Enteral Beslenen Hastalarda Iki Farkli Agiz Bakim Yöntemine Göre Pnömoni Oranlarinin Karsilastirilmasi: Akut Inmeli Hastalarda Pilot Çalisma

Abstract

Amaç: Bu çalisma, inme sonrasi nazogastrik tüp ile beslenen ve agizdan gida alimi olmayan hastalarda iki farkli agiz bakim yönteminin inme ile iliskili pnömoni insidansi üzerindeki etkisini karsilastirmistir. Yöntemler: Randomize kontrollü olarak planlanan bu çalisma Agustos 2020 ile Nisan 2021 arasinda Ege Üniversitesi Hastanesi Nöroloji Yogun Bakim Ünitesinde yürütüldü. Her iki gruba yedi gün boyunca farkli agiz bakim protokolleri uygulandi. Verilerin toplanmasinda, Hasta Bilgi Formu, Ulusal Saglik Enstitüleri Inme Ölçegi, Glasgow Koma Ölçegi, Yatak Basi Agiz Degerlendirme Izlem Formu ve Hasta Takip Formu kullanildi. Uygulama ve kontrol gruplarina yedi gün boyunca agiz bakimi uygulandi, agiz sagliklari ve tükürük pH'i ölçülüp kaydedildi. Pnömoni tanisi fizik muayene, kan testleri ve gögüs röntgenine dayanarak enfeksiyon hastaliklari birimi tarafindan konuldu. Bulgular: Hastalarin 7 günlük agiz sagligi degerlendirme puanlarina göre uygulama ve kontrol grubu arasindaki farkin anlamli oldugu tespit edildi (P

Objective: This study compared the impact of two different oral care methods on the incidence of stroke-associated pneumonia in patients who were fed via nasogastric tube and had no oral intake after a stroke. Methods: This randomized controlled trial was conducted at the Neurology Intensive Care Unit of Ege University Hospital between August 2020 and April 2021. Different oral care protocols were administered to both groups for seven days. Data were collected using the Patient Information Form, the National Institutes of Health Stroke Scale, the Glasgow Coma Scale, the Bedside Oral Exam and Patient Follow-up Form. Oral care was applied to both the intervention and control groups for seven days, with oral health and saliva pH measured and recorded. The diagnosis of pneumonia was made by the Infectious Diseases unit based on physical examination, blood tests, and chest X-rays. Results: The difference in the seven-day oral health assessment scores between the intervention and control groups was found to be significant (P