Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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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 (Division of Nursing Science, Ewha Womans University.Seoul National University Hospital) ;
  • Park, Hyojung (Division of Nursing Science, Ewha Womans University)
  • 이은혜 (이화여자대학교 간호학부.서울대학교병원) ;
  • 박효정 (이화여자대학교 간호학부)
  • Received : 2014.08.19
  • Accepted : 2014.11.26
  • Published : 2015.02.28
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Abstract

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.

Keywords

References

  1. Counsell C, Warlow C, Sandercock P, Fraser H, van Gijn J. The Cochrane collaboration stroke review group. Meeting the need for systematic reviews in stroke care. Stroke. 1995;26(3):498-502. https://doi.org/10.1161/01.STR.26.3.498
  2. British Society of Gerodontology. Guidelines for the oral healthcare of stroke survivors [Internet]. London, UK: Author; 2010 [cited 2013 December 11]. Available from: http://www.gerodontology.com/content/uploads/2014/10/stroke_guidelines.pdf.
  3. Sue Eisenstadt E. Dysphagia and aspiration pneumonia in older adults. Journal of the American Academy of Nurse Practitioners. 2010;22(1):17-22. http://dx.doi.org/10.1111/j.1745-7599.2009.00470.x
  4. De Visschere LM, van der Putten GJ, Vanobbergen JN, Schols JM, de Baat C, Dutch Association of Nursing Home Physicians. An oral health care guideline for institutionalised older people. Gerodontology. 2011;28(4):307-310. http://dx.doi.org/10.1111/j.1741-2358.2010.00406.x
  5. Park MS. Educational needs in the provision of oral care by nursing staff in long-term care facility for elderly people. Journal of Korean Gerontological Nursing. 2010;12(1):72-80.
  6. Coleman P, Watson NM. Oral care provided by certified nursing assistants in nursing homes. Journal of the American Geriatrics Society. 2006;54(1):138-143. http://dx.doi.org/10.1111/j.1532-5415.2005.00565.x
  7. Harris DJ, Eilers J, Harriman A, Cashavelly BJ, Maxwell C. Putting evidence into practice: Evidence-based interventions for the management of oral mucositis. Clinical Journal of Oncology Nursing. 2008;12(1):141-152. http://dx.doi.org/10.1188/08.cjon.141-152
  8. Lee EN, Ju HO, Kim SM, Park HS, Park MJ, Lee YJ, et al. Comparison of oral hygiene effects between 0.1% chlorhexidine and normal saline on the incidence of oral pathogens. Journal of Korean Academy of Fundamentals of Nursing. 2006;13(3):351-358.
  9. Choi SE, Kim HS. Sodium bicarbonate solution versus chlorhexidine mouthwash in oral care of acute leukemia patients undergoing induction chemotherapy: A randomized controlled trial. Asian Nursing Research. 2012;6(2):60-66. http://dx.doi.org/10.1016/j.anr.2012.05.004
  10. Baik SH. The effects of xylitol and sorbitol on oral health and xerostomia in Korean elderly. Journal of Korean Gerontological Nursing. 2005;7(1):88-103.
  11. Jung HJ, Yun JY, Park JE, Shim IS, Kim WJ, Lee JH, et al. Comparison of the effects of lemon ice and water ice on decreasing thirst of the patients with nasal surgery. Journal of Korean Clinical Nursing Research. 2012;18(2):196-204. https://doi.org/10.22650/JKCNR.2012.18.2.196
  12. Kang HY, Na SS, Kim YK. Effects of oral care with essential oil on improvement in oral health status of hospice patients. Journal of Korean Academy of Nursing. 2010;40(4):473-481. http://dx.doi.org/10.4040/jkan.2010.40.4.473
  13. Song JA, Hur MH. Effects of A-solution on halitosis and oral status in preoperative NPO patients. Journal of Korean Academy of Nursing. 2012;42(3):405-413. http://dx.doi.org/10.4040/jkan.2012.42.3.405
  14. Oh MY. The effects of A-solution on xerostomia, halitosis, and salivary pH in hemodialysis patients [master's thesis]. Daejeon: Eulji University;2014.
  15. Kim NC, Kim HJ. The effects of teatree oil gargling on oral cavity micro-organism growth and perceived discomfort of patient receiving chemotherapy. Journal of Korean Academy of Adult Nursing. 2005;17(2):276-286.
  16. Tadtong S, Suppawat S, Tintawee A, Saramas P, Jareonvong S, Hongratanaworakit T. Antimicrobial activity of blended essential oil preparation. Natural Product Communications. 2012;7(10):1401-1404.
  17. Johnson VB. Evidence-based practice guideline: Oral hygiene care for functionally dependent and cognitively impaired older adults. Journal of Gerontological Nursing. 2012;38(11):11-19. http://dx.doi.org/10.3928/00989134-20121003-02
  18. Cox SD, Mann CM, Markham JL, Bell HC, Gustafson JE, Warmington JR, et al. The mode of antimicrobial action of the essential oil of Melaleuca alternifolia (tea tree oil). Journal of Applied Microbiology. 2000;88(1):170-175. https://doi.org/10.1046/j.1365-2672.2000.00943.x
  19. Buckle J. Clinical aromatherapy in nursing. Ha HC, Kim HS, Kang HS, translator. Seoul: Hyunmoon; 2003.
  20. Lin PW, Chan WC, Ng BF, Lam LC. Efficacy of aromatherapy (Lavandula angustifolia) as an intervention for agitated behaviours in Chinese older persons with dementia: A cross-over randomized trial. International Journal of Geriatric Psychiatry. 2007;22(5):405-410. http://dx.doi.org/10.1002/gps.1688
  21. Edris AE. Pharmaceutical and therapeutic potentials of essential oils and their individual volatile constituents: A review. Phytotherapy Research. 2007;21(4):308-323. http://dx.doi.org/10.1002/ptr.2072
  22. Park JH, Sohng KY. Comparison of oral care interventions on the oral status of intubated patients in intensive care units. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(3):324-333.
  23. Bopp M, Darby M, Loftin KC, Broscious S. Effects of daily oral care with 0.12% chlorhexidine gluconate and a standard oral care protocol on the development of nosocomial pneumonia in intubated patients: A pilot study. Journal of Dental Hygiene. 2006;80(3):9.
  24. Eilers J, Berger AM, Petersen MC. Development, testing, and application of the oral assessment guide. Oncology Nursing Forum. 1988;15(3):325-330.
  25. Jung YY. Reliability testing of an oral assessment guide for patients receiving stomatoxic treatment. The Seoul Journal of Nursing. 1996;10(1):45-51.
  26. Beck S. Impact of a systematic oral care protocol on stomatitis after chemotherapy. Cancer Nursing. 1979;2(3):185-199.
  27. Park YJ. The influence of saline and betadine solution for gargle in the leukemic patients receiving chemotherapy [master's thesis]. Gwangju: Chonnam National University; 1997.
  28. Jo YM. The effects of oral care protocols on bacterial floras of oral cavity and oral status in intubated patients [master's thesis]. Chuncheon: Kangwon National Unversity; 2011.
  29. Worwood VA. The complete book of essential oils & aromatherapy. San Rafael, CA: New World Library; 1991.
  30. Fine DH, Furgang D, Barnett ML, Drew C, Steinberg L, Charles CH, et al. Effect of an essential oil-containing antiseptic mouthrinse on plaque and salivary Streptococcus mutans levels. Journal of Clinical Periodontology. 2000;27(3):157-161. https://doi.org/10.1034/j.1600-051x.2000.027003157.x

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