Table 3.
S. No. | Questions | Responses | Group I | Group II | Group III | χ2 | p-value |
---|---|---|---|---|---|---|---|
1 | Recommended material used for oral care hygiene maintenance in ICU patients | Simple suction | 7 | 2 | 0 | 20.658 | 0.008 |
Tap water | 6 | 4 | 0 | ||||
Plain saline | 35 | 48 | 33 | ||||
Chlorhexidine | 4 | 1 | 2 | ||||
Toothbrush | 2 | 1 | 5 | ||||
2 | Is toothbrush recommended for maintenance of oral hygiene in ICU patients? | No | 26 | 16 | 8 | 9.105 | 0.011 |
Yes | 28 | 40 | 32 | ||||
3 | Frequency of toothbrushing performed by nursing staff for each ICU patient daily | Once | 16 | 15 | 7 | 11.765 | 0.067 |
Twice | 28 | 26 | 21 | ||||
After every meal | 3 | 9 | 11 | ||||
Not daily | 7 | 6 | 1 | ||||
4 | Duration of toothbrushing performed by nursing staff for each ICU patient | 3–4 minutes | 13 | 30 | 16 | 34.182 | 0.000 |
1–2 minutes | 35 | 24 | 10 | ||||
5 minutes | 0 | 0 | 4 | ||||
Not sure | 6 | 2 | 10 | ||||
5 | Pooling of saliva in the mouth for intubated ICU patients leads to an increased incidence of microbial growth. This can be controlled by | (A) Suctioning of oral fluids regularly | 29 | 15 | 12 | 16.628 | 0.002 |
(B) Using cotton swabs to absorb | 6 | 5 | 0 | ||||
(A) and (B) | 19 | 36 | 28 | ||||
Not required | 0 | 0 | 0 | ||||
6 | Oral hygiene tools required in an ICU setup for oral hygiene maintenance | Toothbrush | 7 | 1 | 3 | 12.058 | 0.017 |
Gauze + tongue depressor | 12 | 23 | 20 | ||||
Mouth rinse | 0 | 0 | 0 | ||||
All | 35 | 32 | 17 | ||||
7 | Recommended toothpaste for children with teeth should contain | Fluoride | 23 | 37 | 24 | 13.124 | 0.011 |
Sodium chloride | 26 | 19 | 16 | ||||
Sodium bicarbonate | 0 | 0 | 0 | ||||
Don't know | 5 | 0 | 0 | ||||
8 | Recommended oral rinse for ICU patients | 0.12% chlorhexidine | 47 | 50 | 37 | 0.720 | 0.698 |
Plain water | 7 | 6 | 3 | ||||
Betadine | 0 | 0 | 0 | ||||
Hydrogen | 0 | 0 | 0 | ||||
Don't Know | 0 | 0 | 0 | ||||
9 | Ideal handwashing practice to be followed by nursing staff in ICU | Pre-contact handwashing with tap water and soap | 0 | 0 | 0 | 14.049 | 0.001 |
Pre- and post-contact handwashing with tap water and soap | 26 | 24 | 5 | ||||
Pre- and post-contact handwashing with tap water and soap followed by alcohol rub | 28 | 32 | 35 | ||||
Handwashing is not needed | 0 | 0 | 0 | ||||
10 | Denture hygiene of geriatric ICU patients comprises | Removal of dentures at night and cleaning it once a day | 9 | 5 | 3 | 10.272 | 0.036 |
Removal of the dentures during sleep and cleaning it preferably after every meal | 41 | 51 | 37 | ||||
No need for the removal of dentures from the mouth and external cleaning | 4 | 0 | 0 | ||||
Intraoral cleaning with appropriate tools is sufficient | 0 | 0 | 0 | ||||
11 | Where do you store personalized oral hygiene tools for ICU patients? | (A) Personalized air-tight containers | 21 | 29 | 17 | 14.412 | 0.025 |
(B) Along with their other personal belongings | 20 | 13 | 4 | ||||
(A) or (B) | 13 | 14 | 19 | ||||
Does not matter | 0 | 0 | 0 | ||||
12 | Maintenance of oral hygiene in infants before the eruption of teeth in a pediatric ICU is done by | (A) Cotton swab to clean the gums | 35 | 42 | 22 | 5.562 | 0.234 |
(B) Small soft toothbrush | 0 | 0 | 0 | ||||
Both (A) and (B) | 18 | 13 | 18 | ||||
No supporting cleaning is required | 1 | 1 | 0 | ||||
13 | Did you receive assessment and provision of comprehensive oral care for ICU patients in basic nursing training? | No | 7 | 0 | 0 | 13.054 | 0.001 |
Yes | 47 | 56 | 40 | ||||
14 | What is the ideal patient position for performing oral hygiene care in an unconscious ICU adult patient? | Position the patient in the supine position | 5 | 1 | 2 | 8.262 | 0.082 |
Position the patient in the prone position | 0 | 0 | 0 | ||||
Position the patient in the lateral decubitus | 25 | 37 | 28 | ||||
Position the patient in the elevated supine position | 24 | 18 | 10 | ||||
Any position | 0 | 0 | 0 | ||||
15 | Do you think oral hygiene maintenance is necessary for ICU patients? | Yes | 54 | 56 | 40 | – | – |
No | 0 | 0 | 0 | ||||
16 | Doctor's instruction for oral hygiene care documented in the checklist and your necessary documentation/record for the oral hygiene procedures will improve the practice of oral care by nursing staff | Yes | 54 | 56 | 40 | – | – |
No | 0 | 0 | 0 | ||||
17 | Will the presence of a dental surgeon in the ICU help in the proper maintenance of oral hygiene in ICU patients? | No | 10 | 2 | 3 | 7.203 | 0.027 |
Yes | 44 | 54 | 37 |
Group I, 0–7 years; group II, 7.1–13.9 years; group III, 14 years and above