Duygu Sönmez Düzkaya1, Gülzade Uysal2, Gülçin Bozkurt3, Tülay Yakut4. 1. Istanbul University, Istanbul Faculty of Medicine, Directorate of Nursing Services, Education Nurse, Çapa-Fatih, 34053 Istanbul, Turkey. Electronic address: dygsnmz@istanbul.edu.tr. 2. Okan University, School of Health Sciences, Istanbul, Turkey. Electronic address: gulzade.uysal@okan.edu.tr. 3. Istanbul University, School of Health Sciences, Istanbul, Turkey. Electronic address: gbozkurt@istanbul.edu.tr. 4. Istanbul University, Istanbul Faculty of Medicine, Pediatric Intensive Care Unit, Istanbul, Turkey. Electronic address: tulayyakut76@yahoo.com.tr.
Abstract
OBJECTIVES: To evaluate the effectiveness of standard-of-care oral care guides developed specifically for children in intensive care to prevent mucositis. DESIGN AND METHODS: This prospective, interventional and single-group study design was performed in the pediatric intensive care unit of a university hospital in Istanbul between January and December 2014. Daily oral care was implemented to pediatric patients in the study group in line with an oral care guide developed by the researchers. Data were collected using the data collection form and oral mucositis assessment scale published by the World Health Organization (WHO). RESULTS: Oral mucositis occurred in 16 (5.2%) patients in the pre-intervention group and 7 (2.5%) in the post-intervention group, 10 patients had grade 1, and 6 patients had grade 2 oral mucositis in the pre-intervention group, and in the post-intervention group, three patients had grade 1, and four patients had grade 2 oral mucositis. Although more patients in the pre-intervention group had mucositis than in the post-intervention group, the differences were not statistically significant (P=0.067). CONCLUSIONS: Oral mucositis can be reduced through the practice of administering oral care in accordance with oral healthcare guidelines. PRACTICE IMPLICATIONS: Oral care implemented in line with an evidence-based oral care guide and frequent observation of patients are the most important steps in preventing oral mucositis.
OBJECTIVES: To evaluate the effectiveness of standard-of-care oral care guides developed specifically for children in intensive care to prevent mucositis. DESIGN AND METHODS: This prospective, interventional and single-group study design was performed in the pediatric intensive care unit of a university hospital in Istanbul between January and December 2014. Daily oral care was implemented to pediatric patients in the study group in line with an oral care guide developed by the researchers. Data were collected using the data collection form and oral mucositis assessment scale published by the World Health Organization (WHO). RESULTS:Oral mucositis occurred in 16 (5.2%) patients in the pre-intervention group and 7 (2.5%) in the post-intervention group, 10 patients had grade 1, and 6 patients had grade 2 oral mucositis in the pre-intervention group, and in the post-intervention group, three patients had grade 1, and four patients had grade 2 oral mucositis. Although more patients in the pre-intervention group had mucositis than in the post-intervention group, the differences were not statistically significant (P=0.067). CONCLUSIONS:Oral mucositis can be reduced through the practice of administering oral care in accordance with oral healthcare guidelines. PRACTICE IMPLICATIONS: Oral care implemented in line with an evidence-based oral care guide and frequent observation of patients are the most important steps in preventing oral mucositis.
Authors: Ana Sofia Ferreira; Catarina Macedo; Ana Margarida Silva; Cristina Delerue-Matos; Paulo Costa; Francisca Rodrigues Journal: Int J Mol Sci Date: 2022-04-15 Impact factor: 6.208
Authors: Isabella Lima Arrais Ribeiro; Rebecca Rhuanny Tolentino Limeira; Ricardo Dias de Castro; Paulo Rogério Ferreti Bonan; Ana Maria Gondim Valença Journal: Int J Environ Res Public Health Date: 2017-11-28 Impact factor: 3.390