Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
권호 표지
DOI QR코드

DOI QR Code

A Comparison of Effect between Wet Gauze with Cold Normal Saline and Wet Gauze with Cold Water on Postoperative Thirst, Oral Cavity Condition, and Saliva pH

생리식염수 냉수 거즈와 일반 냉수 거즈의 수술 후 갈증, 구강상태, 타액 산성도에 미치는 효과 비교

  • Received : 2015.10.08
  • Accepted : 2015.11.16
  • Published : 2015.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was aimed to compare the effect between wet gauze with cold normal saline and wet gauze with cold water on thirst, oral cavity condition, and saliva pH among postoperative patients. Methods: This study was a quasi-experimental study with 56 participants. The experimental group received wet gauze with cold normal saline, and control group received wet gauze with cold water for three times at 15 minute intervals. Data were collected using visual analog scale for thirst, oral assessment guide for oral cavity condition and acidity tape for saliva pH. Measurement were made before applying the gauze and at 15min, 30min, and 45min after applying gauze. Data were analyzed using repeated measured ANOVA. Results: Thirst, oral cavity condition, and saliva pH improved in both groups with increasing number of gauze application. Thirst for the experimental group improved more than for the control group (F=4.29, p=.009), oral cavity condition except saliva, and saliva pH were not significantly different between the groups. Conclusion: This study results indicated that nurses can apply wet gauze with cold normal saline to reduce thirst and saliva acidity, and to improve the oral cavity condition for postoperative patients.

Keywords

References

  1. Huppe M, Kemter A, Schmidtke C, Klotz KF. Postoperative complaints: Gender differences in expectations, prevalence and appraisal. Anaesthesist. 2013;62(7):528-536. http://dx.doi.org/10.1007/s00101-013-2182-x
  2. Guggenheimer J, Moore PA. Xerostomia: Etiology, recognition and treatment. Journal of the American Dental Association. 2003;134(1):61-69. http://dx.doi.org/10.14219/jada.archive.2003.0018
  3. Pai S, Ghezzi EM, Ship JA. Development of a Visual Analogue Scale questionnaire for subjective assessment of salivary dysfunction. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2001;91(3):311-316. http://dx.doi.org/10.1067/moe.2001.111551
  4. Brown L, Heuberger R. Nothing by mouth at midnight: Saving or starving? A literature review. Gastroenterology Nursing. 2014;37(1):14-23. http://dx.doi.org/10.1097/SGA.0000000000000018
  5. Arai S, Stotts N, Puntillo K. Thirst in critically ill patients: From physiology to sensation. American Journal of Critical Care. 2013;22(4):328-335. http://dx.doi.org/10.4037/ajcc2013533
  6. Wolff MS, Kleinberge I. The effect of ammonium glycopyrrolate ($Rubinol^{(R)}$)-induced xerostomia on oral mucosal wetness and flow of gingival crevicular fluid in humans. Archives of Oral Biology. 1999;44(2):97-102. http://dx.doi.org/10.1016/S0003-9969(98)00113-7
  7. Humphrey SP, Williamson RT. A review of saliva: Normal composition, flow, and function. Journal of Prosthetic Dentistry. 2001;85(2):162-169. http://dx.doi.org/10.1067/mpr.2001.113778
  8. 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(2):21-33.
  9. 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(1):43-53.
  10. Yoon SY, Min HS. The effects of cold water gargling on thirst, oral cavity condition, and sore throat in orthopedics surgery patients. Korean Journal of Rehabilitation Nursing. 2011;14(2):136-144.
  11. Cho EA, Kim KH, Park JY. 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. 2010;40(5):714-723. http://dx.doi.org/10.4040/jkan.2010.40.5.714
  12. Kim MY, Doo MJ, Kang SK, Lim YH, Kim HM, Kim MK, et al. Postoperative patients' thirst and oral status by three oral care methods. Journal of Korean Academic Society of Nursing Education. 2012;18(3):403-412. http://dx.doi.org/10.5977/jkasne.2012.18.3.403
  13. Cawley MM, Benson LM. Current trends in managing oral mucositis. Clinical Journal of Oncology Nursing. 2005;9(5):584-592. http://dx.doi.org/10.1188/05.CJON.584-592
  14. Ogata J, Minami K, Horishita T, Shiraishi M, Okamoto T, Terada T, et al. Gargling with sodium azulene sulfonate reduces the postoperative sore throat after intubation of the trachea. Anesthesia and Analgesia. 2005;101(1):290-293. http://dx.doi.org/10.1213/01.ANE.0000156565.60082.7C
  15. Jung YY. Reliability testing of an oral assessment guide for patients receiving stomatoxic treatment. Seoul Journal of Nursing. 1996;10(1):45-51.
  16. Svanberg A, Ohrn K, Brostrom H, Birgegard G. The effect of cryotherapy on oral mucosa: A study in healthy volunteers. Medical Oncology. 2012;29(5):3587-3591. http://dx.doi.org/10.1007/s12032-012-0230-z
  17. Bardow A, Lynge Pederson AM, Nauntofte B. Saliva. In: Miles TS, Nauntofte B, Svensson P, editors. Clinical oral physiology. Quintessence: Copenhagen; 2004. p. 30.

Cited by

  1. Estratégias para o alívio da sede: revisão integrativa da literatura vol.69, pp.6, 2016, https://doi.org/10.1590/0034-7167-2016-0317
  2. Advances in the Management of Perioperative Patients' Thirst vol.111, pp.2, 2020, https://doi.org/10.1002/aorn.12931
  3. The use of mentholated popsicle to reduce thirst during preoperative fasting: A randomised controlled trial vol.29, pp.5, 2015, https://doi.org/10.1111/jocn.15138
  4. 디프람 스프레이(Difflam spray 0.3%)와 중조 생리식염수 분무요법이 전신마취 하 수술 환자의 구강 안위감, 인후통 및 구취에 미치는 효과 vol.28, pp.1, 2015, https://doi.org/10.5953/jmjh.2021.28.1.41