The Effect Of Oral Care Given To Patients On Mechanical Ventilatory Support By Two Different Methods On Bacterial Colonization In Oral Mucosa And Oral Health

Aim: The aim of the study was to examine oral care given to the patients on mechanical ventilatory support by two different methods on bacterial colonization and oral health. Methods: This study had a design including an experimental and a control group. Sample was composed of 30 patients who had mechanical ventilatory support less than 24 hours. Patients in the experimental group were applied toothbrush and serum physiological; and control group was applied oral care by abeslang and a sponge soaked with NaHCO3. Both groups were given oral care four times a day for four days. Oral health was evaluated by “oral assessment scale”, and bacterial colonization was assessed based on bacteriological culture results of samples taken by cotton swab at days 1 and 4. Results: It was found that almost half of the patients in both groups had insufficient saliva that was more viscous than normal; and dental plaques were decreased among the patients in the experimental group. In terms of bacteria in the oral mucosa, no statistically significant differences were found between the groups based on the comparison of culture results from days 1 and 4. It was found that both methods used for oral care were effective; and they had no superiority over each other. Conclusions: It was concluded that application of regular oral care for the patients on mechanical ventilatory support as part of care protocols decreased bacterial colonization and had a protective and improving effect on oral health. Amaç: Mekanik ventilatör desteğindeki hastalarda iki farklı yöntemle verilen ağız bakımının oral mukozadaki bakteriyel kolonizasyon ve ağız sağlığı üzerine olan etkisininincelenmesidir. Yöntem: Araştırma, deneysel kontrollü çalışma tasarımı ile yürütülmüştür. Bir Sağlık Uygulama ve Araştırma Merkezi’nin iki farklı yoğun bakımında 26.03.2017-20.02.2018 tarihleri arasında gerçekleştirilmiştir. Örneklemi, mekanik ventilatör desteği başlangıcından 24 saat geçmemiş olan 30 hasta oluşturmuştur. Hastalar deney ve kontrol olmak üzere iki gruba ayrılmıştır. Deney grubundaki hastalara serum fizyolojik ve diş fırçası ile kontrol grubundaki hastalara NaHCO3 ile ıslatılmış spanç ve abeslang yardımıyla ağız bakımı uygulanmıştır. Her iki gruba da dört gün süreyle günde dört kez ağız bakımı verilmiştir. Ağız sağlığı “ağız değerlendirme ölçeği” ile, bakteri kolonizasyonu ise 1. ve 4. gün pamuklu eküvyon çubukla ağızdan alınan örneklerin bakteriyolojik kültür sonuçlarına göre değerlendirilmiştir. Araştır