Nursing care in oral hygiene of intubated patients

Authors

  • Ximena Alexandra Sisa Muyulema Universidad Técnica de Ambato. Facultad de Ciencias de la Salud. Estudiante de Grado de la Facultad de Ciencias de la Salud. Enfermería. Ambato. Ecuador.
  • Luis Geovanny Rojas Conde Universidad Técnica de Ambato. Facultad de Ciencias de la Salud. Docente de la Carrera de Enfermería. Ambato. Ecuador.

DOI:

https://doi.org/10.51326/ec.7.7377342

Keywords:

Intensive Care Units, Intratracheal Intubation, Nursing, Oral Hygiene, Patient Care

Abstract

Objective: Determine nursing care in oral hygiene of intubated patients through a bibliographic review.

Methods: A documentary, non-systematic and descriptive research was carried out on the nursing care received by intubated patients in intensive care units for oral hygiene, using databases such as: PubMed, BVS, Scielo, Google scholar, using descriptors from Health Sciences DESC and Medical Subject Headings MeSH, whose inclusion criteria were: original articles, bibliographic review and case reports directly related to the topic, published in the period 2019-2023, in language Spanish and English and of scientific quality (SJR). The bibliographic review was developed with nine bibliographic sources, predominantly qualitative and in English.

Results: Oral hygiene care generally includes the use of oral antiseptics such as chlorhexidine, brushing with small soft bristles, suction and hydration of the oral cavity to reduce plaque formation and consequently infections and mortality in intubated patients.

Conclusion: It is established that nursing care in oral hygiene of intubated patients is essential to keep the oral cavity clean, stimulate saliva flow, avoid inflammation, pain and discomfort in the patient, keep the mucosa and lips hydrated and above all reduce dental plaque, microbial and colonization of the oropharynx.

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References

Choi MI, Han SY, Jeon HS, Choi ES, Won SE, Lee YJ, et al. The Effect of Professional Oral Care on the Oral Health Status of Critical Trauma Patients Using Ventilators. Int J Environ Res Public Health. 2022;19(10):6197. https://doi.org/10.3390/ijerph19106197

Causey C, El Karim I, Blackwood B, McAuley DF, Lundy FT. Quantitative oral health assessments in mechanically ventilated patients: A scoping review. Nurs Crit Care. 2023;28(5):756-72. https://doi.org/10.1111/nicc.12789

Lobo LF, Rodrigues C, Trench PL, Lopes AT. Protocolo y atención de infecciones bucales en pacientes COVID-19. Lat Am J Oral Maxillofac Surg. 2022;2(1):12-8. https://dx.doi.org/10.35366/103404

Singh P, Arshad Z, Srivastava V. Efficacy of Oral Care Protocols in the Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Patients. Cureus. 2022; 14(4):e23750. https://doi.org/10.7759/cureus.23750

Sánchez M, Orozco L, Suárez O, Barrios F. Asociación entre salud bucal, neumonía y mortalidad en pacientes de cuidado intensivo. Revista Médica del Instituto Mexicano del Seguro Social. 2020;58(4):468-76. https://doi.org/10.24875/RMIMSS.M20000072

Cantón M, Garnacho J. Antisepsia orofaríngea en el paciente crítico y en el paciente sometido a ventilación mecánica. Medicina Intensiva. 2019;43(1):23-30. https://doi.org/10.1016/j.medin.2018.06.011

Noorudeen SA, Bhat SS, Bhat VS, Sargod SS, K SH, T ARH, et al. Oral care for patients in intensive care units- A narrative review. Int J Oral Health Dent. 2022;8(2):103-11. https://doi.org/10.18231/j.ijohd.2022.022

Anggraeni DT, Hayati AT, Nur'aeni A. The effect of oral care intervention on oral health status of intubated patients in the intensive care unit. Belitung Nursing Journal. 2020;6(1):21-6. https://doi.org/10.33546/bnj.971

Al-Falahi MA, Haza´a AAM, Alqalah TH. Nurses Knowledge, and Attitudes Toward Oral Care patient with Mechanical Ventilation at Public Hospitals, Sana'a-Yemen. Al-Razi Univ J Med Sci. 2022;6(2):37-43. https://rujms.alraziuni.edu.ye/index.php/rzjournal/article/view/139 [Consultado 22-06-2023]

Zhao T, Wu X, Zhang Q, Li C, Worthington HV, Hua F. Oral hygiene care for critically ill patients to prevent ventilator‐associated pneumonia. Cochrane Database of Syst Rev. 2020;12(12):CD008367. https://doi.org/10.1002/14651858.cd008367.pub3

Alzahraa A. Abd-alraheem, F., A. Mohamed, H., F. Gendy, J. Effect of Oral Hygiene for Patients on Mechanical Ventilator in Intensive Care Unit. Egyptian J Health Care. 2020; 11(2):1105-15. https://doi.org/10.21608/ejhc.2020.265050

Tang X, Shen Y, Pan X, Liao J, Xu Y, Luo W, et al. Oral care for intensive care unit patients without mechanical ventilation: protocol for a systematic review and meta-analysis. Syst Rev. 2022;11:5. https://doi.org/10.1186/s13643-021-01878-0

Jun M-K. Oral Care Practice, Perception, and Attitude of Nurses in Intensive Care Units in Korea: A Questionnaire Survey. Healthcare. 2022; 10(10):2033. https://doi.org/10.3390/healthcare10102033

Labeau SO, Conoscenti E, Blot SI S. Less daily oral hygiene is more in the ICU: not sure. Intensive Care Med. 2021;47(3):334-6. https://doi.org/10.1007/s00134-020-06021-6

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. Declaración PRISMA 2020: una guía actualizada para la publicación de revisiones sistemáticas. Rev Esp Cardiol. 2021;74(9):790-99. https://doi.org/10.1016/j.rec.2021.07.010

Jensen KA. Pasos para la búsqueda Pico perfecta. Ipswich: EBSCO; [2022]. Disponible en: https://bvsspa.es/sau/bvsspa/2021/biblioteca/imagen/7-Steps-to-the-Perfect-PICO-Search-White-Paper_castellano.pdf [Consultado 30-06-2023]

Hernández Lalinde JD, Bermúdez V, Arias V, Chacín M, Pahuana M, Barroso M. Indicadores de rendimiento de citas: clasificación e importancia. Arch Venez Farmacol Ter. 2018;37(3):172-5. https://www.revistaavft.com/images/revistas/2018/avft_3_2018/1_indicadore_rendimientos_citas.pdf [Consultado 02-07-2023]

Silva DHF, Camargos JH, Rodrigues JG, Nogueira LS, Azevedo DA, Carvalho MDG, et al. Impact of oral hygiene in patients undergoing mechanical ventilation in the COVID-19 pandemic. Rev Assoc Med Bras. 2020;66(Suppl 2):96-101. https://doi.org/10.1590/1806-9282.66.s2.96

Winning L, Lundy FT, Blackwood B, McAuley DF, El Karim I. Oral health care for the critically ill: a narrative review. Crit Care. 2021;25(1):353. https://doi.org/10.1186/s13054-021-03765-5

Kord Salarzehi F, Rahat Dahmardeh A, Nasiodin Tabatabaei SM, Yaghoubinia F. Effects of a Comprehensive Oral Care Program and a Combined Toothbrush and Mouthwash Program with 0.2% Chlorhexidine on Oral Health in Mechanically Ventilated Intubated Patients: A Clinical Trial. Med Surg Nurs J. 2021;9(4):e114194. https://doi.org/10.5812/msnj.114194

Anggraeni DT, Hayati AT, Nur'aeni A. The effect of oral care using honey as an additional topical agent on oral health status of intubated patients in the intensive care unit. Enferm Intensiva. 2022;33(4):225-32. https://doi.org/10.1016/j.enfie.2021.12.004

Haghighat S, Mahjobipoor H, Gavarti SG. Comparative Study of the Effect of Three Oral Care Protocols on Ventilator-Associated Pneumonia in Critically Ill Patients: A Clinical Trial. Iran J Nurs Midwifery Res. 2022;27(2):99-105. http://ijnmr.mui.ac.ir/index.php/ijnmr/article/view/1873 [Consultado 02-07-2023]

Cabrita Xavier TF, Melo FCD, Marques MDCMP. Cuidado de higiene bucal al paciente intubado orotraqueal: factores influyentes. Revisión sistemática de la literatura. Enferm Glob. 2023;(70):555-71. https://doi.org/10.6018/eglobal.516121

Kelly N, Blackwood B, Credland N, Stayt L, Causey C, Winning L, et al. Oral health care in adult intensive care units: A national pointprevalence study. Nurs Crit Care. 2023;28(5):773:80. https://doi.org/10.1111/nicc.12919

Gregorczyk-Maga I, Pałka A, Fiema M, Kania M, Kujawska A, Maga P, et al. Impact of tooth brushing on oral bacteriota and health care-associated infections among ventilated COVID-19 patients: an intervention study. Antimicrob Resist Infect Control. 2023; 12:17. https://doi.org/10.1186/s13756-023-01218-y

Published

2024-01-24

How to Cite

1.
Sisa Muyulema XA, Rojas Conde LG. Nursing care in oral hygiene of intubated patients. Enferm. cuid. [Internet]. 2024 Jan. 24 [cited 2024 Nov. 21];7. Available from: https://enfermeriacuidandote.com/article/view/6242