Oral status and affecting factors in Iranian ICU patients: a cross-sectional study.

BMC Oral Health

Department of Emergency and Critical Care Nursing, Nursing and Midwifery School, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Published: March 2023

AI Article Synopsis

  • Oral care is essential in ICUs but is often neglected, leading to serious complications like pneumonia, and this study addresses the lack of research on oral health among ICU patients in Iran.
  • The study surveyed 138 ICU patients in Kermanshah and Ilam in 2019, assessing their oral conditions using a standardized scale, revealing high rates of oral disorders among the patients.
  • Findings indicated significant correlations between oral health and various factors such as education, age, marital status, and dental hygiene practices, highlighting the need for improved nursing education and regular dental evaluations in ICU settings.

Article Abstract

Background: Oral care is crucial in intensive care units (ICUs). Meanwhile, this action is not well-performed, therefore, mouth cavity-associated disorders cause serious outcomes, e.g. ventilator-dependent pneumonia. Considering a lack of studies in Iran on this subject, this study aimed to determine the oral status and affected factors in ICU patients in Iran.

Methods: In a cross-sectional study in 2019, we assessed the oral status of 138 patients admitted to the ICUs in the Kermanshah and Ilam provinces by census method. The tools were a demographic and clinical characteristics checklist, and Beck's oral status assessment scale (BOAS). The researcher investigated the condition of the patient's mouth, and their records. Data were analyzed using descriptive and inferential statistics.

Results: In this study, the prevalence of moderate and severe disorders of the lips, gums and oral mucosa, tongue, teeth, and saliva were 14.4, 26.1, 16.6, 49.3, and 34.8 percent, respectively. Six percent of patients had a normal oral condition. Oral status had a significant relationship with education level, age, marital status, brushing teeth, NG tube, and consciousness level.

Conclusion: Compared to other studies, the prevalence of oral cavity disorders in ICU patients of the Ilam and Kermanshah provinces was high. It mandates paying crucial attention to nurses' continued education, using standard guidelines, and applying new facilities. Moreover, it is mandated for periodical visits of patients by a dentist in ICUs.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022095PMC
http://dx.doi.org/10.1186/s12903-023-02867-6DOI Listing

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