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0.1% 클로르헥시딘을 이용한 구강간호와 생리식염수를 이용한 구강간호의 구강내 병원균 발생빈도 비교

 Comparison of Oral Hygiene Effects between 0.1% Chlorhexidine and Normal Saline on the Incidence of Oral Pathogens

기본간호학회지 2006년 13권 3호 p.351 ~ 358
KMID : 0388320060130030351
이은남 ( Lee Eun-Nam ) - 동아대학교 간호학과

주현옥 ( Ju Hyeon-Ok ) - 동아대학교 간호학과
박희숙 ( Park Hee-Sook ) - 동아대학교의료원 중환자실
김수미 ( Kim Soo-Mi ) - 동아대학교의료원 중환자실
박미자 ( Park Mi-Ja ) - 동아대학교의료원 중환자실
이영진 ( Lee Young-Jin ) - 동아대학교의료원 중환자실
장미라 ( Jang Mi-Ra ) - 동아대학교의료원 중환자실
안향남 ( An Hyang-Nam ) - 동아대학교의료원 중환자실

Abstract

Purpose: The purpose of this study was to compare the effects of oral hygiene with 0.1% chlorhexidine or with normal saline on the incidence of pathogens in the oral cavity of patients in Intensive Care Units (ICU).

Materials and Methods: A quasi experimental design with non-equivalent control group and non-synchronized design was used. For the study 46 patients were recruited from a university hospital (24 for the experimental group, 22 for the control group). patients in the experimental group received mouth care with 0.1% chlorhexidine gluconate and those in the control group received mouth care with normal saline twice a day for 7 days in a row. Oral samples were taken for bacterial cultures on admission day, the 4th day and the 7th day for both groups.

Results: The incidence of oral pathogens decreased in the experimental group, and increased in the control group. There was no significant difference in the incidence of oral pathogens between the two groups. However oral hygiene using 0.1% chlorhexidine gluconate decreased the incidence of oral pathogens significantly for patients who already had pathogenic bacteria in their mouths on the admission day.

Conclusion: The results suggest that mouth care with 0.1% chlorhexidine is effective for decreasing the incidence of oral infection for ICU patients who have oral infections.
KeyWords
클로르헥시딘, 구강간호, 중환자
Chlorhexidine, Oral hygiene, Intensive care unit
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학술진흥재단(KCI) KoreaMed