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[芳香溶液特殊口腔护理对老年脑卒中患者口腔状况及口腔微生物生长的影响]

[Effects of special mouth care with an aroma solution on oral status and oral cavity microorganism growth in elderly stroke patients].

作者信息

Lee Eun-Hye, Park Hyojung

机构信息

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

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

出版信息

J Korean Acad Nurs. 2015 Feb;45(1):46-53. doi: 10.4040/jkan.2015.45.1.46.

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.

摘要

目的

本研究旨在探讨使用芳香溶液进行口腔护理对老年中风患者口腔状况及口腔微生物生长的影响。

方法

本研究采用非等效对照组的前后测设计。参与者被分为接受芳香溶液口腔护理的实验组(n = 30)或接受0.9%生理盐水的对照组(n = 31)。为确定实验治疗的效果,使用口腔评估指南、口腔感知指南和口腔拭子培养对口腔状况和口腔微生物生长进行客观/主观评估。使用SPSS 21.0程序进行卡方检验、Fisher精确检验和t检验分析数据。

结果

实验组的客观口腔状况显著低于对照组(t = -3.64,p <.001)。实验组与对照组的主观口腔状况无显著差异(t = -1.24,p =.109)。实验组的口腔微生物生长显著低于对照组(t = -7.39,p <.001)。

结论

这些结果表明,使用芳香溶液进行特殊口腔护理可能是老年中风患者有效的口腔健康护理干预措施。

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