TY - JOUR T1 - Investigation of Pneumonia Rates in Enteral Fed Patients with Two Different Oral Care Methods: Pilot Study in Patients with Acute Stroke TT - Enteral Beslenen Hastalarda İki Farklı Ağız Bakım Yöntemine Göre Pnömoni Oranlarının Karşılaştırılması: Akut İnmeli Hastalarda Pilot Çalışma AU - Yıldız Ilıman, Alev AU - Eşer, İsmet AU - Şirin, Hadiye PY - 2025 DA - September Y2 - 2025 DO - 10.17049/jnursology.1510606 JF - Journal of Nursology PB - Atatürk Üniversitesi WT - DergiPark SN - 2822-2954 VL - 0 IS - 0 LA - en AB - Objective: This study compared the impact of two different oral care methods on the incidence of stroke-associated pneumonia in patients who were fed via nasogastric tube and had no oral intake after a stroke.Methods: This randomized controlled trial was conducted at the Neurology Intensive Care Unit of Ege University Hospital between August 2020 and April 2021. Different oral care protocols were administered to both groups for seven days. Data were collected using the Patient Information Form, the National Institutes of Health Stroke Scale, the Glasgow Coma Scale, the Bedside Oral Exam and Patient Follow-up Form. Oral care was applied to both the intervention and control groups for seven days, with oral health and saliva pH measured and recorded. The diagnosis of pneumonia was made by the Infectious Diseases unit based on physical examination, blood tests, and chest X-rays.Results: The difference in the seven-day oral health assessment scores between the intervention and control groups was found to be significant (P KW - Enteral nutrition KW - oral hygiene KW - pneumonia KW - stroke N2 - Amaç: Bu çalışma, inme sonrası nazogastrik tüp ile beslenen ve ağızdan gıda alımı olmayan hastalarda iki farklı ağız bakım yönteminin inme ile ilişkili pnömoni insidansı üzerindeki etkisini karşılaştırmıştır.Yöntemler: Randomize kontrollü olarak planlanan bu çalışma Ağustos 2020 ile Nisan 2021 arasında Ege Üniversitesi Hastanesi Nöroloji Yoğun Bakım Ünitesinde yürütüldü. Her iki gruba yedi gün boyunca farklı ağız bakım protokolleri uygulandı. Verilerin toplanmasında, Hasta Bilgi Formu, Ulusal Sağlık Enstitüleri İnme Ölçeği, Glasgow Koma Ölçeği, Yatak Başı Ağız Değerlendirme İzlem Formu ve Hasta Takip Formu kullanıldı. Uygulama ve kontrol gruplarına yedi gün boyunca ağız bakımı uygulandı, ağız sağlıkları ve tükürük pH'ı ölçülüp kaydedildi. Pnömoni tanısı fizik muayene, kan testleri ve göğüs röntgenine dayanarak enfeksiyon hastalıkları birimi tarafından konuldu.Bulgular: Hastaların 7 günlük ağız sağlığı değerlendirme puanlarına göre uygulama ve kontrol grubu arasındaki farkın anlamlı olduğu tespit edildi (P CR - 1. GBD 2016 Stroke Collaborators. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2019;18(5):439-458. https://doi.org/10.1016/S1474-4422(19)30034-1 CR - 2. Ulusal Hastalık Yükü Çalışması Sonuçları ve Çözümleri 9: Beyin Damar Hastalıkları ve Demans (2017). Accessed December 21, 2023. http://www.tip.hacettepe.edu.tr/ekler/pdf CR - 3. Türkiye İstatistik Kurumu. Accessed October 20, 2023. https://www.tuik.gov.tr CR - 4. Westendorp WF, Nederkoorn PJ, Vermeij JD, Dijkgraaf MG, van de Beek D. 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