Effects of oral care with glutamine in preventing ventilator-associated pneumonia in neurosurgical intensive care unit patients


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KAYA H. , TURAN Y. , TUNALI Y. , ÖZDEMİR AYDIN G. , Yüce N., Gürbüz Ş., ...More

APPLIED NURSING RESEARCH, vol.33, pp.10-14, 2016 (Journal Indexed in SCI)

  • Publication Type: Article / Article
  • Volume: 33
  • Publication Date: 2016
  • Title of Journal : APPLIED NURSING RESEARCH
  • Page Numbers: pp.10-14

Abstract

Abstract

Jump to Section1. Introduction2. Literature review3. Method  3.1. Study design  3.2. Sample  3.3. Data collecting tools  3.4. Ethical considerations  3.5. Data analysis4. Results  4.1. Comparison of BOAS scores  4.2. Comparison of MPS scores  4.3. Comparison of CPIS scores  4.4. Comparison of APACHE II scores5. Discussion6. Practice implications and conclusionsConflict of interest statementReferences

Purpose

The study was designed as a randomized, controlled, experimental study aiming to determine the effects of oral care with glutamine in preventing ventilator-associated pneumonia in patients admitted to neurosurgical intensive care unit.

Methods

The universe consisted of patients who are admitted to neurosurgical intensive care unit between January 2014 and August 2015, while the sample consisted of 88 patients who fulfilled the inclusion criteria and were randomly selected. The study group received oral care with 5% glutamine, whereas the control group received oral care with 2% chlorhexidine gluconate solution.

Data collecting tools

All date was acquired using Patient Information Form, Acute Physiological and Chronic Health Evaluation scale (APACHE II), Beck Oral Assessment Scale (BOAS), Mucosal Plaque Score (MPS) and Clinical Pulmonary Infection Score (CPIS). One-way ANOVA test was used for comparing parameters with normal distribution between groups along with descriptive statistical methods. Kruskal-Wallis Test was used for comparing parameters without normal distribution between groups.

Results

In the control group, mean BOAS score was 9.33 ± 1.8 mean MPS score was 3.68 ± 0.87 and mean CPIS score was 4.07 ± 1.78. In the study group, mean BOAS score was 10.16 ± 2.78, mean MPS score was 3.93 ± 1.04 and mean CPIS score was 3.78 ± 2.25. There was no statistically significant difference in mean scores at 1st day, 3rd day, 5th day and discharge (p > 0.05). However, BOAS, MPS, CPIS and APACHE II scores was significantly lower at discharge than 1st day in both groups.

Conclusion

There was no significant difference in using 5% glutamine or 2% chlorhexidine gluconate solution for oral care for the prevention of ventilator-associated pneumonia. Similar studies with bigger sample size and longer term should be conducted for better results.

Keywords:

ChlorhexidineGlutamineOral careOral hygieneVentilator-associated pneumonia