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Journal of Korean Critical Care Nursing 2011;4(2):27-38.
Published online December 31, 2011.

칫솔질을 이용한 구강간호가 중환자실 환자의 구강상태 및 인공호흡기 관련 폐렴에 미치는 효과
윤혜영, 이은숙, 김정연, 김향숙, 김경애, 김은성, 손주온, 김가희, 김민정, 김아람, 박선정, 추성미, 손미정, 하은진, 오의금
1연세대학교 세브란스 병원 간호국
2연세대학교 세브란스 병원 간호국
3연세대학교 세브란스 병원 간호국
4연세대학교 세브란스 병원 간호국
5연세대학교 세브란스 병원 간호국
6연세대학교 세브란스 병원 간호국
7연세대학교 세브란스 병원 간호국
8연세대학교 세브란스 병원 간호국 특수간호팀
9연세대학교 세브란스 병원 간호국 특수간호팀
10연세대학교 세브란스 병원 간호국 특수간호팀
11연세대학교 세브란스 병원 간호국 특수간호팀
12연세대학교 세브란스 병원 간호국 특수간호팀
13연세대학교 세브란스 병원 간호국 특수간호팀
14연세대학교 세브란스 병원 감염관리실
15연세대학교 간호대학
Effect of Tooth-brushing on Oral Health and Ventilator-Associated Pneumonia of Critically III Patients
Hye-Young Yun, Eun-Sook Lee, Jung-Yeon Kim, Hyang-Sook Kim, Kyung-Ae Kim, Eun-Sung Kim, Joo-Ohn Sohn, Ka-Hee Kim, Min-Jung Kim, Ah-Ram Kim, Sun-Jung Park, Sung-Mi Chu, Mi-Jung Son, Eun-Jin Ha, Eui-Geum Oh
1Severance Hospital, Yonsei University Health System
2Severance Hospital, Yonsei University Health System
3Severance Hospital, Yonsei University Health System
4Severance Hospital, Yonsei University Health System
5Severance Hospital, Yonsei University Health System
6Severance Hospital, Yonsei University Health System
7Severance Hospital, Yonsei University Health System
8Severance Hospital, Yonsei University Health System
9Severance Hospital, Yonsei University Health System
10Severance Hospital, Yonsei University Health System
11Severance Hospital, Yonsei University Health System
12Severance Hospital, Yonsei University Health System
13Severance Hospital, Yonsei University Health System
14Severance Hospital, Yonsei University Health System
15College of Nursing, Yonsei University
Abstract
Purpose
The purpose of this study was to examine the effect of tooth-brushing oral care on oral health and ventilator-associated pneumonia of patients in Intensive Care Unit (ICU).
Methods
A total of 74 participants were recruited from a medical, surgical, or neurosurgical ICU at S Hospital in Seoul, Korea, from September of 2010 to January of 2011. An experimental group (n= 36) received oral care with tooth-brushing while a control group (n=38) received oral care with cotton ball and gauze. In both group, the oral care was done three times a day at least one minute for 7 days. Oral health was examined by the Modified Oral Assessment Guide before the intervention and each night.
Results
There is no difference between the groups in aspect of passage of time (p = .603), interaction between time and intervention (p =.300), the performance intervention (p = .766), and the incidence of VAP (p = .486).
Conclusion
The effect of oral care with tooth-brushing on oral health and VAP was not different from that of usual oral care in ICU. However, further study is necessary due to high attrition in this study.
Key Words: Oral health, Ventilator-associated pneumonia, Tooth-brushing


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