Oral Complication
Conditions
Keywords
Toothbrushing, Intensive Care Units, Non-invasive Ventilation, Oral care
Brief summary
This study aims to examine the effects of different oral care methods on oral health in patients receiving non-invasive mechanical ventilation (NIMV) in the intensive care unit. A randomized controlled experimental design will be employed, with three groups: Control Group - patients receiving only the standard chlorhexidine oral care kit; Electric Toothbrush Group - patients receiving the chlorhexidine kit in combination with an electric toothbrush and toothpaste; and Manual Toothbrush Group - patients receiving the chlorhexidine kit along with a manual toothbrush and toothpaste. Data collection tools will include the Patient Demographic Information Form, Oral Assessment Guide, saliva pH measurement, and salivation assessment using the Schirmer Tear Test Strip. The study is designed to compare the effects of different oral care methods on the oral health of patients receiving NIMV and to identify the most effective method.
Interventions
Patients who were given only a standard chlorhexidine oral care set
OTHERExperimental: Electric Toothbrush
Patients who were given an electric toothbrush and toothpaste along with a chlorhexidine set
OTHERExperimental: Manual Toothbrush
Patients who were given a manual toothbrush and toothpaste along with a chlorhexidine set.
Sponsors
Ataturk University
SÜMEYYE BİLGİLİ TEKİN
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Must be in an intensive care unit * Must have consented to participate in the study from themselves or their family * Must be over 18 years of age * Must be on a non-invasive mechanical ventilator * Must have no known active infection. * Must be in a stable state of consciousness and able to communicate. * Must be expected to remain in intensive care for at least 48 hours.
Exclusion criteria
* Intubated patients. * Patients with severe oral infections or bleeding mucosal wounds. * Those receiving radiotherapy/chemotherapy to the head and neck region. * Organ transplant patients. * Patients without oral anatomic abnormalities or dentures. * Those who refused to participate in the study or did not sign the consent form. * Patients with chronic or acute health conditions that prevent oral hygiene.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oral Health Status | From day 1 to day 3 (3 consecutive days). | Oral health will be assessed using the Oral Assessment Guide (OAG). The guide examines eight areas (voice, swallowing, lips, tongue, saliva, mucous membranes, gums, and teeth/dentures). Each item is scored from 1 (healthy) to 3 (severely impaired). The total score ranges from 8-24. Scale score (8-24). A low score indicates good oral health, while a high score indicates deterioration in oral health. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Saliva pH Value | From day 1 to day 3 (3 consecutive days). | Saliva pH Value: During the oral health assessment, pH will be measured with an indicator strip. Unit of Measurement: pH units (0-14). Neutral pH (≈7) indicates a healthy oral environment. Saliva Production (Salivation): Salivation will be assessed using the Schirmer Tear Test Strip. The strip's wetted length will be recorded. Unit of Measurement: Strip wetted in millimeters (mm). Longer wetted length indicates greater saliva production. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactSümeyye BİLGİLİ TEKİN
Backup ContactBAHAR DOÇ.DR
Outcome results
None listed