The effects of different oral care protocols on mucosal change in orally intubated patients from an intensive care unit
Aim. To compare the effectiveness of three different oral care protocols in intubated patients. Background. Although oral care is important to improve the oral mucosa integrity in intubated patients, there are few evidence‐based nursing protocols to deal with this problem in critical care units. D...
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| Veröffentlicht in: | Journal of clinical nursing 2011-04, Vol.20 (7-8), p.1044-1053 |
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| creator | Hsu, Shu-Pen Liao, Chao-Sheng Li, Chung-Yi Chiou, Ai-Fu |
| description | Aim. To compare the effectiveness of three different oral care protocols in intubated patients.
Background. Although oral care is important to improve the oral mucosa integrity in intubated patients, there are few evidence‐based nursing protocols to deal with this problem in critical care units.
Design. A quasi‐experimental design was employed for this study.
Methods. Eighty‐one orally intubated patients recruited from the intensive care unit of a medical centre in northern Taiwan were employed in this study. Patients were divided into three treatment groups: a control group (n = 27), green tea group (n = 29) and boiled water group (n = 25). Oral mucosal status was monitored using a rating scale for 14 days. All data were analysed by the sas software (version 8.2; SAS Institute, Cary, NC, USA) using descriptive statistics, the Kruskal–Wallis H test and generalised estimating equation regression models.
Results. Severity of mucosal change was significantly less on six subscales (labial mucosa, tongue mucosa, gingival colour, gingivitis, salivary status and amount of dental plaque) in the boiled water group than the control group (p |
| doi_str_mv | 10.1111/j.1365-2702.2010.03515.x |
| format | Article |
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Background. Although oral care is important to improve the oral mucosa integrity in intubated patients, there are few evidence‐based nursing protocols to deal with this problem in critical care units.
Design. A quasi‐experimental design was employed for this study.
Methods. Eighty‐one orally intubated patients recruited from the intensive care unit of a medical centre in northern Taiwan were employed in this study. Patients were divided into three treatment groups: a control group (n = 27), green tea group (n = 29) and boiled water group (n = 25). Oral mucosal status was monitored using a rating scale for 14 days. All data were analysed by the sas software (version 8.2; SAS Institute, Cary, NC, USA) using descriptive statistics, the Kruskal–Wallis H test and generalised estimating equation regression models.
Results. Severity of mucosal change was significantly less on six subscales (labial mucosa, tongue mucosa, gingival colour, gingivitis, salivary status and amount of dental plaque) in the boiled water group than the control group (p < 0·05). In addition, severity was significantly less on two subscales (salivary status and amount of dental plaque) in the green tea group than the control group (p < 0·05).
Conclusions. Both boiled water and green tea oral care protocols may improve mucosal status of orally intubated patients. Mucosal status was significantly more improved by oral care with boiled water than by oral care with green tea.
Relevance to clinical practice. Because oral care plays an important role in improving mucosal status, nurses are urged to find new effective oral care methods to further reduce the occurrence of oropharyngeal colonisation and ventilator‐associated pneumonia in intubated patients.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2010.03515.x</identifier><identifier>PMID: 21044189</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Controlled Clinical Trials as Topic ; Dental health ; Female ; Humans ; Intensive care ; intensive care unit ; Intensive Care Units ; intubated patients ; Intubation ; Intubation, Intratracheal ; Male ; Middle Aged ; mucosal change ; Mucous membrane ; Mucous Membrane - drug effects ; Mucous Membrane - pathology ; Nursing ; Nursing care ; oral care ; Oral Hygiene ; Patients ; Regression analysis ; Taiwan ; Tea</subject><ispartof>Journal of clinical nursing, 2011-04, Vol.20 (7-8), p.1044-1053</ispartof><rights>2010 Blackwell Publishing Ltd</rights><rights>2010 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. Apr 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5165-106c732df4cb0949d8e7bc323a757b97f5ea99f244b5b61578d05de628a339a93</citedby><cites>FETCH-LOGICAL-c5165-106c732df4cb0949d8e7bc323a757b97f5ea99f244b5b61578d05de628a339a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1365-2702.2010.03515.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1365-2702.2010.03515.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21044189$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hsu, Shu-Pen</creatorcontrib><creatorcontrib>Liao, Chao-Sheng</creatorcontrib><creatorcontrib>Li, Chung-Yi</creatorcontrib><creatorcontrib>Chiou, Ai-Fu</creatorcontrib><title>The effects of different oral care protocols on mucosal change in orally intubated patients from an intensive care unit</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aim. To compare the effectiveness of three different oral care protocols in intubated patients.
Background. Although oral care is important to improve the oral mucosa integrity in intubated patients, there are few evidence‐based nursing protocols to deal with this problem in critical care units.
Design. A quasi‐experimental design was employed for this study.
Methods. Eighty‐one orally intubated patients recruited from the intensive care unit of a medical centre in northern Taiwan were employed in this study. Patients were divided into three treatment groups: a control group (n = 27), green tea group (n = 29) and boiled water group (n = 25). Oral mucosal status was monitored using a rating scale for 14 days. All data were analysed by the sas software (version 8.2; SAS Institute, Cary, NC, USA) using descriptive statistics, the Kruskal–Wallis H test and generalised estimating equation regression models.
Results. Severity of mucosal change was significantly less on six subscales (labial mucosa, tongue mucosa, gingival colour, gingivitis, salivary status and amount of dental plaque) in the boiled water group than the control group (p < 0·05). In addition, severity was significantly less on two subscales (salivary status and amount of dental plaque) in the green tea group than the control group (p < 0·05).
Conclusions. Both boiled water and green tea oral care protocols may improve mucosal status of orally intubated patients. Mucosal status was significantly more improved by oral care with boiled water than by oral care with green tea.
Relevance to clinical practice. Because oral care plays an important role in improving mucosal status, nurses are urged to find new effective oral care methods to further reduce the occurrence of oropharyngeal colonisation and ventilator‐associated pneumonia in intubated patients.</description><subject>Aged</subject><subject>Controlled Clinical Trials as Topic</subject><subject>Dental health</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care</subject><subject>intensive care unit</subject><subject>Intensive Care Units</subject><subject>intubated patients</subject><subject>Intubation</subject><subject>Intubation, Intratracheal</subject><subject>Male</subject><subject>Middle Aged</subject><subject>mucosal change</subject><subject>Mucous membrane</subject><subject>Mucous Membrane - drug effects</subject><subject>Mucous Membrane - pathology</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>oral care</subject><subject>Oral Hygiene</subject><subject>Patients</subject><subject>Regression analysis</subject><subject>Taiwan</subject><subject>Tea</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1v1DAQhi0EokvhLyCLC6cs_ojt5IIEK9hSLW0PRXCzHGdCsyTx1nbo7r-v05Q9cAFfPPI888ijFyFMyZKm8267pFyKjCnCloykV8IFFcv9E7Q4Np6iBSklyyiR6gS9CGFLCOWM8efohFGS57QoF-ju-gYwNA3YGLBrcN2m2sMQsfOmw9Z4wDvvorOuS8CA-9G6MHVuzPATcDs8gN0hVXGsTIQa70xskyHgxrsem2FqwRDa3zD7xqGNL9GzxnQBXj3ep-jb50_Xq7Nsc7n-svqwyaygaZH0eas4q5vcVqTMy7oAVVnOuFFCVaVqBJiybFieV6KSVKiiJqIGyQrDeWlKforezt60xO0IIeq-DRa6zgzgxqALKVjOi4L_mxQyJ0pRksg3f5FbN_ohrZF0hHEpFU1QMUPWuxA8NHrn2974g6ZETyHqrZ6y0lNWegpRP4So92n09aN_rHqoj4N_UkvA-xm4azs4_LdYn1-uLqYyCbJZ0IYI-6PA-F9aKq6E_n6x1purK_rxx9dzveb3EPW6Fg</recordid><startdate>201104</startdate><enddate>201104</enddate><creator>Hsu, Shu-Pen</creator><creator>Liao, Chao-Sheng</creator><creator>Li, Chung-Yi</creator><creator>Chiou, Ai-Fu</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201104</creationdate><title>The effects of different oral care protocols on mucosal change in orally intubated patients from an intensive care unit</title><author>Hsu, Shu-Pen ; Liao, Chao-Sheng ; Li, Chung-Yi ; Chiou, Ai-Fu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5165-106c732df4cb0949d8e7bc323a757b97f5ea99f244b5b61578d05de628a339a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Controlled Clinical Trials as Topic</topic><topic>Dental health</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care</topic><topic>intensive care unit</topic><topic>Intensive Care Units</topic><topic>intubated patients</topic><topic>Intubation</topic><topic>Intubation, Intratracheal</topic><topic>Male</topic><topic>Middle Aged</topic><topic>mucosal change</topic><topic>Mucous membrane</topic><topic>Mucous Membrane - drug effects</topic><topic>Mucous Membrane - pathology</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>oral care</topic><topic>Oral Hygiene</topic><topic>Patients</topic><topic>Regression analysis</topic><topic>Taiwan</topic><topic>Tea</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hsu, Shu-Pen</creatorcontrib><creatorcontrib>Liao, Chao-Sheng</creatorcontrib><creatorcontrib>Li, Chung-Yi</creatorcontrib><creatorcontrib>Chiou, Ai-Fu</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hsu, Shu-Pen</au><au>Liao, Chao-Sheng</au><au>Li, Chung-Yi</au><au>Chiou, Ai-Fu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effects of different oral care protocols on mucosal change in orally intubated patients from an intensive care unit</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2011-04</date><risdate>2011</risdate><volume>20</volume><issue>7-8</issue><spage>1044</spage><epage>1053</epage><pages>1044-1053</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aim. To compare the effectiveness of three different oral care protocols in intubated patients.
Background. Although oral care is important to improve the oral mucosa integrity in intubated patients, there are few evidence‐based nursing protocols to deal with this problem in critical care units.
Design. A quasi‐experimental design was employed for this study.
Methods. Eighty‐one orally intubated patients recruited from the intensive care unit of a medical centre in northern Taiwan were employed in this study. Patients were divided into three treatment groups: a control group (n = 27), green tea group (n = 29) and boiled water group (n = 25). Oral mucosal status was monitored using a rating scale for 14 days. All data were analysed by the sas software (version 8.2; SAS Institute, Cary, NC, USA) using descriptive statistics, the Kruskal–Wallis H test and generalised estimating equation regression models.
Results. Severity of mucosal change was significantly less on six subscales (labial mucosa, tongue mucosa, gingival colour, gingivitis, salivary status and amount of dental plaque) in the boiled water group than the control group (p < 0·05). In addition, severity was significantly less on two subscales (salivary status and amount of dental plaque) in the green tea group than the control group (p < 0·05).
Conclusions. Both boiled water and green tea oral care protocols may improve mucosal status of orally intubated patients. Mucosal status was significantly more improved by oral care with boiled water than by oral care with green tea.
Relevance to clinical practice. Because oral care plays an important role in improving mucosal status, nurses are urged to find new effective oral care methods to further reduce the occurrence of oropharyngeal colonisation and ventilator‐associated pneumonia in intubated patients.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21044189</pmid><doi>10.1111/j.1365-2702.2010.03515.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Aged Controlled Clinical Trials as Topic Dental health Female Humans Intensive care intensive care unit Intensive Care Units intubated patients Intubation Intubation, Intratracheal Male Middle Aged mucosal change Mucous membrane Mucous Membrane - drug effects Mucous Membrane - pathology Nursing Nursing care oral care Oral Hygiene Patients Regression analysis Taiwan Tea |
| title | The effects of different oral care protocols on mucosal change in orally intubated patients from an intensive care unit |
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