Assessment of oral hygiene status among children admitted in intensive care unit at tertiary care Hospital Karachi

Zulifqar Ali, Badil, Nazia Khan
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Abstract

BACKGROUND & OBJECTIVE: Oral assessment is the vital responsibility of the nurse that can lead to preventing the illness and maintaining health in the pediatric intensive care unit. The objective of this study was to assess oral hygiene and determine associated factors among children admitted in pediatric intensive care unit at tertiary care public sector hospitals Karachi METHODOLOGY: This Analytical cross-sectional study was accomplished at a tertiary care hospital in the pediatric intensive care unit in Dr. Ruth K.M. Pfau Civil Hospital at Karachi. A consecutive sampling technique was used to approach the study participant. Study participants were approached through a consecutive sampling technique. The calculated sample size was 92, it was calculated by the software "sample size determination in Health Sciences". Beck oral assessment scale (BOAS) was used for data collection. p<0.05 was considered statistically significant. RESULTS: Out of the total 110 study participants, 80(72.75 %) were males, and 30(27.3%) were females, with overall mean age 8.45±2.97 years. In this study, 32(29.1%) children have mild dysfunction, whereas majority of the children have moderate dysfunction 67(60.9%). However severe dysfunction, which is most dangerous, was also found in 11(10.0%) children. According to results, the mild dysfunction and moderate/ severe were found statistically significant with age and gender p<0.038 and 0.013, respectively. CONCLUSION: It is concluded that almost all the children in the Pediatric Intensive Care Unit of a public sector tertiary care hospital were suffering with dysfunctions, and the majority were suffering with moderate to severe dysfunction on the basis of Beck oral assessment scale.
卡拉奇三级医院重症监护病房儿童口腔卫生状况评估
背景与目的:口腔评估是儿科重症监护病房护士预防疾病、维护健康的重要职责。本研究的目的是评估三级公立医院儿科重症监护病房住院儿童的口腔卫生并确定相关因素。卡拉奇方法:本分析性横断面研究是在卡拉奇Ruth K.M. Pfau博士民用医院的三级医院儿科重症监护病房完成的。采用连续抽样技术接近研究参与者。研究参与者通过连续抽样技术进行接触。计算样本量为92,由“健康科学样本量测定”软件计算。采用贝克口腔评估量表(BOAS)进行数据收集。P <0.05为差异有统计学意义。结果:在110名研究参与者中,男性80人(72.75%),女性30人(27.3%),总体平均年龄8.45±2.97岁。在本研究中,32例(29.1%)患儿有轻度功能障碍,而大多数患儿有中度功能障碍67例(60.9%)。然而,最危险的严重功能障碍也出现在11名(10.0%)儿童中。结果显示,轻度功能障碍、中度/重度功能障碍与年龄、性别差异均有统计学意义p<0.038、0.013。结论:某公立三级医院儿童重症监护室的患儿几乎全部存在功能障碍,以Beck口腔评定量表为基础,以中度至重度功能障碍患儿居多。
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