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디프람 스프레이(Difflam spray 0.3%)와 중조 생리식염수 분무요법이 전신마취 하 수술 환자의 구강 안위감, 인후통 및 구취에 미치는 효과

The Effects of Oral Care with Difflam Spray 0.3% and Sodium Bicarbonate-Normal Saline Solution on Postoperative Oral Comfort, Sore Throat, and Halitosis

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Purpose: This study aimed to compare the effects of the Difflam spray 0.3% with the sodium bicarbonate-normal saline spray on oral care for postoperative patients. Methods: The participants were randomly allocated to either the Difflam (n=22) group or the saline solution (n=23) group. The data were collected at the 1-, 4-, 7-, and 10-hour marks after returning to the ward post operation using the Beck’s subjective oral discomfort scale, Visual Analogue Scale for sore throat, and portable halitosis detector. Results: The sore throat (F=7.25, p=.001) score significantly decreased after oral care using the Difflam spray 0.3%. However, the difference in the scores of oral comfort (F=0.34, p=.797) and halitosis (F=0.91, p=.443) between the two groups was not statistically significant. Conclusion: These findings suggest that the Difflam spray 0.3% is effective in improving postoperative sore throat. A further study that explores the effect of various oral solutions for postoperative patients is needed to present systemic and effective evidence-based oral care guidelines.

Abstract

Purpose: This study aimed to compare the effects of the Difflam spray 0.3% with the sodium bicarbonate-normal saline spray on oral care for postoperative patients. Methods: The participants were randomly allocated to either the Difflam (n=22) group or the saline solution (n=23) group. The data were collected at the 1-, 4-, 7-, and 10-hour marks after returning to the ward post operation using the Beck’s subjective oral discomfort scale, Visual Analogue Scale for sore throat, and portable halitosis detector. Results: The sore throat (F=7.25, p=.001) score significantly decreased after oral care using the Difflam spray 0.3%. However, the difference in the scores of oral comfort (F=0.34, p=.797) and halitosis (F=0.91, p=.443) between the two groups was not statistically significant. Conclusion: These findings suggest that the Difflam spray 0.3% is effective in improving postoperative sore throat. A further study that explores the effect of various oral solutions for postoperative patients is needed to present systemic and effective evidence-based oral care guidelines.

참고문헌 (29)

  1. 배지숙, "구강 용액에 따른 구강 간호 수행이 요양병원 입원 노인의 구강건강상태와 치아착색에 미치는 효과", 성인간호학회지, 29(3), pp.278~289 (2017), 한국성인간호학회[DOI]
  2. 반효정, "신경계 중환자실 환자의 벤지다민 용액 (Benzydamine hydrochloride solution)의 구강간호 효과", 한국웰니스학회지, 15(3), pp.63~74 (2020), 한국웰니스학회[DOI]
  3. Beck, S., "Impact of a systematic oral care protocol on stomatitis after chemotherapy", Cancer Nursing, 2(3), pp.185~199 (1979)
  4. Chen, K. T., "Risk factors associated with postoperative sore throat after tracheal intubation : an evaluation in the postanesthetic recovery room", Acta Anaesthesiologica Taiwanica, 42(1), pp.3~8 (2004)
  5. 조은아, "생리식염수를 이용한 냉동거즈와 얼음 제공이 복강경 담낭절제술 환자의 갈증 및 구강상태에 미치는 효과-Pilot study", Journal of Korean Academy of Nursing, 40(5), pp.714~723 (2010), 한국간호과학회
  6. 조용애, "간호분야 실무지침의 수용개작 방법론에 따른 구강간호 실무지침의 개발", 임상간호연구, 21(2), pp.154~168 (2015), 병원간호사회
  7. Cho, Y. A., "Updates of nursing practice guideline for oral care", Hospital Nurses Association, ~ (2020)
  8. El-Boghdadly, K., "Postoperative sore throat : A systematic review", Anaesthesia, 71(6), pp.706~717 (2016)
  9. Epstien, J. B., "Benzydamine Hcl for prophylaxis of radiation-induced oral mucositis : Results from a multicenter radomized, double blind, placebo controlled clinical trial", Cancer, 92(4), pp.875~885 (2001)
  10. 구안나, "아산화질소(N2O)와 공기(Air)를 사용한 마취 수술의 기낭압 조정이 수술 후 인후통과 쉰목소리에 미치는 영향", Journal of Korean Academy of Nursing, 49(2), pp.215~224 (2019), 한국간호과학회[DOI]
  11. Irwin, M., "Putting evidence into practice: A pocket guide to cancer symptom management" (2014), Oncology Nursing Society
  12. M. JAENSSON, "Endotracheal tube size and sore throat following surgery: a randomized-controlled study", Acta Anaesthesiologica Scandinavica, 54(2), pp.147~153 (2010), Wiley[DOI]
  13. 전보라, "에센셜오일 가글링과 정수 가글링이 수술 후 환자의 갈증, 구강상태 및 구취에 미치는 효과", 임상간호연구, 20(2), pp.200~210 (2014), 병원간호사회
  14. Jung, Y. S., "Evidence-based practice of oral care in critical care", Journal of Korean Critical Care Nursing, 2(2), pp.79~91 (2009)
  15. A. KAZEMIAN, "Benzydamine for prophylaxis of radiation-induced oral mucositis in head and neck cancers: a double-blind placebo-controlled randomized clinical trial", European Journal of Cancer Care, 18(2), pp.174~178 (2009), Wiley[DOI]
  16. Doyeon Kim, "The effect of benzydamine hydrochloride on preventing postoperative sore throat after total thyroidectomy: a randomized-controlled trial", Canadian Journal of Anesthesia, 2019, pp.66(8), 934~942[DOI]
  17. 김미영, "세 가지 구강간호방법에 따른 수술 후 환자의 갈증정도 및 구강상태 비교", 한국간호교육학회지, 18(3), pp.403~412 (2012), 한국간호교육학회[DOI]
  18. Kim, Y. H., "Prevention of chemotherapy induced oral mucositis in patients with acute leukemia by the two oral care protocols-the comparisons of sodium bicarbonate-normal saline gargling and chlorhexidine garglin", Korean Journal of Adult Nursing, 9(1), pp.98~111 (1997)
  19. "Difflam spray 0.3%" (2012)[URL]
  20. Lee, G. M., "The effects of mouth care on oral discomfort of cancer patient undergoing chemotherapy", Korean Journal of Adult Nursing, 11(4), pp.785~795 (1999)
  21. 이연희, "구강건조증과 구취 : 최신 지견의 고찰", 대한치과의사협회지, 55(9), pp.640~656 (2017), 대한치과의사협회[DOI]
  22. McGuire, D. B., "Systematic review of basic oral care for the management of oral mucositis in cancer patients", Supportive Care in Cancer, 21(11), pp.3165~3177 (2013)
  23. 문양희, "생리식염수 냉수 거즈와 일반 냉수 거즈의 수술 후 갈증, 구강상태, 타액 산성도에 미치는 효과 비교", 기본간호학회지, 22(4), pp.398~405 (2015), 기본간호학회[DOI]
  24. Na, E. S., "The effect of oral care with sodium bicarbonate-normal saline solution and tantum solution on the stomatitis and oral comfort patients receiving chemotherapy", Journal of the Korean Society for Multicultural Health, 9(2), pp.9~18 (2019)
  25. National Health Insurance Service, "Main Surgery Statistical Yearbook for 2019" (2019), National Health Insurance Service
  26. 노혜진, "생리식염수를 이용한 흡입요법이 수술 후 갈증과 인후통에 미치는 효과", Journal of Korean Biological Nursing Science, 22(3), pp.204~212 (2020), 한국기초간호학회[DOI]
  27. Park, Y. J., "The influence of saline and betadine solution for gargle in the leukemic patients receiving chemotherapy", Chonnam Journal of Nursing Science, 1(1), pp.41~58 (1996)
  28. 송지은, "급성백혈병 환자를 대상으로 구강함수제별 구내염 및 구강안위감에 대한 무작위대조시험연구", Asian Oncology Nursing, 11(1), pp.33~40 (2011), 대한종양간호학회
  29. 윤서영, "냉수 가글링이 정형외과 수술환자의 갈증,구강상태, 인후통에 미치는 효과", 재활간호학회지, 14(2), pp.136~144 (2011), 한국재활간호학회

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