ID 110269
タイトルヨミ
ジュウショウ カンジャ ノ コウクウ カンリ : ICU ニオケル センモンテキ コウクウ ケア ノ トリクミ
タイトル別表記
Oral health care for severe human cases encountered in Intensive Care Unit : professional oral care at Tokushima University Hospital Intensive Care Unit
著者
吉岡, 昌美 徳島大学大学院ヘルスバイオサイエンス研究部口腔保健教育学分野 徳島大学 教育研究者総覧 KAKEN研究者をさがす
横山, 正明 徳島大学医学部・歯学部附属病院口腔管理センター
市川, 哲雄 徳島大学医学部・歯学部附属病院口腔管理センター 徳島大学 教育研究者総覧 KAKEN研究者をさがす
キーワード
professional oral care
ventilator-associated pneumonia(VAP)
ICU
資料タイプ
学術雑誌論文
抄録
In-depth oral care toward severe human cases is crucial for the management of their general condition. As a matter of fact, maintenance of a good oral hygiene condition can reduce the risk for developing respiratory diseases such as aspiration pneumonia and ventilator-associated pneumonia. In September 2007, we initiated at Tokushima University Hospital Intensive Care Unit (ICU)a collaboration between nurses and medical doctors to provide professional oral care to patients. The aim of this activity was to establish a standardized protocol of oral care in order to reduce the risk for infectious disease complications for inpatients undergoing respiratory care. At the initial oral examination, the majority of patients in ICU had dry lips, and showed tongue coating and the presence of oral debris on tooth and oral mucosa surfaces. In addition, we sometimes observed ulcer formation on oral mucosa or tooth mobility, which are conditions that ICU members should pay an attention when fixing the endotracheal tube. Our professional oral care protocol reduced oral debris, dry mouth, and oral malodor to some extent in the majority of patients at ICU. An intensive collaboration between dental professionals with nurses and medical doctors, was favored through this activity. Our long-term objective is to contribute to the maintenance of general condition continuously as a member of multi-professional team.
掲載誌名
四国医学雑誌
ISSN
00373699
cat書誌ID
AN00102041
出版者
徳島医学会
65
1-2
開始ページ
12
終了ページ
19
並び順
12
発行日
2009-04-25
EDB ID
フルテキストファイル
言語
jpn
著者版フラグ
出版社版
部局
歯学系