Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2014 Feb;44(1):13-20. Korean.
    Published online Feb 28, 2014.
    https://doi.org/10.4040/jkan.2014.44.1.13
    © 2014 Korean Society of Nursing Science
    Original Article

    Effects of 4% Hypertonic Saline Solution Mouthwash on Oral Health of Elders in Long Term Care Facilities

    Ju Ok Kim,1 and Nam Cho Kim2
      • 1Department of Nursing, Bucheon University, Bucheon, Korea.
      • 2College of Nursing, The Catholic University of Korea, Seoul, Korea.
    • Address reprint requests to: Kim, Nam Cho. College of Nursing, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 137-701, Korea. Tel: +82-2-2258-7405, Fax: +82-2-2258-7772, Email: kncpjo@catholic.ac.kr
    Received August 26, 2013; Revised September 11, 2013; Accepted December 16, 2013.

    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 done to examine the effects of 4% hypertonic saline solution mouthwash and tooth brushing education on the oral health of elders living in long term care facilities.

    Methods

    In this quasi-experimental study, the participants were assigned to a 2% experimental group (n=20), a 4% experimental group (n=20), and a control group (n=20). Data were analyzed using ANOVA, repeated measures ANOVA, Fisher exact test, Chi-square test, Kruskal-Wallis test and multiple response analysis with the SAS program.

    Results

    Regular tooth brushing and use of 4% hypertonic saline solution mouthwash by elders provided better oral health by decreasing xerostomia, oral tongue plaque, halitosis, and the number of oral bacteria.

    Conclusion

    The results indicate that regular tooth brushing with continuous 4% hypertonic saline solution mouth washing education promotes oral health for elders in long term care facilities, thus the dental care described in this study is recommended for elders in long term facilities.

    Keywords
    Hypertonic saline solution; Mouthwash; Oral health; Aged

    Tables

    Table 1
    Homogeneity Test for General Characteristics (N=60)

    Table 2
    Homogeneity Test for Variables related to Oral Health (N=60)

    Table 3
    Comparison of Oral Health Status, Xerostomia, Oral Tongue Coating, Halitosis between Groups (N=60)

    Table 4
    Comparison of Number of Oral Bacteria (CFU) between Pre-test and Post-test 1 and 2 Weeks (N=60)

    Notes

    This article is a condensed form of the first author's doctoral thesis from The Catholic University of Korea.

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    MeSH Terms
    Homes for the Aged*
    Oral Health*
    Aged
    Aged, 80 and over
    Bacteria/drug effects
    Bacteria/isolation & purification
    Dental Plaque/prevention & control
    Female
    Halitosis/prevention & control
    Humans
    Male
    Mouthwashes/pharmacology
    Mouthwashes/therapeutic use*
    Saline Solution, Hypertonic/pharmacology
    Saline Solution, Hypertonic/therapeutic use*
    Toothbrushing
    Xerostomia/prevention & control
    Metrics
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