중환자실 뇌졸중환자를 위한 구강관리효과
The effect of oral care interventions on intensive care unit (ICU) patients with stroke
최연희, 정윤숙, 강남규, 송근배, 김은경, 박진미, 김주연, 이희경,
소속 상세정보
최연희 ( Choi Youn-Hee ) - 경북대학교 치의학전문대학원 예방치과학교실
정윤숙 ( Jung Yun-Sook ) - 경북대학교 치의학전문대학원 예방치과학교실
강남규 ( Kang Nam-Kyu ) - 경북대학교 치의학전문대학원 예방치과학교실
송근배 ( Song Keun-Bae ) - 경북대학교 치의학전문대학원 예방치과학교실
김은경 ( Kim Eun-Kyong ) - 영남대학교 의과대학 치과학교실
박진미 ( Park Jin-Mi ) - 영남대학교 의과대학 치과학교실
김주연 ( Kim Ju-Yoon ) - 영남대학교 의과대학 치과학교실
이희경 ( Lee Hee-Kyung ) - 영남대학교 의과대학 치의학교실
KMID : 0355420130370010041
Abstract
Objectives: The purpose of this study was to evaluate the effects of oral care interventions on stroke patients in the intensive care unit (ICU). Oral hygiene levels, periodontal health, and presence of Candida were evaluated in patients who received an oral care intervention and control patients who did not receive the intervention. Methods: In this study, 22 stroke patients who were admitted to the ICU between June 2011 and August 2012 underwent oral examinations and were provided with an oral care intervention that included tooth brushing with an interdental brush and the use of a chlorhexidine mouthwash (oral care group), while 21 patients who were admitted to the ICU during the same period did not receive the oral care intervention but underwent oral examination and served as controls (non-oral care group). In the oral care group, oral care was performed once a day for 1-5 weeks according to the general health of the patient. The patients in the oral care group underwent oral examination before and after the oral care intervention. Plaque index, gingival index, clinical attachment loss (CAL), and presence of Candida were evaluated in both the groups. Results: The plaque index and gingival index of the oral care group were significantly lower than those of the non-oral care group; however, no significant difference in CAL was observed. The levels of Candida in the oral care group were lower than those in the non-oral care group. However, no significant intergroup difference was observed in the levels of Candida. Conclusions: Oral care interventions improved oral health, including oral hygiene and periodontal health, of stroke patients in the ICU. Therefore, this study showed that oral care interventions can be effectively used to improve the oral health of stroke patients in the ICU.
키워드
Oral care;Intensive care unit;ICU
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