Implementasi Oral Care Hygiene untuk Mengurangi Risiko Ventilator Associated Pneumonia (VAP) di Ruang Intensive Care Unit (ICU) Rumah Sakit Prof. Dr. Margono Soekarjo: Case Study

  • Nur Rizky Amalia Shidiq
  • Sidik Awaludin Jurusan Keperawatan FIKes Universitas Jenderal Soedirman Purwokerto.
  • Aji Kurniawan Rumah Sakit Prof. Dr. Margono Soekarjo Purwokerto.
Keywords: Beck Oral Assessment Scale; Oral Hygiene; Ventilator Associated Pneumonia

Abstract

Background. The insertion of an Endotracheal Tube (ETT) can trigger the occurrence of Ventilator Associated Pneumonia (VAP) due to bacterial colonization of secretions in the oral or tracheal area of ​​the patient. One of the prevention of VAP can be in the form of providing oral hygiene in intubated patients. The purpose of the implementation is to find out the application of the use of oral hygiene guidelines from the Beck Oral Assessment Scale (BOAS) in intubated patients in the ICU Room of Prof. Hospital. Dr. Margono Soekarjo

Method. Implementation was carried out using a case study method with a total of 10 patients divided into 2 groups. Both groups were assessed for BOAS at the time the patients were intubated and extubated. Evaluation was carried out using the Mucosal-Plaque Score (MPS).

Results. Characteristics of respondents have an age range of 37-66 years. It is known that the average difference in the decrease in BOAS scores is the intervention group. While the MPS Score in the two groups did not have a difference.

Conclusion. Oral care hygiene with the guidance of the Beck Oral Assessment Scale (BOAS) can be used to reduce the risk of Ventilator Associated Pneumonia (VAP) in intubated patients.

References

Ames, N. J., Sulima, P., Yates, J. M., McCullagh, L., Gollins, S. L., Soeken, K., & Wallen, G. R., 2011, Effects of systematic oral care in critically ill patients: A multicenter study, American Journal of Critical Care, 20(5), e103–e114
Batiha, A-M., Alhalaiqa, F.N., Bashayreh, I., Saifan, A., Al-Zaru, I.M., Omran, S., 2015, Comprehensive oral care program for intubated intensive care unit patients, Advanced Studies in Biology, 7(6), 259-273
Elliot, D., Aitken, LM., dan Chaboyer, W., 2007, Critical care nursing, Elsevier Australia: Mosby, 73–89.
Hellyer, T.P., Ewan, V.,Wilson, P., Simpson, A.J., 2016, The Intensive Care Society recommended bundle of interventions for the prevention of ventilator-associated pneumonia, Journal of the Intensive Care Society, 17(3), 238-243
Henriksen, B.M., Ambjarrnsen, E., Axell, T.E., 1999, Evaluation of a mucosal-plaque index (MPS) designed to assess oral care in groups of elderly, SCD Special Care in Dentistry, 9(4), 154-157
Keputusan Menteri Kesehatan Republik Indonesia Nomor 1778/MENKES/SK/XII/2010 tentang pedoman penyelenggaraan pelayanan Intensive Care Unit (ICU) di Rumah Sakit.
Khan, M., Mohamed, Z., Ali, S., Saddki, N., Masudi, S. M., Sukminingrum, N., 2017, Oral care effect on intubated patient with 0.2% chlorhexidine gluconate and tooth brushing in Intensive Care Unit, Journal of Advanced Oral Research, 8(1), 1–8
Khasanah, I.H., Sae-Sia, W., dan Damkliang, J., 2019, The effectiveness of oral care guideline implementation on oral health status in critically ill patients, SAGE Open Nursing, 5, 1-9
Rahman, D., Huriani, E., dan Julita, E., 2011, Kejadian Ventilator Associated Pneumonia (VAP) pada klien dengan ventilasi mekanik menggunakan indikator Clinical Pulmonary Infection score (CPIS), Jurnal Ners, 6(2), 126-135
Sinulingga, E.H., Budiastuti, A., dan Widodo, A., 2018, Efektivitas madu dalam formulasi pelembap pada kulit kering, Jurnal Kedokteran Diponegoro, 7(1), 146-157
Published
2021-05-31
How to Cite
Rizky Amalia Shidiq, N., Awaludin, S., & Kurniawan, A. (2021). Implementasi Oral Care Hygiene untuk Mengurangi Risiko Ventilator Associated Pneumonia (VAP) di Ruang Intensive Care Unit (ICU) Rumah Sakit Prof. Dr. Margono Soekarjo: Case Study. Journal of Bionursing, 3(2), 113-121. https://doi.org/10.20884/1.bion.2021.3.2.97