Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of 4% Hypertonic Saline Solution Mouthwash on Oral Health of Elders in Long Term Care Facilities

4% 고농도 식염수를 이용한 구강함수가 요양시설 입소노인의 구강건강에 미치는 효과

  • Kim, Ju Ok (Department of Nursing, Bucheon University) ;
  • Kim, Nam Cho (College of Nursing, The Catholic University of Korea)
  • Received : 2013.08.26
  • Accepted : 2013.12.16
  • Published : 2014.02.28
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was done to examine the effects of 4% hypertonic saline solution mouthwash and tooth brushing education on the oral health of elders living in long term care facilities. Methods: In this quasi-experimental study, the participants were assigned to a 2% experimental group (n=20), a 4% experimental group (n=20), and a control group (n=20). Data were analyzed using ANOVA, repeated measures ANOVA, Fisher exact test, Chi-square test, Kruskal-Wallis test and multiple response analysis with the SAS program. Results: Regular tooth brushing and use of 4% hypertonic saline solution mouthwash by elders provided better oral health by decreasing xerostomia, oral tongue plaque, halitosis, and the number of oral bacteria. Conclusion: The results indicate that regular tooth brushing with continuous 4% hypertonic saline solution mouth washing education promotes oral health for elders in long term care facilities, thus the dental care described in this study is recommended for elders in long term facilities.

Keywords

References

  1. Petersen PE, Yamamoto T. Improving the oral health of older people: The approach of the WHO Global Oral Health Programme. Community Dentistry and Oral Epidemiology. 2005;33(2):81-92. http://dx.doi.org/10.1111/j.1600-0528.2004.00219.x
  2. Shenkin JD, Baum BJ. Oral health and the role of the geriatrician. Journal of the American Geriatrics Society. 2001;49(2):229-230. https://doi.org/10.1046/j.1532-5415.2001.49044.x
  3. Petersen PE. Global policy for improvement of oral health in the 21st century-implications to oral health research of World Health Assembly 2007, World Health Organization. Community Dentistry and Oral Epidemiology. 2009;37(1):1-8. http://dx.doi.org/10.1111/j.1600-0528.2008.00448.x
  4. Vanobbergen JN, De Visschere LM. Factors contributing to the variation in oral hygiene practices and facilities in long-term care institutions for the elderly. Community Dental Health. 2005;22(4):260-265.
  5. Chalmers J, Johnson V, Tang JH, Titler MG. Evidence-based protocol: Oral hygiene care for functionally dependent and cognitively impaired older adults. Journal of Gerontological Nursing. 2004;30(11):5-12.
  6. Frenkel H, Harvey I, Newcombe RG. Improving oral health in institutionalised elderly people by educating caregivers: A randomised controlled trial. Community Dentistry and Oral Epidemiology. 2001;29(4): 289-297. https://doi.org/10.1034/j.1600-0528.2001.290408.x
  7. McDowell S. Are we using too much Betadine? RN. 1991;54(7):43-45.
  8. Park MS. The effect of oral health care education for care providers in a long-term care facility [dissertation]. Seoul: Seoul National University; 2010.
  9. Park HJ, Shin HS. The effects of mouth care with sterile normal saline on chemotherapy-induced stomatits. The Journal of Nurses Academic Society. 1995;25(1):5-16. https://doi.org/10.4040/jnas.1995.25.1.5
  10. Carl W. Oral complications in cancer patients. American Family Physician. 1983;27(2):161-170.
  11. Kim CY, Chung SC, Sohn WS. Comparison of the anti-plaque and anti- inflammatory effect of the dentifrices contatining NaCl and bamboo salt. The Journal of the Korean Academy of Dental Health. 1991;15(2): 269-280.
  12. Lee S. The effect of the dentifrice included bamboo salt, rosin etc on oral environment [dissertation]. Seoul: Kyung Hee University; 2004.
  13. Andrius OK. Histologic changes of gingiva of rats after irrigation with sea water. Journal of Dental Research. 1966;45(4):1224. http://dx.doi.org/10.1177/00220345660450043401
  14. Satdhabudha A, Poachanukoon O. Efficacy of buffered hypertonic saline nasal irrigation in children with symptomatic allergic rhinitis: A randomized double-blind study. International Journal of Pediatric Otorhinolaryngology. 2012;76(4):583-588. http://dx.doi.org/10.1016/j.ijporl.2012.01.022
  15. Park MS. The effect of oral health care education for care providers in a long-term care facility [dissertation]. Seoul: Seoul National University; 2010.
  16. Nieweg R, van Tinteren H, Poelhuis EK, Abraham-Inpijn L. Nursing care for oral complications associated with chemotherapy. A survey among members of the Dutch Oncology Nursing Society. Cancer Nursing. 1992;15(5):313-321.
  17. Beck S. Impact of a systematic oral care protocol on stomatitis after chemotherapy. Cancer Nursing. 1979;2(3):185-199.
  18. Park YJ, Hong MS. The influence of saline and betadine solution for gargle in the leukemic patients receiving chemotherapy. Chonnam Journal of Nursing Science. 1996;1(1):41-58.
  19. Chung SH. The effect of essential oil mouthrinse on oral health of the community indwelling elderly [dissertation]. Seoul: The Catholic University; 2005.
  20. Winkel EG, Roldán S, Van Winkelhoff AJ, Herrera D, Sanz M. Clinical effects of a new mouthrinse containing chlorhexidine, cetylpyridinium chloride and zinc-lactate on oral halitosis. A dual-center, double-blind placebo-controlled study. Journal of Clinical Periodontology. 2003;30 (4):300-306. https://doi.org/10.1034/j.1600-051X.2003.00342.x
  21. Lee KN, Tae YS. The effects of mouth care on oral discomfort of cancer patient undergoing chemotherapy. Journal of Korean Academy of Adult Nursing. 1999;11(4):785-795.
  22. Suslu N, Bajin MD, Süslü AE. Effects of buffered 2.3%, buffered 0.9%, and non-buffered 0.9% irrigation solutions on nasal mucosa after septoplasty. European Archives of Oto-Rhino-Laryngology. 2009;266(5): 685-689. http://dx.doi.org/10.1007/s00405-008-0807-5
  23. Lee KN, Tae YS. The effects of mouth care on oral discomfort of cancer patient undergoing chemotherapy. Journal of Korean Academy of Adult Nursing. 1999;11(4):785-795.
  24. Ship JA. Diagnosing, managing, and preventing salivary gland disorders. Oral Diseases. 2002;8(2):77-89. https://doi.org/10.1034/j.1601-0825.2002.2o837.x
  25. Epstein JB, Polsky B. Oropharyngeal candidiasis: A review of its clinical spectrum and current therapies. Clinical Therapeutics. 1998;20(1):40-57. https://doi.org/10.1016/S0149-2918(98)80033-7
  26. Lee MK, Kim HR, Ro BI. Identification of candida species by analysis of rRNA spacer regions. Korean Journal of Medical Mycology. 2006;11 (1):13-18.
  27. Kim BJ, Gong SH, Kim YH, Seol ME, Lee SG, Lee EM, et al. Care of cancer patients: Symptom management. 2nd ed. Seoul: Hyunmoon; 2001.
  28. Wolff LF, Pihlstrom BL, Bakdash MB, Schaffer EM, Jensen JR, Aeppli DM, et al. Salt and peroxide compared with conventional oral hygiene. II. Microbial results. Journal of Periodontology. 1987;58(5):301-307. http://dx.doi.org/10.1902/jop.1987.58.5.301
  29. Sauvaget E, David M, Bresson V, Retornaz K, Bosdure E, Dubus JC. Nebulized hypertonic saline and acute viral bronchiolitis in infants: Current aspects. Archives de Pédiatrie. 2012;19(6):635-641. http://dx.doi.org/10.1016/j.arcped.2012.03.018
  30. Keojampa BK, Nguyen MH, Ryan MW. Effects of buffered saline solution on nasal mucociliary clearance and nasal airway patency. Otolaryngology Head and Neck Surgery. 2004;131(5):679-682. http://dx.doi.org/10.1016/j.otohns.2004.05.026

Cited by

  1. 생리식염수와 에센셜오일을 이용한 가글링이 전신마취를 위한 경구 기관 내 삽관 환자의 균집락화에 미치는 영향 vol.16, pp.2, 2014, https://doi.org/10.7586/jkbns.2014.16.2.123
  2. 아로마용액과 0.9% N/S 구강함수가 간호대학생의 구강건조, 구취 및 타액 pH에 미치는 효과 비교 vol.16, pp.2, 2014, https://doi.org/10.7586/jkbns.2014.16.2.141
  3. S-solution과 A-solution을 이용한 구강함수가 미취학 아동의 구강건강에 미치는 효과 vol.17, pp.2, 2015, https://doi.org/10.7586/jkbns.2015.17.2.150
  4. Effect of an educational tooth-brushing program using priming in an elderly population with dementia residing in nursing homes vol.40, pp.3, 2014, https://doi.org/10.11149/jkaoh.2016.40.3.149
  5. 구강 용액에 따른 구강 간호 수행이 요양병원 입원 노인의 구강건강상태와 치아착색에 미치는 효과 vol.29, pp.3, 2017, https://doi.org/10.7475/kjan.2017.29.3.278
  6. Effects of Normal Saline Solution Mouthwash on Oral Health Status, Xerostomia, Halitosis and Salivary pH in Elders in Long-term Care Facilities vol.19, pp.3, 2014, https://doi.org/10.17079/jkgn.2017.19.3.173
  7. Relationship among Oral Hygiene Management, Halitosis, Interpersonal Relationships and Oral Health-Related Quality of Life in Community-Dwelling Elderly vol.19, pp.4, 2019, https://doi.org/10.15384/kjhp.2019.19.4.229
  8. Oral Hygiene Care in Patients With Advanced Disease: An Essential Measure to Improve Oral Cavity Conditions and Symptom Management vol.36, pp.9, 2014, https://doi.org/10.1177/1049909119829411
  9. Palliative care assessment of dry mouth: what matters most to patients with advanced disease? vol.28, pp.3, 2014, https://doi.org/10.1007/s00520-019-04908-9