Journal of Korean society of Dental Hygiene (한국치위생학회지)

Korean Society of Dental Hygiene (한국치위생학회)
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Subjective oral dryness and stimulated salivary flow rate in medicated patients in chronic severe psychiatric patients

일부 만성 중증 정신질환자의 약물 복용에 따른 구강건조증상과 자극성 타액분비율

  • Mun, So-Jung (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Seo, Hye-Yeon (Department of Dental Hygiene, The Graduate School, Yonsei University) ;
  • Jeon, Hyun-Sun (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Baek, Ji-Hyun (Department of Dental Hygiene, The Graduate School, Yonsei University) ;
  • Noh, Hie-Jin (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University) ;
  • Chung, Won-Gyun (Department of Dental Hygiene, Wonju College of Medicine, Yonsei University)
  • 문소정 (연세대학교 원주의과대학 치위생학과) ;
  • 서혜연 (연세대학교 대학원 치위생학과) ;
  • 전현선 (연세대학교 원주의과대학 치위생학과) ;
  • 백지현 (연세대학교 대학원 치위생학과) ;
  • 노희진 (연세대학교 원주의과대학 치위생학과) ;
  • 정원균 (연세대학교 원주의과대학 치위생학과)
  • Received : 2014.03.12
  • Accepted : 2014.05.29
  • Published : 2014.06.30
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Abstract

Objectives : The purpose of the study is to investigate the xerostomia in the chronic severe psychiatric patients in Korea because there were few reports on xerostomia in the psychiatric patients. Methods : The subjects were 61 psychiatric patients in the mental hospital by convenience cluster sampling. A self-reported symptom questionnaire was filled out by the three researchers on the basis of medical records by the informed consent. The stimulated salivary flow rate of the patients was measured by saliva sampling. Results : The subjects consisted of 45.9% of male and 54.1% of female. High school graduation accounted for 40.0% and 20.0% did not attend the school. The majority of the patients were medicaid recipients. Schizophrenia accounted for 86.9% and most patients were long term care recipients. A total of 68.9% of the patients suffered from salivary dysfunction. The medication in schizophrenia seemed to decrease the stimulated salivary flow rate and made the patients difficult in chewing and swallowing due to xerostomia and low saliva secretion(p<0.05). Conclusions : Medication in schizophrenic patients caused the salivary dysfunction. So the collaboration between the psychiatry doctors and dental hygienists is very important to improve the salivary secretion in the schizophrenic patients. The continuous and long term care of the xerostomia will help the patients maintain the good oral hygiene.

Keywords

References

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