BibTex RIS Kaynak Göster

Oral Care in Patients Receiving Mechanical Ventilator

Yıl 2010, Cilt: 17 Sayı: 2, 92 - 99, 01.06.2010

Öz

In patients receiving mechanical ventilation; drugs, endotracheal tube, which requires the mouth to remain continuously open, use of plasters for fastening the tube, lack of oral liquid and food consumption cause to lose integrity of the mouth and surrounding tissues and changes the flora of the mouth. Providing and maintaining oral hygiene of patients receiving mechanical ventilation is vital in preventing oral problems and ventilator associated pneumonia (VAP) due to mechanical ventilation, changes in oral mucosa and poor oral care originated In this article, the importance of oral care and special considerations for maintaining and protection of oral mucosa in patients on mechanical ventilation are discussed.

Kaynakça

  • Taylor C, Lillis C, Lemone, P, Lynn P. Fundamentals of nursing. The Art And Science of Nursing Care. 6nd Edition. Philadelphia: Wolter Kluwer. Lippincot Williams&Wilkins; 2008.
  • Kozier B, Berman A, Snyder S, Erb G. Fundamentals of nursing concepts, process and practice. 8nd Edition. New Jersey: Prentice Hall.Upper Saddle River; 2008.
  • Potter P, Perry A. Fundamentals of nursing. 7nd Edition. St. Louis: Elsevier; 2009.
  • Ulusoy M, Görgülü R. Hemşirelik esasları-temel kuram, kavram, ilke ve yöntemler. 2. Baskı. Ankara: 72 TDFO Ltd. Şti; 1996.
  • McNeill H. Biting back of poor oral hygiene. İntensive and Critica Care Nursing 2000; 16: 362-367.
  • Evans G. A Rationale for oral care. Nursing Standart 2001; 15 (43): 33-36.
  • Fitch J, Munro C, Glass C, Pellegrini J. Oral care in the adult intensive care unit. American Journal of Critical Care 1999; 8 (5): 314-318.
  • Abidia R. Oral care in the intensive care unit: a review. The Journal of Contemporary Dental Practice 2007; 8 (1): 1-8.
  • Berry A, Davidson P, Rolls K, Masters J. Systematic literature review of oral hygiene practices for intensive care patients receiving mechanical ventilation. American Journal of Critical Care 2007; 16 (6): 552-562.
  • Augustyn B. Ventilator-associated pneumonia. Critical Care Nursing 2007; 4 (27): 32-39.
  • Akın E, Eşer İ. Ventilatör ilişkili pnömoninin önlenmesinde etkin bir yol: hemşirelik bakımı. Hemşirelik Forumu Dergisi 2006; 9 (3): 31-36.
  • Safdar N, Dezfulian C, Collard H, Saint S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med 2005; 33: 2184-2193.
  • Gülaşı S, Yıldızdaş D. Ventilatörle İlişkili Pnömoniler. Çocuk Acil Tıp ve Yoğun Bakım Derneği 2005; 1 (1): 6-10.
  • Cutler C, Davis N. İmproving oral care in patients receiving mechanical ventilation. American Journal of Critical Care 2005; 14 (5): 389-394.
  • Rello J, Koulenti D, Blot S, Sierra R, Diaz E, Waela J, et.al. Oral care practices in intensive care units: a survey of 59 european ıcu’s. İntensive Care Med 2007; 33 (6): 1066-1070.
  • Berry A, Davidson P. Beyond Confort: Oral hygiene as a critical nursing activity in the intensive care unıt. İntensive and Critical Care Nursing 2006; 22: 318-328.
  • White R. Nurse assesment of oral health: a review of practice and education. British Journal of Nursing 2000; 9 (5): 260-266.
  • Eilers J, Berger A, Petersen M. Development, testing and application of the oral asssesment guide. Oncology Nursing Forum 1988; 15 (3): 325-330.
  • O’Reilly M. Oral care of the critically ill: a review of the literature and guidelines for practice. Australian Critical Care 2003; 16 (3); 101-110.
  • Schleder B, Stott K, Lylod R. The effect of a comprehensive oral care protocol on patients at risk for ventilator-associated pneumonia. Advocate Health Care 2002; 4 (1): 27-30.
  • Pearson L, Hutton J. A controlled trial to compare the ability of foam swabs and toothbrushes to remove dental plaque. Journal of Advanced Nursing 2002; 39 (5): 480-489.
  • Fourrier F, Pottier E, Boutigny H, Delvallez M, Jourdain M, Chopin C. Effects of dental plaque antiseptic decontamination on bacterial colonization and nosocomial infections in critically ill patients. İntensive Care Med 2000; 26: 1239-1247.
  • Boop, M., Darby, M., Loftin, K., Broscious, S. (2006). Effect of Daily Oral Care With 0.12% Chlorhexidine Gluconate and a Standart Oral Care Protocol on the Development of Nosocomial Pneumonia in İntubated Patients: A Pilot Study. J Dent Hygiene, 80 (3), 9.
  • Nainar H, Mohummed S. Role of ınfant feeding practices on the dental health. Clin Pediatr 2004; 43: 129-133.
  • Miller M, Kearney N. Oral care for patients with cancer: a review of the literature. Cancer Nurs 2001; 24: 241-254.
  • Rawlins C. Effective mouth care for seriously ill patients. Professional Nurse 2001; 16 (4): 1025-1028.
  • Matthijs S, Adriaens P. Chlorhexidine varnishes: a review. Clin Periodontol 2002; 29 (1): 1-8.
  • Grap M, Munro C. Oral health and care in the ıntensıve care unit: state of the science. American Journal of Critical Care 2004; 13 (1): 25-33.
  • Yates R, Shearer B, Huntington E, Addy M. A method to compare four mouthrinses. Journal of Clinical Periodontology 2002; 29: 519-523.
  • Puing Silla M, Montiel Company JM, Almerich Silla JM. Use Of Chlorhexidine Varnishes İn Preventing And Treating Periodontal Disease. A Review of the Literature. Med Oral Patol Oral Cir Bucal 2008; 13 (4): E257-E260.
  • Houston S, Hougland P, Anderson J, LaRocco M, Kennedy V, Gentry L. Effectiveness of 012% chlorheksidine glucanate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery. Am J Crit Care 2002; 11 (6): 567-570.
  • Chlebicki M, Safdar N.Topikal chlorhexidine for prevention of ventilator- associated pneumonia: a meta analysis. Critical Care Med 2007; 35 (2): 595- 602.
  • Chan E, Ruest A, Meade M, Cook D. Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systematic review and meta-analysis. BMJ 2007; 334: 889- 900.
  • Beraldo C, Andrade D. Oral Hygiene With Chlorhexidine İn Preventing Pneumonia Associated with Mechanical Ventilation. J. Bras Pneumol 2008; 34 (9): 707-714.
  • Çelik S. Mekanik Ventilasyonda Hasta Bakımı. Yoğun Bakım Hemşireliği Dergisi 2000; 10 (1-2): 19-25.

Mekanik Ventilatöre Bağlı Hastalarda Ağız Bakımı

Yıl 2010, Cilt: 17 Sayı: 2, 92 - 99, 01.06.2010

Öz

Mekanik ventilatöre bağlı hastalarda tedavi için kullanılan ilaçlar, endotrakeal tüp nedeniyle ağzın sürekli olarak açık kalması, endotrakeal tüpün varlığı ve tespit için kullanılan flasterler, ağız yoluyla sıvı ve besin alınmaması ağız ve çevresindeki doku bütünlüğünün bozulmasına ve ağız florasında değişikliklere neden olmaktadır. Mekanik ventilatöre bağlı hastaların ağız mukozasında meydana gelen değişiklikler ve ağız bakımı yetersizliği nedeniyle gelişebilecek ağız sorunları ve ventilatörle ilişkili pnömoni'yi (VİP) önlemede ağız hijyeninin sağlanması ve sürdürülmesi son derece önemlidir. Bu makalede, mekanik ventilatöre bağlı hastalarda ağız bakımının önemi ve ağız mukoza sağlığının korunması ve sürdürülmesinde dikkat edilmesi gereken noktalara yer verilmiştir.

Kaynakça

  • Taylor C, Lillis C, Lemone, P, Lynn P. Fundamentals of nursing. The Art And Science of Nursing Care. 6nd Edition. Philadelphia: Wolter Kluwer. Lippincot Williams&Wilkins; 2008.
  • Kozier B, Berman A, Snyder S, Erb G. Fundamentals of nursing concepts, process and practice. 8nd Edition. New Jersey: Prentice Hall.Upper Saddle River; 2008.
  • Potter P, Perry A. Fundamentals of nursing. 7nd Edition. St. Louis: Elsevier; 2009.
  • Ulusoy M, Görgülü R. Hemşirelik esasları-temel kuram, kavram, ilke ve yöntemler. 2. Baskı. Ankara: 72 TDFO Ltd. Şti; 1996.
  • McNeill H. Biting back of poor oral hygiene. İntensive and Critica Care Nursing 2000; 16: 362-367.
  • Evans G. A Rationale for oral care. Nursing Standart 2001; 15 (43): 33-36.
  • Fitch J, Munro C, Glass C, Pellegrini J. Oral care in the adult intensive care unit. American Journal of Critical Care 1999; 8 (5): 314-318.
  • Abidia R. Oral care in the intensive care unit: a review. The Journal of Contemporary Dental Practice 2007; 8 (1): 1-8.
  • Berry A, Davidson P, Rolls K, Masters J. Systematic literature review of oral hygiene practices for intensive care patients receiving mechanical ventilation. American Journal of Critical Care 2007; 16 (6): 552-562.
  • Augustyn B. Ventilator-associated pneumonia. Critical Care Nursing 2007; 4 (27): 32-39.
  • Akın E, Eşer İ. Ventilatör ilişkili pnömoninin önlenmesinde etkin bir yol: hemşirelik bakımı. Hemşirelik Forumu Dergisi 2006; 9 (3): 31-36.
  • Safdar N, Dezfulian C, Collard H, Saint S. Clinical and economic consequences of ventilator-associated pneumonia: a systematic review. Crit Care Med 2005; 33: 2184-2193.
  • Gülaşı S, Yıldızdaş D. Ventilatörle İlişkili Pnömoniler. Çocuk Acil Tıp ve Yoğun Bakım Derneği 2005; 1 (1): 6-10.
  • Cutler C, Davis N. İmproving oral care in patients receiving mechanical ventilation. American Journal of Critical Care 2005; 14 (5): 389-394.
  • Rello J, Koulenti D, Blot S, Sierra R, Diaz E, Waela J, et.al. Oral care practices in intensive care units: a survey of 59 european ıcu’s. İntensive Care Med 2007; 33 (6): 1066-1070.
  • Berry A, Davidson P. Beyond Confort: Oral hygiene as a critical nursing activity in the intensive care unıt. İntensive and Critical Care Nursing 2006; 22: 318-328.
  • White R. Nurse assesment of oral health: a review of practice and education. British Journal of Nursing 2000; 9 (5): 260-266.
  • Eilers J, Berger A, Petersen M. Development, testing and application of the oral asssesment guide. Oncology Nursing Forum 1988; 15 (3): 325-330.
  • O’Reilly M. Oral care of the critically ill: a review of the literature and guidelines for practice. Australian Critical Care 2003; 16 (3); 101-110.
  • Schleder B, Stott K, Lylod R. The effect of a comprehensive oral care protocol on patients at risk for ventilator-associated pneumonia. Advocate Health Care 2002; 4 (1): 27-30.
  • Pearson L, Hutton J. A controlled trial to compare the ability of foam swabs and toothbrushes to remove dental plaque. Journal of Advanced Nursing 2002; 39 (5): 480-489.
  • Fourrier F, Pottier E, Boutigny H, Delvallez M, Jourdain M, Chopin C. Effects of dental plaque antiseptic decontamination on bacterial colonization and nosocomial infections in critically ill patients. İntensive Care Med 2000; 26: 1239-1247.
  • Boop, M., Darby, M., Loftin, K., Broscious, S. (2006). Effect of Daily Oral Care With 0.12% Chlorhexidine Gluconate and a Standart Oral Care Protocol on the Development of Nosocomial Pneumonia in İntubated Patients: A Pilot Study. J Dent Hygiene, 80 (3), 9.
  • Nainar H, Mohummed S. Role of ınfant feeding practices on the dental health. Clin Pediatr 2004; 43: 129-133.
  • Miller M, Kearney N. Oral care for patients with cancer: a review of the literature. Cancer Nurs 2001; 24: 241-254.
  • Rawlins C. Effective mouth care for seriously ill patients. Professional Nurse 2001; 16 (4): 1025-1028.
  • Matthijs S, Adriaens P. Chlorhexidine varnishes: a review. Clin Periodontol 2002; 29 (1): 1-8.
  • Grap M, Munro C. Oral health and care in the ıntensıve care unit: state of the science. American Journal of Critical Care 2004; 13 (1): 25-33.
  • Yates R, Shearer B, Huntington E, Addy M. A method to compare four mouthrinses. Journal of Clinical Periodontology 2002; 29: 519-523.
  • Puing Silla M, Montiel Company JM, Almerich Silla JM. Use Of Chlorhexidine Varnishes İn Preventing And Treating Periodontal Disease. A Review of the Literature. Med Oral Patol Oral Cir Bucal 2008; 13 (4): E257-E260.
  • Houston S, Hougland P, Anderson J, LaRocco M, Kennedy V, Gentry L. Effectiveness of 012% chlorheksidine glucanate oral rinse in reducing prevalence of nosocomial pneumonia in patients undergoing heart surgery. Am J Crit Care 2002; 11 (6): 567-570.
  • Chlebicki M, Safdar N.Topikal chlorhexidine for prevention of ventilator- associated pneumonia: a meta analysis. Critical Care Med 2007; 35 (2): 595- 602.
  • Chan E, Ruest A, Meade M, Cook D. Oral decontamination for prevention of pneumonia in mechanically ventilated adults: systematic review and meta-analysis. BMJ 2007; 334: 889- 900.
  • Beraldo C, Andrade D. Oral Hygiene With Chlorhexidine İn Preventing Pneumonia Associated with Mechanical Ventilation. J. Bras Pneumol 2008; 34 (9): 707-714.
  • Çelik S. Mekanik Ventilasyonda Hasta Bakımı. Yoğun Bakım Hemşireliği Dergisi 2000; 10 (1-2): 19-25.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Ar. Gör. Dr. Hüsna Özveren Bu kişi benim

Yayımlanma Tarihi 1 Haziran 2010
Gönderilme Tarihi 29 Temmuz 2014
Yayımlandığı Sayı Yıl 2010 Cilt: 17 Sayı: 2

Kaynak Göster

Vancouver Özveren AGDH. Mekanik Ventilatöre Bağlı Hastalarda Ağız Bakımı. HUHEMFAD. 2010;17(2):92-9.