Oral Nursing Care Research Articles

The effect of dental and oral nursing care on knowledge of dental and oral hygiene and tooth brushing skills in inpatiens in the hospital ward in rsud bayu asih purwakarta in 2020

ABSTRACTFor the period 2018–2019, there were 176 inpatients who were control at the dental and oral clinic. They are given oral hygiene care in the form of irrigation/spooling due to the accumulation of food debris that sticks to the tooth surface due to decreased dental and oral hygiene. The research objective: to determine the effect of dental and oral nursing care on knowledge of dental and oral hygiene and tooth brushing skills in hospitalized patients in the internal disease ward at Bayu Asih Hospital Purwakarta in 2020. The level of knowledge was measured using a questionnaire and brushing skills with direct observation by the researcher in accordance with the steps of brushing the combined technique issued by the WHO. Dental and oral nursing care was carried out for 10 days by providing counseling and brushing skills once in two days. Research method: The study was conducted during the period September to October 2020, a quasi-experimental research method with a one group pre and post test research design before and after being given oral and dental nursing care. Purposive sampling samples with inclusion criteria totaled 41 patients. Data analysis using univariate and bivariate. Results: univariate analysis that before being given dental and mouth nursing care, it was shown that 80.4% of respondents had less knowledge and after being given dental and oral nursing care find 48.8% of respondents had good knowledge, it suggest that there was an increase in knowledge of dental and oral hygiene and brushing skills before and after being given dental and oral nursing care. The finding of the research indicated that bivariate analysis showed a significant effect on knowledge of dental and oral hygiene. P. value = 0,000 and tooth brushing skills. P. value = 0,000 for inpatients in internal medicine wards with dental and oral nursing care. Conclusion: There is an effect of dental and oral nursing care on knowledge of oral hygiene and tooth brushing skills in inpatients in the internal disease ward at Bayu Asih Hospital, Purwakarta.

Survey of oral nursing care attitudes, knowledge and practices in a neurorehabilitation setting.

The provision of oral care is an important fundamental nursing activity. The purpose of the study was to gain knowledge on nursing care professionals´ attitude, belief, knowledge and practice towards oral care in a neurorehabilitation setting. Nursing care professionals (n=260, response rate: 60%) at neurorehabilitation hospital took part in cross-sectional web-based 59-items survey. Attitudes were cross-tabulated and compared using Fisher's exact test. Oral care product frequencies were compared between patients with/without eating difficulties using McNemar's test. Most professionals agreed that oral health impacts general health (93%) and poor oral health can cause pneumonia (85%). 41% professionals found it difficult to clean the oral cavity and 12% found it unpleasant. 40% indicated that time allocated for oral hygiene was insufficient, 27% indicated a need for broader range of oral care supplies and >80% would like continuing oral care education. Manual toothbrush and toothpaste were used more than once per shift by >75% in all patients. Swabs, premixed mouth rinse, carbonated water and lip moisturiser were more frequently used in patients with eating difficulties compared to with no eating difficulties. Oral care is perceived as an essential component of care in neurorehabilitation. However, professionals indicated lack of time, need for better supplies and oral care training. The differentiated use of oral care products shows that professionals were aware that patients with eating difficulties have different requirements; however, some oral care practices were inappropriate. The results should be considered while designing oral care guidelines and training.

Effects of continuous quality control on reducing incidence of ventilator-associated pneumonia in intensive care unit

Objective To observe the effects of continuous quality improvement on the incidence rate of ventilator-associated pneumonia (VAP) in intensive care unit (ICU) . Methods Totally 158 patients using ventilators in ICU of Hangzhou Red Cross Hospital between January and June 2016 were selected as the control group using convenient sampling, and another 165 patients using ventilators between January and June 2017 were selected as the observation group. Patients in the control group received conventional nursing care, while patients in the observation group received Plan-Do-Check-Act (PDCA) Cycle Management with the quality of standardized nursing process, standardized upper respiratory tract management and hand hygiene continuously improved. Incidence rate of ventilator-associated pneumonia (VAP) , rate of pass in oral nursing care and hand hygiene compliance in medical and nursing workers were compared between the two groups before and after improvement. SPSS 17.0 was used for statistical analysis. Results The incidence rate of VAP during the first half of 2017 totaled 5.07‰, a decrease of 6.42‰ compared with the first half of 2016. There was statistically significant difference in the incidence rate of VAP between the two groups (P<0.01) ; the rate of pass in oral nursing care after improvement (93.17%) was statistically higher than that before improvement (57.31%) (P<0.01) ; and the hand hygiene compliance after improvement (93.67%) was statistically higher than that before improvement (67.33%) (P<0.01) . Conclusions Continuous quality improvement can reduce the incidence rate of VAP in ICU, which is operable and worth promoting in clinical practice. Key words: Intensive care unit; Continuous quality improvement; Ventilator-associated pneumonia; Incidence rate

The Effectiveness of Oral Care Guideline Implementation on Oral Health Status in Critically Ill Patients.

Intubated patients need specific oral care due to the use of endotracheal tubes. An oral nursing care guideline needs to be implemented to guide nurses in oral care in intubated patients. To test the effectiveness of oral nursing care guideline implementation. The Rogers' Diffusion of Innovations Theory was used to introduce an oral nursing care guideline to 28 nurses working in an intensive care unit in a hospital within 2 months, using mass and private communication within a hospital management system. The oral care guideline was introduced to 47 intubated patients. The accuracy of oral care practice was assessed by nurse research assistants, and patients' oral health status was examined by dental nurse research assistants. The accuracy of practice among nurses was found between 88% and 100%. Total 97.47% (n = 46) of patients had an acceptable oral health status after receiving oral care based on the oral nursing care guideline. The oral nursing care guideline was effectively implemented with high accuracy and could increase patient oral integrity after its implementation.

Hubungan Fasilitas dan Kepuasan Mahasiswa di Klinik Perawatan Mulut di Departemen Perawatan Gigi

Laboratory or clinic is a facility for students to practice the skills required in practical situation. The completeness of existing facilities and infrastructure in the laboratory or clinic can supportquality improvement in practice the concept that has been overrun by students to enhance their learning achievements. Learners will be able to maximize the use of laboratory if facilities are complete and meet the learning needs. That was research used analytic observational approach cross sectional (cut the latitude) designed by doing observations at the same time. This research was carried out in the oral nursing care clinic in Dental Nursing Department. Total samples were 73 students semester IV, wich was taken with the total sampling method. Data collection used questionnaire. Data analysis techniques used correlation analysis Kendall Tau test. The results of analysis with Kendall Tau test by used a confidence level of 95% (α = 0.05) obtained results ρ-value = 0.00 and coefficient correlations (means) and 0.54 0.52 (infrastructure), the better or complete facilities and infrastructure, the more satisfied students in practise in clinic Conclusion: There was a relationship facilities (infrastructure) and satisfaction of students at oral nursing nursing care clinic in Dental Nursing Department

Research on integrated classroom teaching model oriented by cases in teaching of oral nursing care

Objective To investigate the application effect of integrated classroom teaching model oriented by cases in teaching of oral nursing care, and seek a new teaching model, to improve the clinical comprehensive ability of nursing students. Methods Totally 287 undergraduate nursing students of Wenzhou Medical University were selected as the research object, and were divided into the control group and the observation group randomly. The control group adopted the traditional teaching method, while the observation group adopted the integrated classroom teaching model oriented by cases. The autonomous learning ability, critical thinking ability and satisfaction of nursing students between two groups were compared by questionnaire. Results There were no differences between two groups in nursing students′ autonomous learning ability and critical thinking ability before teaching (P>0.05), but after teaching, the scores of autonomous learning ability and critical thinking ability of students in the observation group were significantly higher than those of students in the control group (P<0.05). The students′ satisfaction towards teaching in the observation group (91.97±11.37) was significantly higher than that of the control group (84.43±10.12) (P=0.006). The examination results of oral care clinical ability in the observation group (83.47±8.19) were significantly higher than that in the control group (71.86±6.23) (P=0.001). Conclusions The integrated classroom teaching model oriented by cases can increase nursing students′ autonomous learning ability, critical thinking ability and clinical practice ability, and improve the learning enthusiasm and comprehensive ability of nursing students. Key words: Teaching; Cases; Oral nursing

Controllable suction toothbrush for improving oral nursing quality in critical patients

Objective To investigate the clinical efficacy of controllable suction toothbrush in the oral nursing care of critical patients.Methods 120 critical patients from ICU were randomly divided an observation group and a control group,with 60 cases in each group.The observation group were flushed,sucked,and brushed with controllable suction toothbrush,while the control group were orally nursed with conventional cotton ball dipping in saline scrub.The nursing efficacies were compared.Results 12 and 2 patients had bad breath,22 and 4 got oral ulcer,and 16 and 4 were positive in oral secretion culture in the control group and the observational group,respectively,with statistical differences(P ＜ 0.05).Conclusions Cleaning oral cavity with controllable suction toothbrush for critical patients can avoid aspiration and reduce oral complications and pulmonary infection,is convenient,and can save time and improve work efficiency. Key words: Controllable suction toothbrush; Improvement; Oral nursing quality in critical patients

Effect evaluation of nursing outcomes classification in oral nursing care for patients

Objective To observe and explore the effect of nursing outcomes classification (NOC) on the improvement of oral hygiene in dental patients.Methods A total of 120 patients who were treated from January 2010 to December 2012 were selected by using random sampling method,who were divided into observation group and control group according to stratified randomization,60 patients in the control group with routine nursing and 60 patients in the observation group with nursing outcomes classification based on routine nursing.The improvement of oral hygiene was compared between the two groups.Results The excellent and good rate of oral mucosa in the observation group was 75.00％ (45/60) and 30.00％ (18/60) in the control group,and there was significant difference between the two groups (x2 =24.361,P ＜ 0.05).The SCL-90 scale scores of anxiety,fear,depression,hostility,somatization in the observation group were lower than those in the control group [(11.6±2.6) vs (19.3±3.1),(8.7±1.7) vs (13.6±1.6),(9.3±1.7) vs (13.2±2.2),(9.2±1.3) vs (12.8 ± 1.8),(12.5 ± 1.9) vs (18.2 ±2.2)],and these differences were statistically significant(t =-9.447,-10.237,-7.005,-8.136,-9.712,respectively;P ＜0.05).All scores of NOC-oral hygiene in the observation group were higher than those in the control group,and the differences were statistically significant (P ＜ 0.05).Conclusions The implementation of nursing outcomes classification in oral nursing intervention of dental patients can significantly improve the overall condition of oral health in patients,and improve the quality of life. Key words: Oral hygiene; Oral care; Nursing outcomes classification

Basic Nursing Care to Prevent Nonventilator Hospital‐Acquired Pneumonia

Nonventilator hospital-acquired pneumonia (NV-HAP) is an underreported and unstudied disease, with potential for measurable outcomes, fiscal savings, and improvement in quality of life. The purpose of our study was to (a) identify the incidence of NV-HAP in a convenience sample of U.S. hospitals and (b) determine the effectiveness of reliably delivered basic oral nursing care in reducing NV-HAP. A descriptive, quasi-experimental study using retrospective comparative outcomes to determine (a) the incidence of NV-HAP and (b) the effectiveness of enhanced basic oral nursing care versus usual care to prevent NV-HAP after introduction of a basic oral nursing care initiative. We used the International Statistical Classification of Diseases and Related Problems (ICD-9) codes for pneumonia not present on admission and verified NV-HAP diagnosis using the U.S. Centers for Disease Control and Prevention diagnostic criteria. We completed an evidence-based gap analysis and designed a site-specific oral care initiative designed to reduce NV-HAP. The intervention process was guided by the Influencer Model (see Figure) and participatory action research. We found a substantial amount of unreported NV-HAP. After we initiated our oral care protocols, the rate of NV-HAP per 100 patient days decreased from 0.49 to 0.3 (38.8%). The overall number of cases of NV-HAP was reduced by 37% during the 12-month intervention period. The avoidance of NV-HAP cases resulted in an estimated 8 lives saved, $1.72 million cost avoided, and 500 extra hospital days averted. The extra cost for therapeutic oral care equipment was $117,600 during the 12-month intervention period. Cost savings resulting from avoided NV-HAP was $1.72 million. Return on investment for the organization was $1.6 million in avoided costs. NV-HAP should be elevated to the same level of concern, attention, and effort as prevention of ventilator-associated pneumonia in hospitals. Nursing needs to lead the way in the design and implementation of policies that allow for adequate time, proper oral care supplies, ease of access to supplies, clear procedures, and outcome monitoring ensuring that patients are protected from NV-HAP.

A study among nurses about the cognition of oral nursing care when using the intubation by mouth

目的 了解重症监护病房护士对经口气管插管口腔护理相关知识的掌握情况、所持的态度和临床实践状况.方法 应用自设问卷,采用简单抽样方法向北京市6家三级甲等医院重症监护病房护士发放问卷105份,对问卷调查结果进行分析.结果 护理人员对口腔护理基础知识的掌握情况较好,但对于新知识的了解,如牙菌斑、机械通气性肺炎的发生机制等相关知识了解较差;年龄26～35岁、职称为护师的护理人员的知识掌握情况分别好于年龄＞35岁的护理人员和主管护师(P＜0.05);94.1%的护士认为给插管患者实施口腔护理非常重要;各医院口腔护理临床实践状况不一致.结论 应建立统一、科学的经口气管插管口腔护理操作规范,并针对不同层次护理人员开展口腔护理新知识的培训和宣传。

A STUDY of ORAL HYGIENE NURSING CARE

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