ORAL HYGIENE PASIEN ICU ON VENTILATOR : LITERATURE REVIEW
DOI:
https://doi.org/10.31004/prepotif.v9i2.47103Keywords:
ICU, oral hygiene, Ventilator MekanikAbstract
Pasien yang dirawat di ruang Intensive Care Unit (ICU) cenderung mengalami gangguan dalam pemenuhan kebutuhan Activities of Daily Living (ADL), salah satunya adalah kebutuhan akan perawatan kebersihan mulut atau oral hygiene. Gangguan ini umumnya terjadi karena kondisi pasien yang tidak sadar atau memiliki keterbatasan fisik, terutama pada pasien yang terpasang ventilator. Dalam kondisi tersebut, pasien sangat membutuhkan bantuan dari tenaga perawat untuk menjaga kebersihan mulutnya agar tetap bersih dan terhindar dari infeksi, termasuk risiko terjadinya Ventilator Associated Pneumonia (VAP) yang merupakan komplikasi umum pada pasien ICU dengan penggunaan ventilator mekanik.Penelitian ini menggunakan metode literature review dengan pendekatan pencarian data melalui beberapa basis data ilmiah seperti ResearchGate, PubMed, dan ANJ. Kata kunci yang digunakan dalam pencarian literatur meliputi "oral hygiene", “intensive care unit”, “ICU”, “unconscious patient”, “mechanical ventilator”, dan “ventilator”. Berdasarkan hasil penelusuran dan analisis literatur, ditemukan bahwa perawatan kebersihan mulut terbukti efektif dalam mencegah terjadinya VAP, terutama jika menggunakan bahan yang memiliki kandungan antibakteri dan antiseptik.Dengan demikian, dapat disimpulkan bahwa pemberian oral hygiene secara rutin dan menggunakan bahan yang mampu menekan pertumbuhan serta membunuh bakteri, sangat penting dilakukan pada pasien ICU yang menggunakan ventilator. Perawatan ini menjadi bagian krusial dalam upaya pencegahan infeksi sekunder yang dapat memperburuk kondisi pasien.References
Amiman, A. K., Rayanti, R. E., & Natawirarindry, C. (2023). Peran Perawat Dalam Pemberian Oral Hygiene Pada Pasien Tidak Sadar di Ruang ICU RSUD Kota Salatiga. Jurnal Ilmiah Keperawatan Indonesia (JIKI, 7(1), 16–35.
Ayu, Y., & Estri, A. K. (2025). ANALISIS KESESUAIAN INSTRUMEN PENGKAJIAN KESEHATAN MULUT ORAL HEALTH ASSESMENT TOOL. Journal Health Education, 1.
Bersaneti, M. D. R., Lobo, R. D., Brandão, T. B., Souza, R. C. S., & Poveda, V. de B. (2025). Oral hygiene in critically ill patients at a tertiary hospital in São Paulo, Brazil: a best practice implementation project. JBI Evidence Implementation, 23(1), 4–13. https://doi.org/10.1097/XEB.0000000000000413
Damansyah, H., Yunus, P., Monoarfa, S., & Taliki, V. (2024). Pengaruh VAP Bundle Intervention Dalam Pencegahan VAP Pada Pasien Terpasang Ventilator Mekanik Di Ruangan ICU RSUD Prof. Dr. H. Aloei Saboe Kota Gorontalo. Jurnal Keprawatan Muhammadiyah, 9(3), 51.
Giuliano, K. K., Penoyer, D., Middleton, A., & Baker, D. (2021). Oral Care as Prevention for Nonventilator Pneumonia : A Four-Unit Cluster Randomized Study. American Journal of Nursing, 121(6), 24–33.
Hapsari, A. I., Rosyid, F. N., & Irianti, A. D. (2022). Efektifitas Thermo Terapy (Terapi Hangat) Untuk Meredakan Nyeri Dada Pada Pasien Acute Coronary Syndrome (ACS. Proceeding National Health Conference of Science, S), 1, 20–28.
Hudiyawati, D., & Nurlitasari, N. O. (2021). Pengaruh Paparan Cahaya Terang Terhadap Kondisi Fisiologis Pasien Yang Dirawat Di Ruang Icu. Jurnal Ilmu Keperawatan Medikal Bedah, 4(1), 42–53. https://doi.org/10.32584/jikmb.v4i1.670
Kelly, N., Blackwood, B., Credland, N., Stayt, L., Causey, C., Winning, L., McAuley, D. F., Lundy, F. T., & El karim, I. (2023). Oral health care in adult intensive care units: A national point prevalence study. Nursing in Critical Care, 28(5), 773–780. https://doi.org/10.1111/nicc.12919
Kuribara, T., Unoki, T., Yamakita, S., Hashimoto, N., Yoshino, Y., Sakuramoto, H., Aikawa, G., & Okamoto, S. (2024). Nation-wide survey of oral care practice in Japanese intensive care units: A descriptive study. PLoS ONE, 19(3), 1–10. https://doi.org/10.1371/journal.pone.0301258
Lande’eo, I. O., Tahir, T., Majid, A., & Ningrat, S. (2025). Application of Active and Passive Warming to the Patient with Tongue Reconstruction and Frenuloplasty in PACU at the Central Operation Theatre in Hasanuddin University Hospital : A Case Study. JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF), 7, 182–187.
Pangastuti, L. O. R., & Widodo, A. (2022). Pengaruh Oral Hygiene Pada Tingkat Kejadian Ventilator Associated Pneumonia Pada Pasien. Jurnal ilmiah Keperawatan, 5(1), 168–183. https://doi.org/10.1016/j.encep.2012.03.001
Peña, M. S., Restrepo, L. A. O., Barrios Arroyave, F. A., & Suárez Brochero, O. F. (2021). Impact of an Educational Intervention Aimed at Nursing Staff on Oral Hygiene Care on the Incidence of Ventilator-Associated Pneumonia in Adults Ventilated in Intensive Care Unit. Investigación y Educación En Enfermería, 39(3). https://doi.org/10.17533/udea.iee.v39n3e06
Pitriani, L., & Pasaribu, Y. A. (2023). Effect of Oral Hygiene on Prevention Ventilator Associated Pneumonia (VAP) in The Intensive Room of The Hospital Granmed Lubuk Pakam in 2023. Jurnal Keperawatan Dan Fisioterapi (Jkf, 6(1), 128–133. https://doi.org/10.35451/jkf.v6i1.1883
Primalia, P., & Hudiyawati, D. (2020). Pencegahan dan Perawatan Luka Tekan pada Pasien Stroke di Ruang ICU. Jurnal Berita Ilmu Keperawatan, 13(2), 110–116.
Purnama, A., & Fikri, R. (2020). Perbandingan Efektifitas Oral Hygiene Menggunakan Enzym Lactoperoxidase Dengan Chlorhexidine Dalam Pencegahan Vap Di Icu Rs. Jurnal Surya Muda, 2(1).
Purnamasari, D., Yasin, N. M., & Andayani, T. M. (2025). Evaluasi Penggunaan Antibiotik Empiris pada Pasien Sepsis di Intensive Care Unit RSUD Dr. H. Abdul Moeloek Provinsi Lampung. Jurnal Surya Medika (JSM), 1.
Shidiq, N. A., Awaludin, S., & Kurniawan, A. (2021). Implementasi Oral Care Hygiene untuk Mengurangi Risiko Ventilator Associated Pneumonia (VAP) di Ruang Intensive Care Unit (ICU) Rumah Sakit Prof. Journal of Bionursing, 3(2), 113–121. https://doi.org/10.20884/1.bion.2021.3.2.97
Singh, P., Arshad, Z., Srivastava, V. K., Singh, G. P., & Gangwar, R. S. (2022). Efficacy of Oral Care Protocols in the Prevention of Ventilator-Associated Pneumonia in Mechanically Ventilated Patients. Cureus, 14(4). https://doi.org/10.7759/cureus.23750
Utami, Y. W., & Kristinawati, B. (2022). Oral Hygiene dalam Pencegahan Ventilator- Associated Pneumonia pada Pasien Kritis. Faletehan Health Journal, 9(02), 152–163. https://doi.org/10.33746/fhj.v9i02.174
Vucelić, V., Bratić, V., Dubravka, N. V., Tambić Andrašević, A., Degoricija, V., Mihaljević, Z., Ramić, S., Piteša Košutić, I., Šimunović, L., Špiljak, B., & Brailo, V. (2024). Understanding and Practices of Oral Hygiene in the Intensive Care Units: Perspectives of Medical Staff at Two University Hospital Centers. Acta Stomatologica Croatica, 58(1), 85–93. https://doi.org/10.15644/asc58/1/8
Wei, X. J., Jing, M. J., Zhang, X. X., Li, C. P., & Li, L. M. (2022). Nurses’ practice and educational needs in oral care for postoperative patients with oral cancer in ICUs: a multicenter cross-sectional study. BMC Oral Health, 22(1), 1–10. https://doi.org/10.1186/s12903-022-02426-5
Wulandari, K. P., Haristiani, R., Setioputro, B., & Heri, S. (2024). EFFECTIVENESS OF ORAL HYGIENE + CLOSE SUCTION + HEAD UP 30-45? AS A VAP (VENTILATOR ASSOCIATED PNEUMONIA) PREVENTION BUNDLE IN TN RESPONDENTS. S WITH THE USE OF MECHANICAL VENTILATORS IN THE ICU ROOM OF PROF DR HOSPITAL. I. G. N. G. NGOERAH BALI. Jurnal Ilmiah Keperawatan Altruistik, 7(1), 34–41.
Wulan, D. R., Kusumajaya, H., & Meilando, R. (2024). Faktor-faktor yang Berhubungan dengan Kejadian Ventilator Associated Pneumonia (VAP) pada Pasien Kritis. Altra Jurnal Keperawatan Holistik, 1(1), 10–21.
Zhao, T., Wu, X., Zhang, Q., Li, C., Worthington, H. V, & Hua, F. (2020). Oral hygiene care for critically ill patients to prevent ventilator-associated pneumonia. Cochrane Database of Systematic Reviews, 12(12). https://doi.org/10.1002/14651858.CD008367.pub4
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Kharina Indira Astuti, Sherly Nur Janah, Fahrun Nur Rosyid

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).







