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Journal of Korean Academy of Fundamentals of Nursing 2010;17(3): 324
기관내관을 삽입 받은 중환자의 구강간호 방법에 따른 구강상태 비교
박진희1, 송경애2
1전북대학교 병원
2가톨릭대학교 간호대학
Comparison of Oral Care Interventions on the Oral Status of Intubated Patients in Intensive Care Units
Jin-Hee Park1, Kyeong-Yae Sohng2
1Department of Infection Control, Chonbuk University Hospital
2College of Nursing, The Cattholic University of Korea
Purpose: The purpose of this study was to evaluate the effects of three different oral care treatments on the oral state of patients with intubation in intensive care units.
Methods: The research design was a nonequivalent control group design with repeated measures. The patients were assigned a normal saline, chlorhexidine or toothbrushing group. Each group received its own oral care treatment for 5 minutes, twice a day and for 8 days. The oral assessment guide, hygiene performance index and pathogenic microorganisms. Data were collected from patients before the experiment, 4 days after, and 8 days after completion and were evaluated.
Results: The chlorhexidine group and tooth brushing group showed significant improvement on the oral assessment guide and decrease in the hygiene performance index, compared to the normal saline group. Similarly, pathogenic microorganisms were significantly decreased in the chlorhexidine group and tooth brushing group, when compared to the normal saline group.
Conclusions: Oral treatments with chlorhexidine and toothbrushing improve the oral health state of patients, therefore use of chlorhexidine and toothbrushing could be an effective nursing intervention for intubated patients in intensive care units.
Key words: Oral Hygiene | Saline Solution | Chlorhexidine
주요어: 구강위생 | 생리식염수 | 클로르헥시딘