• Title/Summary/Keyword: Oral Cavity Status

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Effect of Oral Care Protocol on Oral Cavity Status and Self-care Performance in Solid Cancer Patients Receiving Chemotherapy (구강관리 프로토콜 적용이 항암화학요법을 받는 고형암 환자의 구강상태 및 자가간호수행에 미치는 효과)

  • Jeong, Mi Sook;Song, Chi Eun;Lee, Ae Ri;Jung, Eun-Suk;Kim, Gwang Sug
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.503-513
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    • 2018
  • The purpose of this study was to identify the effectiveness of oral care protocol including individual oral care education, cryotherapy and benzydamine gargling on oral cavity status and self-care performance in solid cancer patients receiving chemotherapy. Thirty-one patients were enrolled by convenience sampling in this study and allocated to control (n=18) and experimental group (n=13). In the intervention group, individual oral care education, oral cryotherapy and benzydamine gargling were applied, while the control group received pre-existed oral care. Oral cavity status and self-oral care behavior were measured in five periods. The data were analyzed using the Mann-Whitney test, Friedman test, and Chi-square test. There was no significant difference in oral cavity status between the groups. But the two groups showed the poorest oral cavity status on $14^{th}$ day. Self-care behavior was significantly higher in the intervention group than the control group. This effect had maintained for 4months after completion of study. The results showed that individual oral care education by oncology nurse is effective to encourage patients to do self-care behavior and a further study is needed to explore the effect of cryotherapy and benzydamine gargling on oral cavity status of patient with solid tumor.

Lipid Peroxidation and Antioxidant Vitamin Status in Oral Cavity and Oropharyngeal Cancer Patients

  • Marakala, Vijaya;Malathi, M.;Shivashankara, A.R.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.11
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    • pp.5763-5765
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    • 2012
  • Background: This study was conducted to determine levels of lipid peroxidation and antioxidant vitamin status in patients with oral cavity and oropharyngeal cancer. Methods: The study group consisted of a total number of 80 subjects between the age 40-68 years, 40 with clinically and histopathologically proved cases of oral cavity and oropharyngeal cancer and 40 normal healthy, age and sex matched volunteers as controls. Levels of lipid peroxidation products as malondialdehyde (MDA) and antioxidant vitamins as vitamin A and vitamin C were estimated and compared between the two groups. Results: There was a statistical significant difference in the mean MDA, plasma vitamin A and vitamin C in the oral and oropharyngeal cancer patients compared with the healthy controls (p<0.0001). Conclusions: Lipid peroxidation (MDA) is higher and plasma antioxidant vitamins like vitamin A and vitamin C were lower in oral cavity and oropharyngeal cancer patients than healthy controls.

Effects of Special Mouth Care with an Aroma Solution on Oral Status and Oral Cavity Microorganism Growth in Elderly Stroke Patients (아로마 용액을 이용한 구강간호가 뇌졸중 노인의 구강상태와 구강 세균 집락에 미치는 효과)

  • Lee, Eun-Hye;Park, Hyojung
    • Journal of Korean Academy of Nursing
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    • v.45 no.1
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    • pp.46-53
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    • 2015
  • Purpose: This study was conducted to examine the effect of oral care with an aroma solution on oral status and oral cavity microorganism growth in elderly patients with stroke. Methods: A non-equivalent control group, with a pretest-posttest design was used in this study. The participants were assigned to the experimental group (n=30) that received oral care with an aroma solution or the control group (n=31) that received 0.9% saline solution. To identify the effect of the experimental treatments, objective/subjective assessments of oral status and oral cavity microorganism growth were performed using the oral assessment guide, oral perception guide, and oral swab culture. Data were analyzed using Chi-square test, Fisher's exact test, and t-test with the SPSS version 21.0 program. Results: The objective oral status was significantly lower in the experimental group than in the control group (t= -3.64, p<.001). There was no significant difference between the subjective oral status of the experimental group and control groups (t= -1.24, p=.109). Oral microorganism growth was significantly lower in the experimental group than in the control group (t= -7.39, p<.001). Conclusion: These findings indicate that special mouth care using an aroma solution could be an effective oral health nursing intervention for elderly patients with stroke.

Oral Health Behavior and Dental Health Status of Preschool Children (유치원 아동의 구강관리행태에 따른 구강건강상태)

  • Moon, Jung-Soon;Song, Byung-Sun;Park, Sun-Nam
    • Research in Community and Public Health Nursing
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    • v.15 no.4
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    • pp.618-627
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    • 2004
  • Purpose: To investigate the dental health status of kindergarten children according to their oral health behavior. Method: The subjects were 172 kindergarten children aged 5. A structured questionnaire was used for dental health behavior and oral health status were examined by dentist and bacteria in salivary. Result: 1. Mean score of oral health behavior of children was 4.69 points (SD1.65) with the highest score being 13. No significant differences were observed according to sex, except using tooth paste. A total 71.5% of subjects brushed their tooth twice a day, 9.9% of them once a day, 18.6% of them three times a day, 19.2% of children brushed their teeth after breakfast and lunch, 89.5% of then after dinner, 5.8% of them before going to bed, 18.6% of children brushed correctly, 79.7% of them used tooth paste with fluorine, 3.5% of them regularly examined oral cavity, 84.4% of them took cariogenic food without any restrain, 67.1% of them were observed with oral cavity by their mother. 2. Streptococcus mutans and lactobacilli in the saliva was $3.66({\times}106CFU/m{\ell})\;and\;1.05({\times}103CFU/m{\ell})$, respectively. No significant differences were observed according to sex, while lactobacilli were significantly lower in those children who had regular dental examinations. 3. The index of plaque was 1.56 and the boys were significantly higher than the girls. The mean dft was 4.99. No significant differences were observed according to sex, while the children whose oral cavity was observed regular were significantly lower than those who were not observed. Conclusion: As a whole the practice of oral health behavior of the kindergarten children was poor, and regular dental examinations and oral cavity observations affect their dental health status. These results suggest that intensive dental health education was needed not only for the pre-school children but also their parents and teachers.

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Effects of Oral Care on the Oral Health Status and Tooth Stain by Oral Solution Types for Elderly Patients Staying at Long-term Care Hospitals (구강 용액에 따른 구강 간호 수행이 요양병원 입원 노인의 구강건강상태와 치아착색에 미치는 효과)

  • Bae, Jisuk;Park, Heeok
    • Korean Journal of Adult Nursing
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    • v.29 no.3
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    • pp.278-289
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    • 2017
  • Purpose: This study was designed to investigate whether there were differences among three oral care protocols on participants' oral health status (oral status, dry mouth, halitosis, saliva pH, microorganism growth in oral cavity) and tooth stain. The three protocols were: 1) oral solution of 4% normal saline, 2) 0.1% Chlorhexidine and 3) Tantum. Methods: A nonequivalent control group pretest-posttest design was utilized. A total of 55 elderly patients residing at long-term care facilities(19 in the 4% normal saline group, 17 in the 0.1% Chlorhexidine group, 19 in the Tantum group) received oral care daily for four weeks. Data were analyzed using SPSS/WIN 22.0 program. Results: The halitosis (${\chi}^2=10.71$, p=.005) and saliva pH (${\chi}^2=6.84$, p=.033) scores were significantly improved after the oral care with 4% normal saline. Conclusion: These findings indicate that if elderly patients in long-term care facilities have complaint of the discomfort of using Chlorhexidine or Tantum, 4% normal saline is as effective at the other two. This can also be cost effective as there were no differences among the protocols in oral status, dry mouth, tooth stain or microorganism growth in oral cavity.

The Effects of Gum-Chewing on the Recovery of Bowel Movement and Oral Cavity Discomfort after Abdominal Surgery (껌씹기가 개복수술 환자의 장운동 회복과 구강불편감에 미치는 효과)

  • Bang, Sul Yeong;Jung, Gum Ja;Jung, Hye Yeon;An, So Hyeon
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.15-25
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    • 2008
  • Purpose: This study was aimed to investigate the effects of gum-chewing on the recovery of bowel movement and oral cavity discomfort after abdominal surgery. Method: The nonequivalent control group, non-syncronized repeated treatment design was used. A total of 99 patients were participated in the study. The 44 patients were in the experimental group and the rest in the control group. The experimental group chewed gum three times a day until they passed gas. As the patient reported gas-passing, bowel movement time, subjective symptoms of oral cavity, and oral status were recorded precisely. The frequency, percentage, $x^2$-test and t-test were analyzed by SPSS PC 12.0. Results: There were significant differences in bowel movement, gas passing, oral cavity symptoms, and oral status scores between the experimental and the control group. Conclusion: The findings of the study demonstrated the fact that gum-chewing helps early recovery from post-operative ileus and thirst. It is because gum chewing stimulates bowel mobility and secretion of saliva. Thus gum-chewing seems to be an effective nursing intervention in reducing post-operative side effects for patients with abdominal surgery.

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A Comparison of Different Application Times of Oral Care on Colonies of Microorganisms and Oral Health Status on Intubated Patients (기관 삽관 환자의 구강간호시간에 따른 구강 건강 상태 및 세균집락의 차이)

  • Jo, Young-Mi;Chae, Young Ran;Eom, Jaehyeon
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.97-103
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    • 2015
  • Purpose: The aim of the study was to identify effects of oral care protocol on bacterial floras of the oral cavity and oral health status of intubated patients in an intensive care unit. Methods: The participants were 60 intubated patients who were recruited from an intensive care unit of a university hospital from Dec. 28, 2010 to Mar. 25, 2011. The participants were randomly assigned into 3 groups of 20 patients according to the application time of oral care (1-minute oral care, 2-minute oral care, and 3-minute oral care groups). The numbers of bacterial flora colonies in the oral cavity was assessed before and after the oral care. Oral health status was assessed using a Korean version of the Oral Assessment Guide developed by Elier et al. originally. Results: The numbers of bacterial flora colonies were less after oral care than those before the care, but there was no significant differences among the 3 groups after the care. Oral health status was better after the oral care than it was before the care, but there was also no significant differences among the 3 groups. Conclusion: If well-trained nurses perform oral care for 1 minute using a chlorhexidine swab on intubated patients, the numbers of bacterial flora colonies will be reduced and healthy oral status will be maintained.

Effects of Toothbrush Education on the Simplified Oral Hygiene Index (S-OHI) and Toothbrushing-related Knowledge (칫솔질 교육에 따른 간이구강위생지수(S-OHI) 및 칫솔질 지식변화 효과)

  • Yum, Jong-Hwa;Ko, Hyo-Jin;Lee, Su-Jin;Kim, Hye-Jin
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.187-195
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    • 2014
  • To improve oral hygiene management, the effects of toothbrush training on general oral hygiene based on the simplified oral hygiene index(S-OHI) and degree of knowledge about toothbrushing were examined. Pre-and post-training changes in the S-OHI (lower score = better oral health status) showed a significant decrease in score in all variables (gender, age, marital status, occupation, and level of education).Pre- and post-training changes in the degree of knowledge about toothbrushing showed a significant increase. Negative correlations between the S-OHI, oral health status, and degree of knowledge about toothbrushing and the S-OHI and the Decayed, Missing, Filled (DMF) index (the better the oral cavity environment, the lower the DMF index) were observed. Positive effects of repeated toothbrush training on the maintenance of healthy oral cavity environment and continuous oral health management were observed, as reflected by the correct toothbrushing-related knowledge and skills.

Neck Dissection in Oral Cavity Cancer (구강암환자의 경부청소술)

  • Park, Joo-Yong
    • The Journal of the Korean dental association
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    • v.48 no.8
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    • pp.594-606
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    • 2010
  • Lymph node status is the single most important prognostic factor in oral cancer because lymph node involvement decreases overall survival by 50%. Appropriate management of the regional lymphatics, therefore, plays a central role in the treatment of the oral cancer patients. The purposes of this article are to present the history of neck dissections, including current neck dissection classification, describe the technique of the most common neck dissection applicable to oral cavity cancers, and discuss some of the complications associated with neck dissection. Finally, a brief review of elective neck dissection and sentinel lymph node biopsy will be presented. It is necessary that dentists have to be interested in oral cancer and these interest will make it possible to prevent oral cancer, detect it earlier and also improve the prognosis, survival and the quality of life of survivors.

Survey of Changes in Oral Health Behaviors through the Application of an Oral Health Education Program to Workers at Some Work Sites (일부 산업장 근로자의 구강보건교육프로그램 적용을 통한 구강보건행태 변화 조사)

  • Ku, In-Young;Park, Eun-Young;Moon, Seon-Jeong
    • Journal of Korean Clinical Health Science
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    • v.4 no.4
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    • pp.699-708
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    • 2016
  • Purpose. This study assessed the actual status of oral health behaviors, oral health consciousness and oral health belief with workers at work sites in some regions and would utilize the results of changes in the hygiene status in the oral cavity as basic materials for developing an education program for the oral health promotion of workers at work sites with the implementation of oral health education and oral health promotion program. Methods. The subjects of the study were 106 workers who expressed their intention to participate in a program in SMEs that agreed on the activities of an oral health education program through an education once per week, of the SMEs with less than 500 persons, located in G. City. General characteristics and the questionnaires of the items on the survey were investigated with a self-administered method, and the collected data were statistically analyzed, using SPSS 20.0. Results. As a result of research, it was noted that PHP-Index, the dental plaque index in the oral cavity became lower from 2.02 points to 1.00 point with continuous management and practice of oral promotion behaviors, and that the oral hygiene status improved. Conclusions. In order to promote the oral health of workers at work sites, substantially, it would be necessary to introduce an oral health promotion program they can practice themselves and through continuous education of oral health by assessing their consciousness and the actual status of their oral health behaviors, and it is expected that their oral health would be promoted ultimately by changing workers' oral health behaviors and consciousness.