PALYATİF BAKIM HASTALARINDA YOĞUN BAKIM AĞIZ BAKIMI FREKANS DEĞERLENDİRME ÖLÇEĞİNİN (ICOCFAS) KULLANILMASI

Year 2025, Volume: 29 Issue: 1, 1 - 9, 30.04.2025

Fatma Özder , Özlem Doğu

https://doi.org/10.62111/ybhd.1496956

Abstract

Amaç: Yoğun Bakım Ağız Bakımı Frekans Değerlendirme Ölçeği (ICOCFAS)’nin palyatif bakım ünitesinde yatan hastalarda kullanılması amacıyla planlanmıştır. Gereç ve Yöntem: Araştırma tanımlayıcı ve kesitsel nitelikte, palyatif bakım ünitesinde yatan hastalar ile yapılmıştır. Araştırmaya, katılmayı kabul eden 70 hasta dahil edilmiş, veriler tanılama formu ve ICOCFAS kullanılarak aynı araştırmacı tarafından bir hafta ara ile değerlendirilmiştir. İlk değerlendirmede aldığı puana göre ağız bakım sıklığına karar verilmiş olup, son değerlendirmede ile karşılaştırılmıştır. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 64.5, %68,6’sı erkek ve %74,3’ ilköğretim mezunudur. Paranteral beslenen hastalarda her iki ölçümde de ICOCFAS puanı anlamlı derecede daha yüksek bulunmuştur (p<0.001). Bireysel özelliklere göre incelendiğinde grupların çoğunda birinci ve ikinci ölçüm arasında anlamlı fark bulunmuştur (p<0.05). ICOCFAS birinci ve ikinci ölçüm alt parametrelerden alınan ortalama puanlar incelendiğinde dudaklar (p=0.003), dişler (p=0.019), dil (p<0.001) ve oral mukoza (p=0.015) puanlarında anlamlı farklılık olduğu ve ikinci ölçümde puanların daha düşük olduğu belirlenmiştir. Sonuç: ICOCFAS’ın palyatif bakım hastalarının ağız bakım sıklığına karar vermede faydalı olduğu, ağız içinde iyileşmeler olduğu gözlenmiştir.

Keywords

palyatif bakım , ICOCFAS , ağız bakım sıklığı

USE OF INTENSIVE CARE ORAL CARE FREQUENCY ASSESSMENT SCALE (ICOCFAS) IN PALLIATIVE CARE PATIENTS

Abstract

Aim: Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS) was planned to be used in patients hospitalised in a palliative care unit. Material and Methods: This descriptive and cross-sectional study was conducted with patients hospitalised in a palliative care unit. The study included 70 patients who agreed to participate in the study, and the data were evaluated by the same researcher at one-week intervals using the diagnostic form and ICOCFAS. The frequency of oral care was decided according to the score obtained in the first evaluation and compared with the final evaluation. Results: The mean age of the patients who participated in the study was 64.5 years, 68.6% were male and 74.3% were primary school graduates. ICOCFAS score was found to be significantly higher in both measurements in parenterally fed patients (p<0.001). When analysed according to individual characteristics, a significant difference was found between the first and second measurement in most of the groups (p<0.05). When the mean scores obtained from ICOCFAS sub-parameters in the first and second measurements were analysed, it was determined that there were significant differences in the scores of lips (p=0.003), teeth (p=0.019), tongue (p<0.001) and oral mucosa (p=0.015) and the scores were lower in the second measurement. Conclusion: ICOCFAS was found to be useful in deciding the frequency of oral care for palliative care patients and improvements were observed in the oral cavity.

Keywords

palliative care , ICOCFAS , oral care frequency

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