جستجوی مقالات مرتبط با کلیدواژه « مراقبت دهان » در نشریات گروه « پزشکی »

Oral hygiene is integral part of nursing attention in the intensive care unit.The purpose of this study is to compare the effect of chlorhexidine and chamomile mouthwash on the incidence of oral lesions in patients admitted to ICU of Hasheminejad Hospital in Mashhad.

This research is double-blind clinical trial.In this research,70newly hospitalized patients with Intoye were examined in the ICUdepartment of Hasheminejad Hospital in Mashhad in2015.The patients were divided into two groups of35people by lottery.In the first group,chlorhexidine mouthwash and in the second group,chamomile was used mouthwash.Mouth evaluation was done for4days.Data collection was done using demographic information,mouth score evaluation was done with MPS tool.The data was analyzed using SPSS16software.

The results showed that chamomile and chlorhexidine mouthwash is effective on oral lesions. On the first day,there was no significant difference in terms of oral lesions in the two groups(p<0.05),but the second and third days,the difference between the chlorhexidine and chamomile groups in terms of The incidence of oral lesions was significant(p<0.05).On the fourth day,there was no significant difference in the amount of gum and oral mucosa disorders in the two groups(p<0.05).The amount of oral lesions on the fourth day in both groups was It decreased significantly and oral lesions changed from moderate to mild.

Chamomile mouthwash and chlorhexidine are effective in improving and controlling oral lesions and dental plaque.Although chlorhexidine has faster effect on improving oral mucosa and gum disorders,chamomile has same effect as chlorhexidine in long run.Therefore,according to the benefits of herbal mouthwash,its use can be recommended as alternativ.

Ventilator-associated pneumonia is the most frequent infection occurring in mechanically ventilated patients in the intensive care unit. Ventilator-associated pneumonia is a serious issue and remains a significant clinical problem for critically ill patients. The aim of this review article is to evaluate studies to conclude the best existing evidence for providing oral hygiene to intensive care unit patients receiving mechanical ventilation, determine the clinical evidence considering chlorhexidine, and to document a research to improve care interventions used for oral care in the critical patients. Searching was performed in the databases: Sciencedirect, SID, CINAHL, Google Scholar, Cochrane Library, Springer and PubMed for accessibility to the studies carried out regarding with chlorhexidine mouthwash and ventilator-associated pneumonia between 1991 to 2014 years by using keywords: chlorhexidine mouthwash and ventilator-associated pneumonia. Although oral care with chlorhexidine cause a reduce the incidence of ventilator-associated pneumonia, but no evidence exists on decrease of mortality in patients undergoing mechanical ventilation admitted in the intensive care unit following its using. Base on this current review article can be said that protective effect of chlorhexidine mouthwash has proved in oral health and prevention of ventilator-associated pneumonia in the critical patients, but unfortunately no evidence exists to the appropriate protocol for using of chlorhexidine mouthwash in these patients.

Ventilator-associated pneumonia (VAP) is the most common nosocomial infection reported among mechanical ventilation patients in intensive care units (ICU). Ventilator-associated pneumonia is associated with increased morbidity، mortality hospital، length of stay and health care costs. Oral health can be compromised by critical illness and by mechanical ventilation and thus، it deteriorates over time. A relationship exists between oral health status and VAP that is influenced by nursing care. Oropharynx colonization is the main risk factor for the development of VAP. Also dental plaques can provide a habitat for microorganisms responsible for VAP. Oral care in critically ill patients is an important issue and nurses of intensive cares play a key role in preventing VAP. Educations for all nurses of intensive cares should focus on the risk factors for VAP as well as onthe preventive interventions. The aim of the present study was to review the literature focusing on oral care in prevention of VAP.