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:: Volume 3, Issue 2 (Military Caring Sciences 2016) ::
MCS 2016, 3(2): 107-114 Back to browse issues page
Investigation of the Relationship Between Oral Lesions and Early Pneumonia Associated with Mechanical Ventilation in Patients Undergoing Mechanical Ventilation in Intensive Care Unit
Masoumi. M1, Hanifi. N 2, Jamshidi. MR3, Faghihzadeh. S4
1- Zanjan University of Medical Sciences, Faculty of Nursing and Midwifery.
2- Zanjan University of Medical Sciences, Faculty of Nursing and Midwifery, Critical care Department.
3- Zanjan University of Medical Sciences, Faculty of Medicine, Anesthesia Department.
4- Zanjan University of Medical Sciences, Zanjan Social Health Research Center Department, Biostatistics Department.
Abstract:   (10503 Views)

Introduction: Oral hygiene is one of the necessary cares for patients hospitalized in special wards. Improper oral hygiene leads to unpleasant oral side effects, which can also affect other organs such as the lungs.

Objective: This study was designed to investigate the relationship between oral lesions and early mechanical ventilation-associated pneumonia (VAP).

Materials and Methods: The present research was a cross-sectional study of the descriptive correlation type, comprised of 74 patientsd. The tools used included demographic information, Beck oral assessment scale (BOAS), and clinical pulmonary infection score (CPIS). The incidence of oral lesions and VAP in third and fourth days of patients› hospitalization as well as their relationship were analyzed using McNemar test and descriptive statistics.

Results: The results showed that in the third day 79.7%, and in the fourth day 90.54% of patients were diagnosed with oral lesions. The rate of VAP was 5.4% in the third and 27.02% in the fourth days. There was a meaningful statistical association between VAP and oral lesions, shown by the Mc nemar test, in the third day with a P< 0.001 and in the fourth day with a P< 0.001.

Discussion and Conclusion: It is recommended that nurses pay more attention to the oral hygiene of patients undergoing mechanical ventilation in order to prevent VAP, because the risk of VAP will lead to more dependence to ventilator for patients and increased length of stay.

Keywords: Oral lesions, Mechanical Ventilation Mechanical Ventilation and Intensive Care Unit, Ventilation Associated Pneumonia.
Full-Text [PDF 335 kb]   (1365 Downloads)    
Type of Study: Research | Subject: Special
Received: 2015/05/5 | Accepted: 2016/06/1 | Published: 2016/10/15
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M M, N H, MR J, S F. Investigation of the Relationship Between Oral Lesions and Early Pneumonia Associated with Mechanical Ventilation in Patients Undergoing Mechanical Ventilation in Intensive Care Unit. MCS. 2016; 3 (2) :107-114
URL: http://mcs.ajaums.ac.ir/article-1-95-en.html

Volume 3, Issue 2 (Military Caring Sciences 2016) Back to browse issues page
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