Pilot Study of an Oral Care Protocol on PostStroke Survivors

被引：31

作者：

Chipps, Esther ^{[1
]}

Gatens, Cindy ^{[1
]}

Genter, Lynn ^{[1
]}

Musto, Maureen ^{[1
]}

Dubis-Bohn, Angela ^{[1
]}

Gliemmo, Molly ^{[2
]}

Dudley, Kelly ^{[1
]}

Holloman, Christopher ^{[3
]}

Hoet, Armando E. ^{[4
]}

Landers, Timothy ^{[5
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, Columbus, OH 43210 USA

[2] Carolinas Healthcare Syst, Charlotte, NC USA

[3] Ohio State Univ, Stat Consulting Serv, Columbus, OH 43210 USA

[4] Ohio State Univ, Coll Publ Hlth, Coll Vet Med, Columbus, OH 43210 USA

[5] Ohio State Univ, Coll Nursing, Columbus, OH 43210 USA

来源：

REHABILITATION NURSING | 2014年 / 39卷 / 06期

关键词：

Oral care; stroke; randomized control trial; RESISTANT STAPHYLOCOCCUS-AUREUS; STROKE PATIENTS; RISK-FACTORS; HEALTH-CARE; PNEUMONIA; DYSPHAGIA; INTERVENTIONS; ASSOCIATION; ADMISSION; STANDARD;

D O I：

10.1002/rnj.154

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

PurposeThe pilot study purpose was to determine the effects of a new standardized oral care protocol (intervention) to usual care practices (control) in poststroke patients. DesignThis study is a randomized controlled clinical trial. MethodFifty-one subjects were enrolled. Subjects in the intervention group received oral care twice a day including tooth brushing, tongue brushing, flossing, mouth rinse, and lip care while control patients received usual oral care. FindingsSubjects in the control and intervention groups showed improvement in their oral health assessments, swallowing abilities and oral intake. There were no significant differences between the two groups. Although not statistically significant, overall prevalence of methicillin-resistant Staphylococcus aureus and methicillin-sensitiveStaphylococcus aureus colonization in the control group almost doubled (from 4.8% to 9.5%), while colonization in the intervention group decreased (from 20.8% to 16.7%). Conclusions/Clinical RelevanceThese findings demonstrate the importance of oral care in the poststroke patient with dysphagia.

引用

页码：294 / 304

页数：11

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