The view of nurses and nursing technicians about the importance of oral hygiene in admitted patients
DOI:
https://doi.org/10.5335/rfo.v25i2.10545Keywords:
Hospital dentistry, Nurses, Nursing Technicians, Oral Hygiene.Abstract
This study aimed to evaluate how is the view of the nurses (N) and technicians´ (T) about the importance of the oral hygiene to admitted patients; to check if the dental biofilm control methods are done in the patients; and to compare the professionals’ view of these professionals in two hospitals, in Passo Fundo, RS. The N ant T professionals’ selection was made by electronic randomization. The data collect was performed through a questionnaire applied as an interview. Thirty-one T and twenty N were interviewed, distributed at the Clinical Hospital (T=15; N=10) and at the São Vicente de Paulo Hospital (T=16; N.=10). The professionals were from the pediatrics, oncology, emergency, maternity, general care and other units. All of them disclaimed important the patients’ oral hygiene, but hygiene and oral cavity evaluation were not made always. Nursing technicians and nurses from both hospitals consider the oral hygiene of admitted patients very important. The research showed that dental biofilm removal, although relevant, it is not performed as often as recommended to maintain the oral health of patients, stepping up the Dentist professional in the hospitalar team.
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References
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27. Tantipong H, Morkchareonpong C, Jaiyindee S, Thamlikitkul V. Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia. Infect Control Hosp Epidemiol 2008; 29(2):131-6.
28. Soh KL, Shariff Ghazali S, Soh KG, Abdul Raman R, Sharif Abdullah SS, Ong SL. Oral care practice for the ventilated patients in intensive care units: a pilot survey. J Infect Dev Ctries 2012; 6(4):333-9.
29. Treloar DM, Stechmiller JK. Use of a clinical assessment tool for orally intubated patients. Am J Crit Care 1995; 4(5):355-60.
30. Zand F, Zahed L, Mansouri P, Dehghanrad F, Bahrani M, Ghorbani M. The effects of oral rinse with 0.2% and 2% chlorhexidine on oropharyngeal colonization and ventilator associated pneumonia in adults’ intensive care units. J Crit Care 2017; 40:318-22.
31. da Silva Junior AC, Xavier IP, Menezes Silveira L, Stabile AM, Capellari Cárnio E, Lima de Gusmão J, et al. Higiene oral: atuação da equipa de enfermagem em ambiente hospitalar. Revista de Enfermagem Referência 2020; 1.
2. Loe H, Theilade E, Jensen SB. Experimental Gingivitis in Man. J Periodontol 1965; 36:177-87.
3. Terezakis E, Needleman I, Kumar N, Moles D, Agudo E. The impact of hospitalization on oral health: a systematic review. J Clin Periodontol 2011; 38(7):628-36.
4. Barnes CM. Dental hygiene intervention to prevent nosocomial pneumonias. J Evid Based Dent Pract 2014; 14(Suppl):103-14.
5. Rautemaa R, Lauhio A, Cullinan MP, Seymour GJ. Oral infections and systemic disease-an emerging problem in medicine. Clin Microbiol Infect 2007; 13(11):1041-7.
6. Almeida RF, Pinho MM, Lima C. Associação entre doença periodontal e patologias sistêmicas. Rev Port Clin Geral 2006; 22(11):379-90.
7. Kanzigg LA, Hunt L. Oral Health and Hospital-Acquired Pneumonia in Elderly Patients: A Review of the Literature. J Dent Hyg 2016; 90(Suppl 1):15-21.
8. Scannapieco FA, Bush RB, Paju S. Associations between periodontal disease and risk for nosocomial bacterial pneumonia and chronic obstructive pulmonary disease. A systematic review. Ann Periodontol 2003; 8(1):54-69.
9. Silveira IR, Maia FOM, Natta JR. Rúbia Aparecida Lacerda. Higiene bucal: prática relevante na prevenção de pneumonia hospitalar em pacientes em estado crítico. Acta Paul Enferm 2010; 16(5):697-700.
10. Godoi APT, Francesco AR, Duarte A, Kemp APT, Silva-Lovato C. Odontologia hospitalar no Brasil. Uma visão geral. Rev Odontol Unesp 2009; 38(2):105-9.
11. Araújo RJG, Vinagre NPL, Sampaio JMS. Avaliação sobre a participação de cirurgiões-dentistas em equipes de assistência ao paciente. Acta Scientiarum 2009; 31(2):153-7.
12. Mattevi GS, Figueiredo DR, Patrício ZM, Rath, IBS. A participação do cirurgião-dentista em equipe de saúde multidisciplinar na atenção à saúde da criança no contexto hospitalar. Cienc Saúde Coletiva 2011; 16(10):4229-36. 13. Ford PJ, Raphael SL, Cullinan MP, Jenkins AJ, West MJ, Seymour GJ. Why should a doctor be interested in oral disease? Expert Rev Cardiovasc Ther 2010; 8(10):1483-93.
14. Sreenivasan VPD, Ganganna A, Rajashekaraiah PB. Awareness among intensive care nurses regarding oral care in critically ill patients. J Indian Soc Periodontol 2018; 22(6):541-5.
15. Oliveira LCBS, Carneiro PPM, Fischer RG. A Presença de Patógenos Respiratórios no Biofilme Bucal de Pacientes com Pneumonia Nosocomial. Rev Brasileira de Terapia Intensiva 2007; 19(4):428-33.
16. Morais TMN, Silva A, Avi ALR, Souza PHR, Knobel E, Camargo LFA. A Importância da Atuação Odontológica em Pacientes Internados em Unidade de Terapia Intensiva. Rev Brasil Terapia Intens 2006; 18(4):412-7.
17. Ximenes RCC, Aragão DSF, Colares U. Avaliação dos cuidados com a saúde oral de crianças hospitalizadas. Rev Fac Odontol Porto Alegre 2008; 49(1):21-5.
18. Gondim CG, Moura WBV, Lucena RGR. Saúde bucal de pacientes internados em hospital de emergência. Arq Odontol 2012; 48(4):270-9.
19. Logan HL, Ettinger R, McLeran H, Casko R, Dal Secco D. Common misconceptions about oral health in the older adult: nursing practices. Spec Care Dentist 1991; 11(6):243-7.
20. Atashi V, Yousefi H, Mahjobipoor H, Bekhradi R, Yazdannik A. Effect of Oral Care Program on Prevention of Ventilator-associated Pneumonia in Intensive Care Unit Patients: A Randomized Controlled Trial. Iranian Journal of Nursing and Midwifery Research 2020; 9:486-90.
21. Hutchins K, Karras G, Erwin J, Sullivan KL. Ventilatorassociated pneumonia and oral care: a successful quality improvement project. Am J Infect Control 2009; 37(7):590-7.
22. Orlandini GM, Lazzari CM. Conhecimento da equipe de enfermagem sobre higiene oral em pacientes criticamente enfermos. Rev Gaúcha Enferm 2012; 33(3):34-41.
23. Chacko R, Rajan A, Lionel P, Thilagavathi M, Yadav B, Premkumar J. Oral decontamination techniques and ventilator-associated pneumonia. Br J Nurs 2017; 26(11):594-9.
24. Klompas M. Oropharyngeal Decontamination with Antiseptics to Prevent Ventilator-Associated Pneumonia: Rethinking the Benefits of Chlorhexidine. Semin Respir Crit Care Med 2017; 38(3):381-90.
25. Li J, Yue J. Oral topical decontamination for preventing ventilator-associated pneumonia: a systematic review and metaanalysis of randomized controlled trials--authors’ response. J Hosp Infect 2014; 86(4):278-9.
26. McCue MK, Palmer GA. Use of Chlorhexidine to Prevent Ventilator-Associated Pneumonia in a Long-term Care Setting: A Retrospective Medical Record Review. J Nurs Care Qual 2019; 34(3):263-8.
27. Tantipong H, Morkchareonpong C, Jaiyindee S, Thamlikitkul V. Randomized controlled trial and meta-analysis of oral decontamination with 2% chlorhexidine solution for the prevention of ventilator-associated pneumonia. Infect Control Hosp Epidemiol 2008; 29(2):131-6.
28. Soh KL, Shariff Ghazali S, Soh KG, Abdul Raman R, Sharif Abdullah SS, Ong SL. Oral care practice for the ventilated patients in intensive care units: a pilot survey. J Infect Dev Ctries 2012; 6(4):333-9.
29. Treloar DM, Stechmiller JK. Use of a clinical assessment tool for orally intubated patients. Am J Crit Care 1995; 4(5):355-60.
30. Zand F, Zahed L, Mansouri P, Dehghanrad F, Bahrani M, Ghorbani M. The effects of oral rinse with 0.2% and 2% chlorhexidine on oropharyngeal colonization and ventilator associated pneumonia in adults’ intensive care units. J Crit Care 2017; 40:318-22.
31. da Silva Junior AC, Xavier IP, Menezes Silveira L, Stabile AM, Capellari Cárnio E, Lima de Gusmão J, et al. Higiene oral: atuação da equipa de enfermagem em ambiente hospitalar. Revista de Enfermagem Referência 2020; 1.
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2021-06-02
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The view of nurses and nursing technicians about the importance of oral hygiene in admitted patients. (2021). Revista Da Faculdade De Odontologia - UPF, 25(2), 224-231. https://doi.org/10.5335/rfo.v25i2.10545
