Journal List > J Korean Acad Nurs > v.42(3) > 1002819

Song and Hur: Effects of A-solution on Halitosis and Oral Status in Preoperative NPO Patients

Abstract

Purpose

The aim of this study was to explore the effects of A-solution on halitosis and oral status in preoperative NPO patients.

Methods

A nonequivalent control group, non-synchronized pretest-posttest design was used in this study. The participants in this study were 66 patients who were admitted for gynecologic surgery. The experimental treatment was to give oral gargling with A-solution, blended essential oils and diluted with distilled water. To identify the experimental treatment effects, halitosis, salivary pH, and oral status were measured by a portable halitosis detector, visual analogue scale, Bromo Thymol Blue (BTB), Bromo Cresol Purple (BCP) test paper and oral assessment guide. Data were analyzed using χ2-test, t-test with PASW 18.0 version.

Results

Participants were homogeneous before experimental treatment. Objective halitosis in the experimental group, measured by a portable halitosis detector (t= -8.34, p<.001) was significantly lower than the control group. Subjective halitosis was significantly lower in the experimental group (t= -9.29, p<.001). Salivary pH was significantly different between two groups (t=8.81, p<.001). Oral status was significantly better in the experimental group (t= -13.31, p<.001).

Conclusion

These findings indicate that oral gargling using A-solution is effective in reducing patient halitosis, and improving oral status.

Figures and Tables

Figure 1
Research design (Nonequivalent control group, non-synchronized pretest-posttest design).
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Table 1
Homogeneity Test of General Characteristics between Two Groups
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Exp.=Experimental group; Cont.=Control group.

Table 2
Effects of A-solution Gargling on Objective Halitosis Measuring with the Portable Halimeter
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Table 3
Effects of A-solution Gargling on Subjective Halitosis Measuring with the Visual Analogue Scale
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Table 4
Effects of A-solution Gargling on Salivary pH
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Table 5
Effects of A-solution Gargling on Oral Status
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Notes

This article is based on a part of the first author's master's thesis from Eulji University.

References

1. Augustin P, Hains AA. Effect of music on ambulatory surgery patients' preoperative anxiety. Association of Operating Room Nurses Journal. 1996. 63(4):750–758. http://dx.doi.org/10.1016/S0001-2092(06)63126-8.
2. Buckle J. The role of aromatherapy in nursing care. Nursing Clinics of North America. 2001. 36(1):57–72.
3. Buckle J. Clinical aromatherapy: Essential oils in practice. 2003. Oxford: Elsevier Science.
4. Choi SH. The effect of a oral care with normal saline on oral state for patients in intensive care unit. 2004. Busan: Catholic University of Pusan;Unpublished master's thesis.
5. Chung SH. The effects of an essential oil mouth rinse on oral health in the community indwelling elderly. Journal of Korean Academy of Nursing. 2006. 36:84–93.
6. Davis P. Aromatherapy. 1997. 2nd ed. London: The C. W. Daniel Company.
7. Eilers J, Berger AM, Petersen MC. Development, testing, and application of the oral assessment guide. Oncology Nursing Forum. 1988. 15(3):325–330.
8. Ham KS. The effect of aromatherapy on halitosis and the oral cavity subjective symptoms of the aged. 2006. Daejeon: Daejeon University;Unpublished master's thesis.
9. Hur M, Park J, Lee MY, Youn B, Ahn HY. The comparative study of A-solution versus Tantum or Saline in oral care. Journal of Korean Society for Plants, People and Environment. 2007. 10(1):35–42.
10. Hur MH, Park J, Maddock-Jennings W, Kim DO, Lee MS. Reduction of mouth malodour and volatile sulphur compounds in intensive care patients using an essential oil mouthwash. Phytotherapy Research. 2007. 21:641–643. http://dx.doi.org/10.1002/ptr.2127.
11. Hur YS, Shin KA, Lee WJ, Lee JO, Im HJ, Kim YM. 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. 2009. 15:43–53.
12. Jeon LS, Kang SK, Chun YH, Hong JP. A clinical study about effectiveness of essential oil-containing dental paste in controlling oral malodor. Journal of Korean Academy of Oral Medicine. 2005. 30:141–148.
13. Jun MH, Kim YH, Choi JS, Chae SW. Efficacy of three oral gargling protocols for prevention of oral mucositis in acute leukemia during chemotherapy. Journal of Korean Academic Society of Nursing Education. 1997. 3:193–206.
14. Jung HY. A clinical study on the oral malodor related to the saliva and tongue plaque. 2005. Cheonan: Dankook University;Unpublished master' s thesis.
15. Jung YY. Reliability testing of an oral assessment guide for patients receiving stomatoxic treatment. Seoul Journal of Nursing. 1996. 10(1):45–52.
16. 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. 40:473–481. http://dx.doi.org/10.4040/jkan.2010.40.4.473.
17. Kim JB, Paik DI, Moon HS, Choi EG, Shin SC, Kim HD, et al. Clinical preventive dentistry. 2005. 4th ed. Seoul: Komoonsa.
18. Kim KE, Choi MH. The relation of salivary secretion, the oral care and the oral malodor. Chung-Ang Journal of Nursing. 2001. 5(2):55–60.
19. Lee CH, Kho HS, Chung SC, Lee SW, Kim YK. The relationship between volatile sulfur compounds and major halitosis-inducing factors. Journal of Periodontology. 2003. 74:32–37. http://dx.doi.org/10.1902/jop.2003.74.1.32.
20. Lee HR, Kang HS. The effect of oral care by using yogurt on the reduction of tongue coating and the oral comfort in patients with tube feeding. Journal of Korean Clinical Nursing Research. 2006. 11:163–176.
21. Lee IS, Shim MS, Na EH, Kang JY, Kim JH, Hwang MY, et al. 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. 2006. 11:21–33.
22. Maddocks-Jennings W, Wilkinson JM, Cavanagh HM, Shillington D. Evaluating the effects of the essential oils Leptospermum scoparium (manuka) and Kunzea ericoides (kanuka) on radiotherapy induced mucositis: A randomized, placebo controlled feasibility study. European Journal of Oncology Nursing. 2009. 13:87–93. http://dx.doi.org/10.1016/j.ejon.2009.01.002.
23. Muscedere J, Dodek P, Keenan S, Fowler R, Cook D, Heyland D, et al. Comprehensive evidence-based clinical practice guidelines for ventilator-associated pneumonia: Prevention. Journal of Critical Care. 2008. 23:126–137. http://dx.doi.org/10.1016/j.jcrc.2007.11.014.
24. Potter PA, Perry AG. Fundamentals of nursing. 2009. 7th ed. St. Louis: Mosby.
25. Suh SR, So HS, Chung BR, Kim YO, Son SK. BL Johnson J Gross . Handbook of oncology nursing. 2000. Seoul: Hyunmoonsa.
26. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical-surgical nursing. 2010. 12th ed. Philadelphia, Baltimore, New York, London, Buenos Aires, Hong Kong, Sydney, Tokyo: Lippincott Williams & Wilkins.
27. Wiens AG. Preoperative anxiety in women. Association of Operating Room Nurses journal. 1998. 68(1):74–88. http://dx.doi.org/10.1016/S0001-2092(06)62716-6.
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