Valuation and records of oral hygiene of intubated patients in intensive care units

Authors

  • Suely Sueko Viski Zanei Universidade Federal de São Paulo - UNIFESP, Escola Paulista de Enfermagem - EPE, Departamento de Enfermagem Clínica e Cirúrgica - DECC. São Paulo, SP - Brasil
  • Marcia Mitiko Kawamura Universidade Regional de Blumenau - FURB, Hospital Universitário. Blumenau, SC - Brasil
  • Satomi Mori Universidade Federal de São Paulo - UNIFESP, Escola Paulista de Enfermagem - EPE, Departamento de Enfermagem Clínica e Cirúrgica - DECC. São Paulo, SP - Brasil
  • Cibelli Rizzo Cohrs Universidade Federal de São Paulo - UNIFESP, Escola Paulista de Enfermagem - EPE, Departamento de Enfermagem Clínica e Cirúrgica - DECC. São Paulo, SP - Brasil
  • Iveth Yamaguchi Whitaker Universidade Federal de São Paulo - UNIFESP, Escola Paulista de Enfermagem - EPE, Departamento de Enfermagem Clínica e Cirúrgica - DECC. São Paulo, SP - Brasil

DOI:

https://doi.org/10.5935/1415-2762.20160035

Keywords:

Oral Hygiene, Pneumonia, Ventilator-Associated, Nursing, Intensive Care Units

Abstract

The aims of this study were to measure the valuation of oral hygiene of intubated adult patients among nurses, verify if they identify and record nursing diagnoses and prescription concerning to changes in the oral cavity; checking the records and interventions of nursing staff related to oral hygiene. Exploratory study conducted in the Intensive Care Units in a university hospital through questionnaire and analysis of records. The sample consisted of 47 (72.3%) nurses, 65 nurses and 53 medical records analyzed. The results revealed that the average score assigned by nurses according to the valuation of oral hygiene was 83. Most nurses reported that they had assessed the conditions of the oral cavity and prescribed the oral hygiene. Records were not found in the related nursing diagnoses. In 67% of the records evaluated there were annotations on the implementation of the oral hygiene by nursing technicians. The average score appointed by nurses is consistent with the recognition of the importance of procedure, but the records are flawed or nonexistent.

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References

1. Centers for Disease Control and Prevention. Ventilator-Associated Event (VAE). Atlanta: USA; 2014. [citado em 2014 jun. 04]. Disponível em: http://www.cdc.gov/nhsn/PDFs/pscManual/10-VAE_FINAL.pdf

2. Gonzalez MM, Timerman S, Oliveira RG, Polastri TF, Dallan LAPD, Araújo S, et al. Diretriz de ressuscitação cardiopulmonar. Arq Bras Cardiol. 2013[citado em 2014 jun. 04];100(2):105-13. Disponível em: http://www.scielo.br/pdf/abc/v100n2/v100n2a01.pdf

3. Lambert ML, Palomar M, Agodi A, Hiesmayr M, Lepape A, Ingenbleek A, et al. Prevention of ventilator-associated pneumonia in intensive care units: an international online survey. Antimicrob Resist Infect Control. 2013[citado em 2015 nov. 25];14 Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/23531169 DOI: 10.1186/2047-2994-2-9

4. How-to Guide. Prevent Ventilator-Associated Pneumonia. Cambridge, MA: Institute for Healthcare Improvement. 2012. [citado em 2014 jun. 04]. Disponível em: http://www.ihi.org/resources/Pages/Tools/HowtoGuidePreventVAP.aspx

5. Grap MJ, Munro CL, Ashtiani B, Bryant S. Oral care interventions in critical care: frequency and documentation. Am J Crit Care. 2003[citado em 2015 nov. 25];12:113-8. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/12625169

6. Orlandini GM, Lazzari CM. Conhecimento da equipe de enfermagem sobre higiene oral em pacientes criticamente enfermos. Rev Gaúcha Enferm. 2012 [citado em 2015 nov. 26];33(3):34-41. Disponível em: http://seer.ufrgs.br/index.php/RevistaGauchadeEnfermagem/article/view/18271

7. Biblioteca Virtual em Saúde. Descritores em Ciências da Saúde - Decs. [citado em 2015 mar. 03]. Disponível em: http://decs.bvs.br/cgi-bin/wxis1660.exe/decsserver/r

8. North American Nursing Diagnosis Association. Diagnósticos de enfermagem da NANDA: definições e classificação 2009-201. Porto Alegre: Artmed; 2010. 456p.

9. Morris AC, Hay AW, Swann DG, Everingham K, McCulloch C, McNulty J, et al. Reducing ventilator-associated pneumonia in intensive care: impact of implementing a care bundle. Crit Care Med. 2011[citado em 2015 nov. 25];39(10):2218-24. Disponível em:http://www.ncbi.nlm.nih.gov/pubmed/21666444 DOI: 10.1097/CCM.0b013e3182227d52

10. Feider LL, Mitchell P, Bridges E. Oral care practices for orally intubated critically ill adults. Am J Crit Care. 2010[citado em 2015 nov. 25];19:175-83. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/20194614 DOI: 10.4037/ajcc2010816

11. Silva SG, Salles RK, Nascimento ERP, Bertoncello, KCG, Cavalcanti CDAK. Avaliação de um bundle de prevenção da pneumonia associada à ventilação mecânica em unidade de terapia intensiva. Texto Contexto Enferm. 2014[citado em 2015 nov. 25];23(3):744-50. Disponível em: http://www.scielo.br/pdf/tce/v23n3/pt_0104-0707-tce-23-03-00744.pdf

12. Jones DJ, Munro CL, Grap MJ. Natural history of dental plaque accumulation in mechanically ventilated adults: a descriptive correlational study. Intensive Crit Care Nurs. 2011[citado em 2015 nov. 25];27:299-304. Disponível em: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3234113/ DOI: 10.1016/j.iccn.2011.08.005

13. Munro CL, Grap MJ. Oral health and care in the intensive care unit: state of the science. Am J Crit Care. 2004[citado em 2015 nov. 25];13(1):25-33. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/14735645

14. Goss LK, Coty MB, Myers JA. A review of documented oral care practices in an Intensive Care Unit. Clin Nurs Res. 2011[citado em 2015 nov. 25];20(2):181-96. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/21191094 DOI: 10.1177/1054773810392368

15. Conselho Federal de Enfermagem. Código de Ética. Resolução COFEN nº 311/2007. [citado em 2015 nov. 25]. Disponível em: http://se.corens.portalcofen.gov.br/codigo-de-etica-resolucao-cofen-3112007

16. Berry AM, Davidson PM, Nicholson L, Pasqualotto C, Rolls K. Consensus based clinical guideline for oral hygiene in the critically ill. Intensive Crit Care Nurs. 2011[citado em 2015 nov. 25];27(4):180-5. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/21684164 DOI: 10.1016/j.iccn.2011.04.005

17. Munro Cl, Grap MJ, Jones DJ, McClish DK, Sessler CN. Chlorhexidine, toothbrushing, and preventing ventilator-associated pneumonia in critically ill adults. Am J Crit Care. 2009[citado em 2015 nov. 25];18:428-37. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/19723863 DOI: 10.4037/ajcc2009792

18. Pan CP, Harper S, Ricci-Nittel D, Lux R, Wenyuan SW. In-vitro evidence for efficacy of antimicrobial mouthrinses. J Dent. 2010[citado em 2015 nov. 25];38(Suppl 1):S16-S20. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/20621239 DOI: 10.1016/S0300-5712(10)70006-3

19. Chan EY, Hui-Ling NI. Oral care practices among critical care nurses in Singapore: a questionnaire survey. Appl Nurs Res. 2012[citado em 2015 nov. 25];25(3):197-204. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/21439790 DOI: 10.1016/j.apnr.2010.12.002

20. Jones H, Newton JT, Bower EJ. A survey of the oral care practices of intensive care nurses. Intensive Crit Care Nurs. 2004[citado em 2015 nov. 25];20(2):69-76. Disponível em: http://www.ncbi.nlm.nih.gov/pubmed/15072774 DOI: 10.1016/j.iccn.2004.01.004

Published

2017-05-04

Issue

Section

Research

How to Cite

1.
Valuation and records of oral hygiene of intubated patients in intensive care units. REME Rev Min Enferm. [Internet]. 2017 May 4 [cited 2026 Apr. 15];20. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/50013