The Korean Journal of Rehabilitation Nursing (재활간호학회지)

Korean Academic Society of Rehabilitation Nursing (한국재활간호학회)
권호 표지

The Effects of Cold Water Gargling on Thirst, Oral Cavity Condition, and Sore Throat in Orthopedics Surgery Patients

냉수 가글링이 정형외과 수술환자의 갈증, 구강상태, 인후통에 미치는 효과

  • 윤서영 (한국간호평가원) ;
  • 민혜숙 (동아대학교 의과대학 간호학과)
  • Received : 2011.10.15
  • Accepted : 2011.12.15
  • Published : 2011.12.31
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Abstract

Purpose: A purpose of this study was to identify the effects of cold water gargling on thirst, oral cavity condition and sore throat in orthopedics surgery patients who underwent general anesthesia. Methods: Pretest-posttest non-synchronized design with a nonequivalent control group was used. A total of 52 participants were conveniently selected and assigned to each group. The experimental group gargled hourly with cold water for 8 hours after operation. The control group received wet gauze as needed. We compared the thirst, oral cavity condition and sore throat at 0, 2, 4 and 8 hours after operation. Results: The score of thirst and oral cavity condition was lower in the experimental group than in the control group. However, there was no significant differences in the levels of sore throat between the experimental and control group. Conclusion: These findings suggest that cold water gargling can be a useful nursing intervention for alleviating thirst and improving oral condition for patients with orthopedic surgery after general anesthesia.

Keywords

References

  1. Agarwal, A., Gupta, D., Yadav, G., Goyal, P., Singh, P. K., & Singh, U. (2009). An evaluation of the efficacy of licorice gargle for attenuating postoperative sore throat: a prospective, randomized, single-blind study. Anesthesia & Analgesia, 109(1), 77-81.
  2. Al-Qahtani, A. S., & Messahel, F. M. (2005). Quality improvement in anesthetic practice--incidence of sore throat after using small tracheal tube. Middle East Journal of Anesthesiology, 18(1), 179-183.
  3. Apfel, C. C., Korttila, K., Abdalla, M., Kerger, H., Turan, A., Vedder, I., et al. (2004). A factorial of six intervention for prevention of postoperative nausea and vomiting. New England Journal of Medicine, 350(24), 2441-2451.
  4. Bang, S. Y., Jung, G. J., Jung, H. Y., & An, S. H. (2008). The effects of gum-chewing on the recovery of bowel movement and oral cavity discomfort after abdominal surgery. Journal of Korean Clinical Nursing Research, 14(3), 15-25.
  5. Beck, S. L. (1979). Impact of a systemic oral care protocol on stomatitis after chemotherapy. Cancer Nursing, 2, 185-199.
  6. Biro, P., Seifert, B., & Pasch, T. (2005). Complaints of sore throat after tracheal intubation: a prospective evaluation. European Journal of Anaesthesiology, 22(4), 307-311.
  7. Byun, Y. S. (1994). Literature Review for Care of the Thirst. Nursing Science, 6, 55-65.
  8. Canbay, O., Celebi, N., Sahin, A., Celiker, V., Ozgen, S., & Aypar, U. (2008). Ketamine gargle for attenuating postoperative sore throat. British Journal of Anaesthesia, 100(4), 490-493.
  9. Choi, D. H., Cha, S. H., & Kim, E. J. (2005). Effects of Prophylactic Antiemetic Combination of Dexamethasone and Ondansetron on Postoperative Nausea and Vomiting in High-risk Patients. The Journal of the Korean Society of Anesthesiologists, 49(6), 751-756.
  10. Chen, K. T., Tzeng, J. I., Lu, C. L., Liu, K. S., Chen, Y. W., Hsu, C. S., et al. (2004). Risk factors associated with postoperative sore throat after tracheal intubation: an evaluation in the postanesthetic recovery room. Acta Anaesthesiologica Taiwanica, 42(1), 3-8.
  11. Chun, S. M., Lee, H. J., & Kim, M. S. (2007). Effect of cold oral gargling on the oral discomfort among patients receiving chemotherapy. Journal of Korean Oncology Nursing, 7(1), 68-78.
  12. Eiler, J., Berger, A. M., & Petersen, M. C. (1988). Development, Testing and Application of the oral assessment guide. Oncology Nursing Forum, 15(3), 325-330.
  13. Eo, H. J. (2010). The effects of oral cryotherapy on postoperative nausea and vomiting after laparoscopic surgery. Unpublished master's thesis, Ewha Womans University, Seoul.
  14. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191.
  15. Hur, Y. S., Shin, K. A., Lee, W. J., Lee, J. O., Im, H. J., & Kim, Y. M. (2009). The comparison of moisturizing effect of cold water gargling, wet gauze application and humidification in reducing thirst and mouth dryness after nasal surgery. Journal of Korean Clinical Nursing Research, 15(1), 43-53.
  16. Jung, Y. Y. (1996). Reliability testing of an oral assessment guide for patients receiving stomatoxic treatment. The Seoul Journal of Nursing, 10(1), 45-51.
  17. Kim, C. J., Ro, Y. J., & Choi, Y. H. (2000). Adult nursing. Seoul: Hyunmoonsa.
  18. Kim, K. E., & Choi, M. H. (2001). The relation of salivary secretion, the oral care and the oral maldor. The chung-Ang Journal of Nursing, 5(2), 55-60.
  19. Kwon, S. M., & Shin, Y. H. (2005). The effects of mouth care education on oral discomfort of cancer patient undergoing chemotherapy. Keimyung Journal of Nursing Science, 9(1), 61-74.
  20. Lee, B. R., Oh, S. W., Kim, D. H., & Koo, G. H. (1997). The effect of endotracheal tube cuff filled with lidocaine and sodium bicarbonate mixture on postoperative sore throat and hoarseness following general endotracheal anesthesia. The Journal of the Korean Society of Anesthesiologists, 33(5), 864-867.
  21. Lee, I. S., Sim, M. S., Na, E. H., Kang, J. Y., Kim, J. H., Hwang, M. Y., et al. (2006). The comparison of thirst care intervention between the wet gauze and the cold water gargling to the nasal surgery patients. Journal of Korean Clinical Nursing Research, 11(2), 21-33.
  22. Lee, Y. C., Kim, J. M., & Lee, D. Y. (2009). Administration of large fluid volumes decreases the incidence of postoperative nausea and vomiting as effectively as ondansetron. The Journal of the Korean Society of Anesthesiologists, 56(4), 403-407.
  23. Lehmann, M., Monte, K., Barach, P., & Kindler, C. H. (2010). Postoperative patient complaints: a prospective interview study of 12,276 patient. Journal of Clinical Anesthesia, 22(1), 13-21.
  24. Macario, A., Weinger, M., Carney, S., & Kim, A. (1999). Which clinical anesthesia outcomes are important to avoid? The perspective of patients. Anesthesia & Analgesia, 89(3), 652-658.
  25. Ogata, J., Minami, K., Horishita, T., Shiraishi, M., Okamoto, T., Terada, T., et al. (2005). Gargling with sodium azulene sulfonate reduces the postoperative sore throat after intubation of the trachea. Anesthesia & Analgesia, 101(1), 290-293,
  26. Pai, S., Ghezzi, E. M., & Ship, J. A. (2001). Development of a Visual Analogue Scale questionnaire for subjective assessment of salivary dysfunction. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, & Endodontics, 91(3), 311-316.
  27. Park, M. H, & Yoo, Y. S. (2006). Pilocarpine mouth care for patients with terminal cancer. The Korean journal of fundamentals of nursing, 13(2), 217-224.
  28. Standard Korean Language Dictionary (2011). Retrived from the national institute of the korean language web site: http://www.korean.go.kr
  29. The Korean Society of Anesthesiologists (2007). Anesthesiology and pain medicine. Seoul: Ryomoongak.
  30. Woodtli, A. O. (1990). Thirst: a critical care nursing challenge. Dimensions of Critical Care Nursing, 9(1), 6-15.