = 29), whereas only ROHC was provided the control group (Cont.) ( = 28). Oral health status was evaluated using a modified bedside oral exam (MBOE).
There was no significant difference between the two groups in the total MBOE score up to 48 h after admission. However, the difference between the two groups was significant for MBOE (F = 16.10, = .000), gingiva (F = 6.02, = 0.018), buccal mucosa (F = 4.21, = 0.046), and dental plaque score after 72 h (F = 13.15, = 0.000).
This study confirms the importance of POHC in improving the oral health.
口腔护理可降低呼吸机相关性肺炎的发生率。此外，对于危重症患者来说，保持口腔健康对于恢复生活质量和康复后获得充足营养非常重要。
本研究旨在评估专业口腔卫生护理（POHC）对使用呼吸机患者口腔健康状况的影响。
57 名接受通气治疗的创伤患者被收入一家三级医疗机构。在 5 天的时间里，口腔卫生师每 24 小时进行一次 POHC，同时实验组（n = 29）每 8 小时进行一次常规口腔卫生护理（ROHC），而对照组（n = 28）仅提供 ROHC。使用改良床边口腔检查（MBOE）评估口腔健康状况。
入院后 48 小时内，两组的总 MBOE 评分无显著差异。然而，两组之间的 MBOE（F = 16.10，p =.000）、牙龈（F = 6.02，p =.018）、颊黏膜（F = 4.21，p =.046）和牙菌斑评分在 72 小时后存在显著差异。
本研究证实了 POHC 对改善口腔健康的重要性。
