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Abstract
Introduction: Poor oral hygiene and dental care can affect oral intake which results in decreased endurance and increases the risk of opportunistic or systemic infections. Method: The research was carried out the RSUD dr. M. Haulussy Ambon, Maluku, Indonesia, using a quasi-experimental method, involving 30 nurses and 20 patients. The level of knowledge and skills is evaluated before and after oral hygiene education for nurses. Patients were measured with a Beck Oral Assessment Scale (BOAS) score, and C. albicans yeast culture before and after the intervention was given in the form of oral hygiene using a soft toothbrush and dental floss for one week. Result: The influence of oral hygiene education on nurses knowledge with median value of pre-education 36.00 and post-education 91.00 and nurse skills have median value of pre-education 67.00 and post-education 100.00 with a significant value of p = 0.001 <0.05. There is an increase in knowledge and skills after educational activities. Before oral hygiene treatment was applied with a review of the BOAS score it had a median value of 11.00 after the intervention became 6.00 a significant value of p= 0.001<0.05, which showed a decrease in scores after oral hygiene treatment. Examination of C. albicans fungus with a median value of 79.00 pre-intervention and 31.00 at post-intervention, a significant value of p= 0.001, showed a decrease in the number of post-intervention fungi. Conclusion: Nurses should conducted Oral hygiene regularly to improve oral health status of AIDs patiens.
Highlights
Poor oral hygiene and dental care can affect oral intake which results in decreased endurance and increases the risk of opportunistic or systemic infections
Impact of oral hygiene involving toothbrushing versus chlorhexidine in the prevention of ventilator-associated pneumonia : a randomized study
Dental hygiene registration: development, and reliability and validity testing of an assessment scale designed for nurses in institutions
Summary
Sampling dilakukan secara acak sederhana (simple random sampling) dengan melakukan undian, kemudian diambil 31 sampel untuk intervensi yang telah disesuaikan dengan kriteria inklusi. Pemilihan perawat yang dimasukan dalam penelitian ini menggunakan kriteria inklusi; perawat yang bertugas di ruang interna, yang mengikuti kegiatan edukasi oral hygiene, sedangkan perawat yang dikeluarkan (ekslkusi) dari penelitian adalah perawat yang tidak mengikuti kegiatan edukasi dan tidak menyelesaikan kuesioner pre dan post edukasi. Tahap berikutnya adalah penilaian status kesehatan mulut pasien pre intervensi dengan menggunakan skor Beck Oral Assessment Scale (BOAS) dengan skor: 0-5 merupakan kondisi normal, 6-10 disfungsi ringan, 11-15 disfungsi sedang, 16-20 disfungsi berat (Ames, et al, 2011) dan pengambilan sampel untuk pemeriksaan C. albicans, kemudian perawat menerapkan intervensi oral hygiene kepada pasien dengan menggunakan sikat gigi berbulu lembut dan pasta gigi serta peggunaan dental floss selama tujuh hari. Responden yang terlibat dalam penelitian ini pada awalnya adalah sebanyak 37 orang perawat, namun enam responden tidak dapat mengikuti evaluasi akhir dan pengisian kuesioner post edukasi sehingga sisa 31 responden perawat. SPSS dan uji Wilcoxon digunakan untuk menilai hasil pre dan post intervensi yang memiliki sebaran data tidak normal
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