ORAL CARE PRACTICE GUIDELINE IN CRITICALLY ILL PATIENTS TO PREVENT VENTILATOR-ASSOCIATED PNEUMONIA
Main Article Content
Abstract
The critically ill patients must use endotracheal tube to prolong their life, so the natural defense mechanism would be disturbed. Moreover, the microorganisms were accumulated in the oral cavity. If oral care is not efficient enough, it will result in severe gingivitis and oral lesions which leading to the cause of death.
The objective of this study was to develop oral care practice guideline in critically ill patients to prevent ventilator-associated pneumonia by analyzing and synthesizing knowledge on oral care’s evidence-based practices. Related literatures were searched by using the PICO framework and through evidence-based practice documents published between 2002 to 2012 which acquired 15 research papers altogether. According to the findings, the priority to promote best outcomes of oral care is the standardized oral cleaning process including assessing oral cavity, using appropriate equipment and cleansing agents and applying methods of effective oral hygienic care for each individual. To enhance clinical outcomes of oral care, policy support is important. The policy requires the Board of Directors of the multidisciplinary team to help support and initiate preparation of personnel to make them understand the guidelines for oral care. All team members must operate in the same directions and towards the same goal. This would lead to better outcomes and sustainability. There should be a dissemination of knowledge from these evidence-based practices to health care organizations, and further research on oral care in critically ill patients in a different setting.
Article Details
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
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