Effect of Tooth-brushing on Oral Health and Ventilator-Associated Pneumonia of Critically III Patients

칫솔질을 이용한 구강간호가 중환자실 환자의 구강상태 및 인공호흡기 관련 폐렴에 미치는 효과

  • Yun, Hye-Young (Severance Hospital, Yonsei University Health System) ;
  • Lee, Eun-Sook (Severance Hospital, Yonsei University Health System) ;
  • Kim, Jung-Yeon (Severance Hospital, Yonsei University Health System) ;
  • Kim, Hyang-Sook (Severance Hospital, Yonsei University Health System) ;
  • Kim, Kyung-Ae (Severance Hospital, Yonsei University Health System) ;
  • Kim, Eun-Sung (Severance Hospital, Yonsei University Health System) ;
  • Sohn, Joo-Ohn (Severance Hospital, Yonsei University Health System) ;
  • Kim, Ka-Hee (Severance Hospital, Yonsei University Health System) ;
  • Kim, Min-Jung (Severance Hospital, Yonsei University Health System) ;
  • Kim, Ah-Ram (Severance Hospital, Yonsei University Health System) ;
  • Park, Sun-Jung (Severance Hospital, Yonsei University Health System) ;
  • Chu, Sung-Mi (Severance Hospital, Yonsei University Health System) ;
  • Son, Mi-Jung (Severance Hospital, Yonsei University Health System) ;
  • Ha, Eun-Jin (Severance Hospital, Yonsei University Health System) ;
  • Oh, Eui-Geum (College of Nursing, Yonsei University)
  • 윤혜영 (연세대학교 세브란스 병원 간호국) ;
  • 이은숙 (연세대학교 세브란스 병원 간호국) ;
  • 김정연 (연세대학교 세브란스 병원 간호국) ;
  • 김향숙 (연세대학교 세브란스 병원 간호국) ;
  • 김경애 (연세대학교 세브란스 병원 간호국) ;
  • 김은성 (연세대학교 세브란스 병원 간호국) ;
  • 손주온 (연세대학교 세브란스 병원 간호국) ;
  • 김가희 (연세대학교 세브란스 병원 간호국 특수간호팀) ;
  • 김민정 (연세대학교 세브란스 병원 간호국 특수간호팀) ;
  • 김아람 (연세대학교 세브란스 병원 간호국 특수간호팀) ;
  • 박선정 (연세대학교 세브란스 병원 간호국 특수간호팀) ;
  • 추성미 (연세대학교 세브란스 병원 간호국 특수간호팀) ;
  • 손미정 (연세대학교 세브란스 병원 간호국 특수간호팀) ;
  • 하은진 (연세대학교 세브란스 병원 감염관리실) ;
  • 오의금 (연세대학교 간호대학)
  • Received : 2011.11.20
  • Accepted : 2011.12.29
  • Published : 2011.12.31

Abstract

Purpose: The purpose of this study was to examine the effect of tooth-brushing oral care on oral health and ventilator-associated pneumonia of patients in Intensive Care Unit (ICU). Methods: A total of 74 participants were recruited from a medical, surgical, or neurosurgical ICU at S Hospital in Seoul, Korea, from September of 2010 to January of 2011. An experimental group (n= 36) received oral care with tooth-brushing while a control group (n=38) received oral care with cotton ball and gauze. In both group, the oral care was done three times a day at least one minute for 7 days. Oral health was examined by the Modified Oral Assessment Guide before the intervention and each night. Results: There is no difference between the groups in aspect of passage of time (p = .603), interaction between time and intervention (p =.300), the performance intervention (p = .766), and the incidence of VAP (p = .486). Conclusion: The effect of oral care with tooth-brushing on oral health and VAP was not different from that of usual oral care in ICU. However, further study is necessary due to high attrition in this study.

Keywords