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Lee and Park: Effects of Special Mouth Care with an Aroma Solution on Oral Status and Oral Cavity Microorganism Growth in Elderly Stroke Patients
Original Article

Journal of Korean Academy of Nursing 2015; 45(1): 46-53.

Published online: 27 February 2015

DOI: https://doi.org/10.4040/jkan.2015.45.1.46

Effects of Special Mouth Care with an Aroma Solution on Oral Status and Oral Cavity Microorganism Growth in Elderly Stroke Patients

Eun-Hye Lee1, Hyojung Park2

1Division of Nursing Science, Ewha Womans University·Seoul National University Hospital, Seoul, Korea.

2Division of Nursing Science, Ewha Womans University, Seoul, Korea.

Address reprint requests to: Park, Hyojung. Division of Nursing Science, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 120-750, Korea. Tel: +82-2-3277-2824, Fax: +82-2-3277-2850, hyojungp@ewha.ac.kr

Received 19 August 2014       Revised 30 August 2014       Accepted 26 November 2014

© 2015 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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: Aromatherapy, Stroke, Aged, Dental care

Figures and Tables

Figure 1

Research design.

jkan-45-46-g001
Table 1

Homogeneity Test of General, Disease, and Oral-health related Characteristics between the Two Groups (N=61)

jkan-45-46-i001

*Fisher's exact test; †Plural response; Exp.=Experimental group; Cont.=Control group.

Table 2

Homogeneity Test for Outcome Variables between the Two Groups (N=61)

jkan-45-46-i002

Exp.=Experimental group; Cont.=Control group.

Table 3

Comparison of Outcome Variables between the Experimental and Control Group (N=61)

jkan-45-46-i003

Exp.=Experimental group (n=30); Cont.=Control group (n=31).

Table 4

Frequencies of Microorganism Occurrence in Oral Cavity between the Experimental and Control Group (N=61)

jkan-45-46-i004

Exp.=Experimental group; Cont.=Control group; MRSA=Methicillin Resistant Staphylococcus Aureus.

Notes

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

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