ORIGINAL RESEARCH article
Front. Med.
Sec. Intensive Care Medicine and Anesthesiology
Application of sugar-free Cola solution based on ICOCFAS score in oral care of non-artificial airway patients with severe neurological conditions
Provisionally accepted
- The Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University, Huai’an, China
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Aim: To explore the effect of using Coke solution based on Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS) score in oral care of patients with severe neurological condition without artificial airway. Methods: A total of 80 patients with severe non-artificial airway admitted to the Neurological intensive care unit of our hospital from January 2023 to January 2024 were enrolled and divided into control group (40 cases) and observation group (40 cases). The control group was given routine oral care (0.9% saline gauze wipe). The observation group performed oral scrubbing with sugar-free cola gauze according to ICOCFAS score and compared the family satisfaction of patients with complications of modified Beck oral score between the two groups after implementing the program. Results: After the implementation of the program, the modified Beck oral score of patients in the observation group was lower than that of the control group on days 3, 5 and 7, with statistical significance (P<0.05); the complication rate of the observation group was lower than that of the control group, with statistical significance (P<0.05); the satisfaction degree of patients' families in the observation group was higher than that of the control group, with statistical significance (P < 0.05). Conclusion: The application of sugar-free cola solution based on ICOCFAS score in oral care of patients with severe neurological non-artificial airway has good effect, which can significantly improve the oral health status of patients with severe neurological non-artificial airway, with low complication rate, high safety, and high satisfaction of patients' families, which is worthy of promotion and application.
Keywords: ICOCFAS score, sugar-free Cola, Non-artificial airway, Oral care, Nursing
Received: 13 Aug 2025; Accepted: 28 Oct 2025.
Copyright: © 2025 Wang, Fan and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Mei Chen, chenm_edu@163.com
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