중환자실 뇌졸중환자를 위한 구강관리효과

Title
중환자실 뇌졸중환자를 위한 구강관리효과
Other Titles
The effect of oral care interventions on intensive care unit (ICU) patients with stroke
Author(s)
이희경최연희[최연희]박진미[박진미]김주연[김주연]정윤숙[정윤숙]강남규[강남규]송근배[송근배]김은경
Keywords
Oral care; Intensive care unit; ICU
Issue Date
201303
Publisher
대한예방치과·구강보건학회
Citation
대한구강보건학회지, v.37, no.1, pp.41 - 46
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.
URI
http://hdl.handle.net/YU.REPOSITORY/26151http://dx.doi.org/10.11149/jkaoh.2013.37.1.41
ISSN
1225-388X
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의과대학 > 치과학교실 > Articles
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