Student Research Committee, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Department of Medical and Surgical Nursing, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran.
BMC Oral Health. 2023 Mar 17;23(1):154. doi: 10.1186/s12903-023-02867-6.
Oral care is crucial in intensive care units (ICUs). Meanwhile, this action is not well-performed, therefore, mouth cavity-associated disorders cause serious outcomes, e.g. ventilator-dependent pneumonia. Considering a lack of studies in Iran on this subject, this study aimed to determine the oral status and affected factors in ICU patients in Iran.
In a cross-sectional study in 2019, we assessed the oral status of 138 patients admitted to the ICUs in the Kermanshah and Ilam provinces by census method. The tools were a demographic and clinical characteristics checklist, and Beck's oral status assessment scale (BOAS). The researcher investigated the condition of the patient's mouth, and their records. Data were analyzed using descriptive and inferential statistics.
In this study, the prevalence of moderate and severe disorders of the lips, gums and oral mucosa, tongue, teeth, and saliva were 14.4, 26.1, 16.6, 49.3, and 34.8 percent, respectively. Six percent of patients had a normal oral condition. Oral status had a significant relationship with education level, age, marital status, brushing teeth, NG tube, and consciousness level.
Compared to other studies, the prevalence of oral cavity disorders in ICU patients of the Ilam and Kermanshah provinces was high. It mandates paying crucial attention to nurses' continued education, using standard guidelines, and applying new facilities. Moreover, it is mandated for periodical visits of patients by a dentist in ICUs.
口腔护理在重症监护病房（ICU）至关重要。然而，这一操作并未得到很好的执行，因此口腔相关疾病会导致严重的后果，例如呼吸机相关性肺炎。鉴于伊朗在这一主题上缺乏研究，本研究旨在确定伊朗 ICU 患者的口腔状况及其影响因素。
在 2019 年的一项横断面研究中，我们通过普查方法评估了克尔曼沙阿和伊拉姆省 ICU 中 138 名患者的口腔状况。工具包括人口统计学和临床特征检查表以及贝克口腔状况评估量表（BOAS）。研究人员调查了患者口腔及其记录的状况。使用描述性和推断性统计分析数据。
在这项研究中，嘴唇、牙龈和口腔黏膜、舌头、牙齿和唾液中度和重度障碍的患病率分别为 14.4%、26.1%、16.6%、49.3%和 34.8%。6%的患者口腔状况正常。口腔状况与教育程度、年龄、婚姻状况、刷牙、NG 管和意识水平有显著关系。
与其他研究相比，伊拉姆和克尔曼沙阿省 ICU 患者口腔疾病的患病率较高。这需要护理人员持续关注教育、使用标准指南和应用新设施。此外，还需要定期由牙医对 ICU 中的患者进行检查。
