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Updated: May 9, 2025

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
A Survey Study of Oral Care Given by Nurses in Intensive Care Units
Muhammet Burak Yavuz1, Ekim Onur Orhan2, Cemre Eksi1
1Department of Periodontology, Faculty of Dentistry, Eskisehir Osmangazi University, Eskisehir, Turkey.
Purpose:
The study aims to analyze whether having a specialty certification (SC) among intensive care unit (ICU) nurses is associated with their knowledge, attitudes, and practices regarding oral care and related complications during hospitalization.
Patients And Methods:
This cross-sectional study included 188 ICU nurses in Eskisehir, Turkey, between April and June 2021. A 20-item questionnaire was used to assess demographic data, knowledge, attitudes, and practices regarding oral care. Chi-square tests (p = 0.05) were used to analyze relationships.
Results:
A highly significant proportion of nurses having SC were satisfied with the level of oral hygiene instructions they had received, X 2 = 12.29, d.f. = 1, n = 188, p < 0.001, and the factor of awareness of its benefits associated with SC education, X 2 = 6.55, d.f. = 1, p = 0.010. Nurses who spend less time on oral hygiene performed less oral examinations, X 2 = 16.73, d.f. = 4, p = 0.002, and there was an inverse relationship between the number of ICU patients per nurse and the time spent on oral care per patient, X 2 = 33.24, d.f. = 8, p < 0.001. The majority of nurses carried out oral care for 2-5 minutes per patient daily (n = 72, 38.29%). SC nurses preferred manual toothbrush with toothpaste over foam stick or sodium carbonate, X 2 = 4.16, d.f. = 1, p = 0.04. Regardless of the specialization, a highly significant relationship was observed between the duration of oral care and the experience of nurse in ICU, d.f. = 4, p < 0.001.
Conclusion:
Having SC significantly affects ICU nurses' ability and willingness to prioritize oral care to improve patients' oral hygiene.
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