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IRCT20180915041041N1 IRCT 2020-05-01 Ardabil University of Medical Sciences The effect of Barrow Oral Care Protocol on Oral Health in Patients The effect of Barrow Oral Care Protocol on Oral Health in Patients Undergoing Mechanical Ventilation Admitted in the Intensive Care Unit 2018-11-06 anticipated 90 Complete https://irct.ir/trial/35035 interventional Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Permuted Block Randomization. To randomly assign patients to two, 6 blocks of size 4 were used. In this randomization, letter A was used to call routine group and letter B was used to name patients in the intervention group. Each block contains 4 alternatives. Block 1: A A B B Block 2: A B A B Block 3: A B B A Block 4: B B A A Block 5: B A B A Block 6: B A A B Then, with six presumptive blocks, six numbers (1 to 6) were selected. Based on sample size of 90 patients, 23 blocks were randomly selected until reaching sample size of 90 patients. Finally, 45 patients were allocated to each groups, Blinding description: Because the randomization was performed by the original researcher, only the researcher was aware of the patients' care methods according to the relevant code, and the rest of the people, including the participating patient or the patient's legal guardian, only agreed to get care and were unaware of the type of care. The patient's oral assessor evaluated and recorded the patient's oral health only on a daily basis in a form that included a table of clinical oral health assessment tools used for both intervention and control groups and did not know the type of care in each group. And the counselor is also unaware of how to code for patients They were. 3 Respiratory failure. Intervention 1: "Intervention group":in this group, care was started based on Barrow Oral Care Protocol and continued for 5 consecutive days. The protocol suggests three types of oral care based on the patient's oral health assessment score based on the clinical assessment of oral health (BOE) during admission.For patients with good oral health with an oral health score (BOE 8-10), the basic protocol of oral care includes washing the tongue using saline, brushing with a toothbrush and toothpaste, and rubbing a thin layer of Vaseline ointment. It is applied on the lips every 12 hours a day. In patients with moderate oral health status with oral and dental health score (BOE 11—14), in addition to basic oral care according to the main protocol, oral mucosal care, which includes rinsing the mouth with a wet swab with chlorhexidine chloride solution 0.2% and using Mucosamine moisturizing spray was added to the patient's oral care every 4 hours, and in patients with poor oral health status with an oral health score (15 to 24), in addition to oral care every 12 hours, oral mucosal care was evaluated every two hours. At the beginning of the patient's daily admission, the patient's oral and dental health status was monitored and evaluated by the evaluator, and the nurse who cared for the patient's mouth and teeth took care of the patient based on the new score. Intervention 2: Control group: In this group, after determining and recording the patient's oral health score based on the clinical oral health assessment tool (BOE) on the first day of admission, taking care of the patient's oral health, according to the routines of the ward including rinsing the patient's mouth in each shift using gas soaked in solution Chlorhexidine 0.2%, was started by the patient's nurse and continued for 5 consecutive days. At the beginning of the patient's admission and every day after that, the patient's oral health status was checked by the evaluator, and the nurse in charge of the patient's care performed the patient's oral health care according to the routines of ward without attention to the patient's oral health score. Yes - There is a plan to make this available What will be shared: Thesis When: Always To whom: researchers Conditions: For use in research Where to obtain: Ardabil University of Medical Sciences How to obtain: Written Request Comments:
public Robab Javanmard
No. 340, opposite Bank of Commerce, Neighborhood of Imam, Shohada Highway
Ardabil Iran (Islamic Republic of) 5616657115 +98 45 3345 9644 javanmard_1354@yahoo.com Ardabil University of Medical Sciences scientific Dr.Mamood Shamshiri
Faculty of Nursing and Midwifery, before the Saadi bridge, after the Hafez intersection
Ardabil Iran (Islamic Republic of) 5615751147 +98 45 3372 6085 mahmood.shamshiri@gmail.com Ardabil University of Medical Sciences Iran (Islamic Republic of) Patients admitted to intensive care units (ICU) Patients undergoing mechanical ventilation. Patients aged 15 to 45 years 15 years 45 years Both Dissatisfaction of the patient's legal guardian Patients with facial trauma Having previous underlying disease such as diabetes, asthma, kidney failure, heart, liver, Patients undergoing chemotherapy or treatment with corticosteroids Patients previously undergoing transplantation of one of the vital organs of the body, such as the heart, kidney, liver and pancreas. Patients treated with Immunosuppressants Patients with blood diseases such as hemophilia,Thalassemia, leukemia, , platelet deficiency or any of the blood cells Patients with severe infection and sepsis Patients with scalp and neck burns J96 Respiratory failure, not elsewhere classified Treatment - Devices Treatment - Devices "Intervention group":in this group, care was started based on Barrow Oral Care Protocol and continued for 5 consecutive days. The protocol suggests three types of oral care based on the patient's oral health assessment score based on the clinical assessment of oral health (BOE) during admission.For patients with good oral health with an oral health score (BOE 8-10), the basic protocol of oral care includes washing the tongue using saline, brushing with a toothbrush and toothpaste, and rubbing a thin layer of Vaseline ointment. It is applied on the lips every 12 hours a day. In patients with moderate oral health status with oral and dental health score (BOE 11—14), in addition to basic oral care according to the main protocol, oral mucosal care, which includes rinsing the mouth with a wet swab with chlorhexidine chloride solution 0.2% and using Mucosamine moisturizing spray was added to the patient's oral care every 4 hours, and in patients with poor oral health status with an oral health score (15 to 24), in addition to oral care every 12 hours, oral mucosal care was evaluated every two hours. At the beginning of the patient's daily admission, the patient's oral and dental health status was monitored and evaluated by the evaluator, and the nurse who cared for the patient's mouth and teeth took care of the patient based on the new score. Control group: In this group, after determining and recording the patient's oral health score based on the clinical oral health assessment tool (BOE) on the first day of admission, taking care of the patient's oral health, according to the routines of the ward including rinsing the patient's mouth in each shift using gas soaked in solution Chlorhexidine 0.2%, was started by the patient's nurse and continued for 5 consecutive days. At the beginning of the patient's admission and every day after that, the patient's oral health status was checked by the evaluator, and the nurse in charge of the patient's care performed the patient's oral health care according to the routines of ward without attention to the patient's oral health score. Oral health status. Timepoint: Oral Health Assessment at the beginning of the study, daily and completion of the study. Method of measurement: Scale BOE(Bed side Oral Exame). Ardabil University of Medical Sciences Approved 2018-08-26 Ethics committee of Ardabil University of Medical Sciences Student Research Committee, Ardabil University of Medical Sciences, Above Shorabil Lake, Daneshgah street, Ardabil Ardabil Ardabil Iran (Islamic Republic of)