| Summary: | 碩士 === 國立臺灣大學 === 護理學研究所 === 101 === Loss of oral sensation, declined salivary secretion, and decreased tongue strength may occur after prolonged endotracheal intubation. All the above may affect oral intake following endotracheal extubation. The aim of this study was to assess the functional recovery of oral sensation, salivary secretion, and tongue strength in patients with prolonged endotracheal intubation.
A prospective observation study was conducted to assess the functional recovery of oral sensation, salivary secretion, and tongue strength among patients aged 20 years and older following endotracheal extubation. In keeping with previous research, we only include patient who had been intubation for at least 48hours.Data were assessed at three points in time, 48 hours within extubation, and 7 days and 14 days postextubation. Specifically , salivary secretion was measured by oral Schirmer test ; oral sensation was measured by oral stereognosis ,two point discrimination and light touch discrimination on the tongue ;tongue strength was measured by the Iowa Oral Performance Instrument(IOPI) System .The sample consists 30 patients and 36 control.
Data revealed that oral sensation, salivary secretion, and tongue strength were all at the lowest point 48 hours within extubation. Oral sensation gradually recovered 14 days after extubation, while salivary secretion and tongue strength did not improve even at 14 days after extubation.
The result suggests that functions of oral sensation, salivary secretion, and tongue strength affected significantly after prolonged endotracheal intubation and most did not recovered even after 14 days.
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