생리식염수를 이용한 구강함수가 요양시설노인의 구강건강상태, 구강건조, 구취, 타액 pH 변화에 미치는 효과
Effects of Normal Saline Solution Mouthwash on Oral Health Status, Xerostomia, Halitosis and Salivary pH in Elders in Long-term Care Facilities
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to examine the effects of mouthwash using cold or normal temperature normal saline solution on oral health status, xerostomia, halitosis, and salivary pH of elders in long-term care facilities. Methods: In this quasi-experimental study, the participants were assigned to a cold normal saline solution group (n=30), a normal saline solution group (n=30), and a tooth brushing group (n=33). Data were analyzed using x2 test, Fisher‘s exact test, paired t-test, one-way ANOVA with SPSS 20.0 program. Results: Using cold normal saline solution or normal saline solution mouthwashes was shown to be more effective than using only tooth brushing in improving the oral health status (F=9.57, p<.001) and in relieving xerostamia (F=6.52, p=.002) in the participants. A comparison of before and after the experimental treatment showed that both cold normal saline solution and normal saline solution improved oral status, xerostomia, halitosis, and salivary pH. Conclusion: The results indicate that regular tooth brushing with education on continuous normal saline solution mouth washing promotes oral health for elders. These interventions can also be used as nursing interventions to improve the oral health of the elders in long-term care facilities.
Abstract
Purpose: The purpose of this study was to examine the effects of mouthwash using cold or normal temperature normal saline solution on oral health status, xerostomia, halitosis, and salivary pH of elders in long-term care facilities. Methods: In this quasi-experimental study, the participants were assigned to a cold normal saline solution group (n=30), a normal saline solution group (n=30), and a tooth brushing group (n=33). Data were analyzed using x2 test, Fisher‘s exact test, paired t-test, one-way ANOVA with SPSS 20.0 program. Results: Using cold normal saline solution or normal saline solution mouthwashes was shown to be more effective than using only tooth brushing in improving the oral health status (F=9.57, p<.001) and in relieving xerostamia (F=6.52, p=.002) in the participants. A comparison of before and after the experimental treatment showed that both cold normal saline solution and normal saline solution improved oral status, xerostomia, halitosis, and salivary pH. Conclusion: The results indicate that regular tooth brushing with education on continuous normal saline solution mouth washing promotes oral health for elders. These interventions can also be used as nursing interventions to improve the oral health of the elders in long-term care facilities.
참고문헌 (29)
- 양순봉, "노인요양시설에 있는 노인환자의 구강실태 및 치료수요도", 대한치과보철학회지, 46(5), pp.455~469 (2008), 대한치과보철학회
- Petersen PE, "Improving the oral health of older people: the approach of the WHO global oral health programme", Community Dentistry and Oral Epidemiology, 33(2), pp.81~92 (2005)
- 심미애, "노인장기요양 환자의 건강상태와 구강건강관련 삶의 질", 치위생과학회지, 14(3), pp.379~389 (2014), 한국치위생과학회
- 장종화, "의치장착 노인의 구강건조증이 주관적 구강건강인지도에 미치는 영향", 대한구강보건학회지, 30(4), pp.438~446 (2006), 대한예방치과·구강보건학회
- 모현숙, "장기요양시설 간호제공자의 구강건강관리에 대한 지식과 영향요인", 기본간호학회지, 15(4), pp.428~437 (2008), 기본간호학회
- L. Weening-Verbree, "Oral health care in older people in long term care facilities: A systematic review of implementation strategies", International Journal of Nursing Studies, 50(4), pp.569~582 (2013), Elsevier BV[DOI]
- 김주옥, "4% 고농도 식염수를 이용한 구강함수가 요양시설 입소노인의 구강건강에 미치는 효과", Journal of Korean Academy of Nursing, 44(1), pp.13~20 (2014), 한국간호과학회
- 송지아, "A-solution을 이용한 구강 가글링이 수술 전 금식 환자의 구취와 구강 상태에 미치는 효과", Journal of Korean Academy of Nursing, 42(3), pp.405~413 (2012), 한국간호과학회
- 조은아, "요양병원 및 재가노인의 구강건조와 구취 및 타액 pH 수치의 상관성 연구", 노인간호학회지, 14(1), pp.68~77 (2012), 노인간호학회
- 조미경, "아로마용액과 0.9% N", S 구강함수가 간호대학생의 구강건조, 구취 및 타액 pH에 미치는 효과 비교, 2014, pp.16(2), 141~149[DOI]
- 지윤정, "구취발생과 구강환경의 연관성에 관한 연구", 치위생과학회지, 10(2), pp.101~107 (2010), 한국치위생과학회
- Jeong SJ, "Dental caries risk can be predicted by simply measuring the pH and buffering capacity of saliva", Journal of Dental Hygiene Science, 6(3), pp.159~162 (2006)
- 오혜승, "잇솔질과 구취감소보조용품제가 구취감소효과에 미치는 영향", 치위생과학회지, 7(3), pp.129~133 (2007), 한국치위생과학회
- Lee KH, "Clinical effect of chewing gum containing chlorhexidine nanoparticles on the dental plaque and gingivitis", The Journal of Korean Academy of Dental Hygiene Education, 1(1), pp.89~99 (2001)
- Harris NO, "Primary preventive dentistry", pp.842~ (2004), Prentice Hall
- 최선희, "생리식염액을 이용한 구강간호가 중환자실 환자의 구강상태에 미치는 효과", 성인간호학회지, 16(3), pp.452~459 (2004), 한국성인간호학회
- 천순미, "찬 구강함수액이 항암 화학요법 환자의 구강불편감에 미치는 영향", Asian Oncology Nursing, 7(1), pp.68~78 (2007), 대한종양간호학회
- Park JM, "The effects of mouth care with cold normal saline in head and neck cancer patients undergoing concurrent chemoradiotherapy", pp.2010
- Um HS, "Scaling and root planing", The Journal of Korean Dental Association, 38(11), pp.1019~1025 (2000)
- Beck S, "Impact of a systematic oral care protocol on stomatitis after chemotherapy", Cancer Nursing, 2(3), pp.185~199 (1979)
- Park YJ, "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)
- Ware JE Jr, "Methods for testing data quality, scaling assumptions, and reliability: the IQOLA Project approach. international quality of life assessment", Journal of Clinical Epidemiology, 51(11), pp.945~952 (1998)
- 이형란, "요구르트를 이용한 구강간호가 경관영양환자의 설태 제거와 구강안위에 미치는 효과", 임상간호연구, 11(2), pp.163~176 (2006), 병원간호사회
- Ham KS, "The effect of aromatherapy on halitosis and the oral cavity subjective symptoms of the aged", pp.2006
- Identification of stem cells in oral mucosa. Academic Research Report, "Jung HS", Yonsei University, ~, pp.013-2006-1-E00143 (2007)
- Lee KN, "The effects of mouth care on oral discomfort of cancer patient undergoing chemotherapy", The Journal of Korean Academic Society of Adult Nursing, 11(4), pp.785~795 (1999)
- 정승희, "정유를 이용한 구강자가간호가 재가노인의 구강건강에 미치는 효과", Journal of Korean Academy of Nursing, 36(1), pp.84~93 (2006), 한국간호과학회
- 허혜영, "성인에서 구취실태와 요인들 간의 상관관계에 관한 연구", 대한구강보건학회지, 29(3), pp.368~385 (2005), 대한예방치과·구강보건학회
- Gupta D, "Effect of terminalia chebula extract and chlorhexidine on salivary pH and periodontal health : 2 weeks randomized control trial", Phytotherapy Research, 28(7), pp.992~998 (2014)