Effects of Oral Care Nursing Protocol using a Toothbrush and a Tongue Cleaner for Improving Oral Health Status and Halitosis in General Ward Patients with Acute Stroke

International Journal of Nursing and Health Science
© 2023 by SSRG - IJNHS Journal
Volume 9 Issue 1
Year of Publication : 2023
Authors : Jung Hee Han, Yun Ok Kim, Claire Han, Bobin Park, Hun Wha Jo, Kyung Hee Lee, Bum Joon Kim
How to Cite?

Jung Hee Han, Yun Ok Kim, Claire Han, Bobin Park, Hun Wha Jo, Kyung Hee Lee, Bum Joon Kim, "Effects of Oral Care Nursing Protocol using a Toothbrush and a Tongue Cleaner for Improving Oral Health Status and Halitosis in General Ward Patients with Acute Stroke," SSRG International Journal of Nursing and Health Science, vol. 9,  no. 1, pp. 25-32, 2023. Crossref, https://doi.org/10.14445/24547484/IJNHS-V9I1P104


In stroke patients, evidence on the effective oral care guideline is lacking for patients with acute stroke hospitalized in the general ward. We examined the efficacy of an oral care nursing protocol using a toothbrush and a tongue cleaner on the oral health status, halitosis, and aspiration pneumonia rate in stroke patients. It was a non-randomized case-control study. Stroke patients receiving nasogastric tube feeding with dysphagia were enrolled in the acute stage. The two groups had no significant differences in baseline characteristics and stroke severities. Compared with the control group, the intervention group showed significantly higher degrees of improvement in oral health status (0.81 ± 2.69 vs 1.02 ± 2.17, P = .030) and halitosis (0.26 ± 0.88 vs 0.68 ± 0.84, P < .001). The incidence of aspiration pneumonia was not significantly different between the two groups (11.3% vs 9.1%, P = .719). Oral care using fine toothbrushes and tongue cleaners significantly improved oral health status and halitosis in acute stroke patients, suggesting that education and protocol development are widely needed.


Oral health, Oral care, Toothbrushing, Tongue cleaner, Stroke, Nursing.


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