Effects of Frozen Gauze with Normal Saline on Thirst and Oral Health of the Patients with Nasal Surgery

생리식염수 냉동거즈가 비강수술 환자의 갈증 및 구강상태에 미치는 효과

Park, Jin Ock;Jung, Young Soon;Park, Geum Ja

  • Received : 2015.10.06
  • Accepted : 2015.11.30
  • Published : 2016.02.28


Purpose: The purpose of this study was to examine the effects of frozen gauze with normal saline on thirst and the oral health of patients with nasal surgery. Methods: A quasi-experimental, nonequivalent control group pretest-post test design was used. Participants (n=52) received either gauze frozen with normal saline (n=26), or wet gauze (n=26). The subjective thirst level and oral health of the participants were assessed before the intervention, 30 minutes after the first intervention, 30 minutes after the second intervention, and 30 minutes after the third intervention. Results: After oral hygiene was provided twice, the thirst level was improved in patients receiving the gauze frozen with normal saline. After oral hygiene was provided a third time, the thirst level was improved in patients receiving the gauze frozen with normal saline. Conclusion: Gauze frozen with normal saline can be effective for oral hygiene in reducing the thirst level and improving the oral health in nasal surgery patients.


Nasal surgery;Oral hygiene;Thirst;Oral health


  1. Byun, Y. S., & Kim, A. K. (1996). Experimental study for construction of mouth care in chemotherpy patients. The Journal of Nurses Academic Society, 26(2), 428-442.
  2. Cho, E. A., Kim, K. H., & Park, J. Y. (2010). Effects of frozen gauze with normal saline and ice on thirst and oral condition of laparoscopic cholecystectomy patients: pilot study. Journal of Korean Academy of Nursing, 40(5), 714-723.
  3. Byun, Y. S. (1994). Literature review for care of the thirst. Nursing Science, 6, 55-65.
  4. Cho, W. H. (2004). Comparison of water jet irrigation and gauze cleansing method on oral hygiene for patients in the intensive care unit. Unpublished master's thesis, Seoul National University, Seoul.
  5. De Castro, J. M. (1992). Age-related changes in natural spontaneous fluid ingestion and thirst in humans. Journal of Gerontology, 47(5), 321-330.
  6. Eilers, J., Berger, A. M., & Petersen, M. C. (1988). Development, testing, and application of the oral assessment guide. Oncology Nursing Forum, 15(3), 325-330.
  7. Eliashar, R., Gross, M., Wohlgelernter, J., & Sichel, J. Y. (2006). Packing in endoscopic sinus surgery: is it really required?. Otolaryngology-Head and Neck Surgery, 134(2), 276-279.
  8. Goodman, M. (1989). Managing the side effects of chemotherapy. Seminars in Oncology Nursing, 5(2), 29-52.
  9. Holmes, S. (1996). Nursing management of oral care in older patients. Nursing Times, 92(9), 37-38.
  10. 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.
  11. Jeon, B. R., Chun, C. S., Lee, J. Y., & Park, K. W. (2014). Effects of essential oil gargling and purified water gargling on thirst, oral condition and halitosis of postoperative patients. Journal of Korean Clinical Nursing Research, 20(2), 200-210.
  12. Jones, H., Newton, J. T., & Bower, E. J. (2004). A survey of the oral care practices of intensive care nurses. Intensive and Critical Care Nursing, 20(2), 69-76.
  13. Jung, H. J., Yun, J. Y., Park, J. E., Shim, I. S., Kim, W. J., & Lee, J. H. (2012). 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, 18(2), 196-204.
  14. 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.
  15. Kim, K. J., Lee, Y. Y., Hyun, D. S., & Park, K. O. (2004). The effects of early first oral water intake on thirsty feeling, nausea, and vomiting in child under ambulatory surgery. Journal of Korean Biological Nursing Science, 6(1), 43-52.
  16. Kim, K. M. (1996). Effect of the ice-applied mouth care on the oral cavity in patients with acute myelogenous leukemia. Unpublished master's thesis, Catholic University, Seoul.
  17. Kim, M. Y., Doo, M. J., Kang, S. K., Lim, Y. H., Kim, H. M., Kim, M. K., et al. (2012). Postoperative patients' thirst and oral status by three oral care methods. The Journal of Korean Academic Society of Nursing Education, 18(3), 403-412.
  18. Lee, I. S., Shim, 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.
  19. McDowell, S. (1991). Are we using too much betadine?. Taehan Kanho. The Korean Nurse, 30(5), 54-55.
  20. Noh, K. T. (2004). Otolaryngology: head and neck surgery. Seoul: Ilchokak.
  21. Orlandi, R. R., & Lanza, D. C. (2004). Is nasal packing necessary following endoscopic sinus surgery?. The Laryngoscope, 114(9), 1541-1544.
  22. National Institute of the Korean Language. (2011). Basic korean dictionary. Retrived from the web site:
  23. Woodtli, A. O. H. (1990). Thirst: a critical care nursing challenge. Dimensions of Critical Care Nursing, 9(1), 6-15.