Effects of Oral Rinse with Hangeshashinto Alone and Hangeshashinto with Honey for Oral Discomfort in Terminally-ill Cancer Patients

Purpose: The purpose of this study is to evaluate hangeshashinto rinse for oral discomfort in terminally-ill cancer patients and to compare the effectiveness of hangeshashinto rinse with or without honey rinse. Methods: Patients with oral discomfort were randomized to receive either hangeshashinto rinse or hangeshashinto with honey rinse as first-line treatment. Patients performed oral rinse three to five times a day for 2 weeks. Further, oral wetness, halitosis, oral mucositis, mouth discomfort, compliance of rinse were then evaluated before and after the intervention. Results: 144 patients were enrolled during this period and 22 patients completed the study (hangeshashinto 13 / hangeshashinto with honey 9). After the intervention, oral wetness was improved, and end-tidal concentration of hydrogen sulfide was decreased in both cases. Although there was no statistically significant difference, oral discomfort by subjective and objective evaluations, also and symptom of oral mucositis were improved. Other volatile sulfur compounds decreased. Frequency of rinsing between groups receiving hangeshashinto or hangeshashinto with honey did not differ, however, the acceptability was slightly better in the honey combination group. Conclusion: Both hangeshashinto rinse and hangeshashinto with honey rinse reduced end-tidal concentration of hydrogen sulfide and improved oral wetness. Oral rinse by hangeshashinto or hangeshashinto with honey may be effective for oral discomfort in terminally-ill cancer patients.

Factors influencing oral discomfort in elderly people / 대한구강보건학회지

OBJECTIVES: The purpose of this study was to investigate oral discomfort factors in the elderly and to analyze the sociodemographic and health-related characteristics influencing their oral discomfort using multiple regression analysis. METHODS: Facilities were selected based on the 2014 Elderly Welfare Facilities Status. Data was collected through the interview of 176 participants aged ≥65 years. The oral discomfort factors (10 items) were investigated using a 5-point Likert scale. The total oral discomfort scores were added for each of the 10 items investigated using the 5-point Likert scale. SPSS 12.0 program was used to analyze the descriptive statistics and perform a t-test and a stepwise multiple regression analysis. RESULTS: The oral discomfort factor with the highest score was g oral discomfort factorThe total oral discomfort score for women was significantly higher than that for men. 'men. gnificantly higher thangenderg were, respectively, the health-related and sociodemographic characteristics that most significantly influenced the total oral discomfort scores. Perceived oral health accounted for 30.4% of the total oral discomfort score, while gender accounted for 2%. CONCLUSIONS: Health-related characteristics were more significantly associated with oral discomfort than sociodemographic characteristics. Since sociodemographic characteristics are not easily changed, government and healthcare providers should strive to improve the health of the elderly population.

The Effects of Mouth Care on Oral Discomfort of Cancer Patient undergoing Chemotherapy / 성인간호학회지

The effects of the mouth care using cool normal saline on oral discomfort were investigated in 40 patients on chemotherapy. The subjects were divided into two groups, one was experimental group(N=20) in which the subjects were provided mouth care with cool normal saline, the other was the control group(N=20). The data was collected from June. 20 to Oct. 30 in 1998. Oral discomfort was measured by Self Reported Oral Discomfort Assessment Instrument developed by Jung(1995) and Oral Assessment Guide (OAG) Instrument developed by UNMC. Collected data were analyzed by means of frequency, percentage, standard deviation, chi-squre test, t-test. The results were summarized as follows: 1. 'The experimental group which recieved oral care with cool normal saline shoud be lower self reported oral discomfort on 3, 5, 7, 14 days after chemotherapy was supported (p=.025-.000). 2. 'The experimental group which recieved oral care with cool normal saline shoud be lower observational symptom oral discomfort on 3, 5 days after chemotherapy was not supported, but on 7, 14 days after chemotherapy was supported(p=.0011, 0.001). In conclusion, the patient who recieved oral care with cool normal saline showed the decrease in degree of oral discomfort of cancer patient undergoing chemotherapy. So oral care with cool normal saline had been judged the nursing intervention to improve oral discomfort of cancer patients undergoing chemotherapy.

The Effects of Mouth Care on the Relief of Oral Discomfort Undergoing Rediation Therapy Patients / 성인간호학회지

The purpose of this study was to examine the effects of mouth care on the relief of oral discomfort undergoing radiation therapy patients. The nonequivalent control group time series design was used for this experimental study. The subjects were 32 patients who were receiving radiation therapy at P, D, G, hospital in Pusan from July 1, 1996 to August 31 1996. Among 32 subjects, 16 were placed in the experimental group and 16 in the control group. The subjects were contacted at the hospital, given an explanation of the study, and asked them to participate. The experimental group was educated according to oral care protocol. The data were collected through interviews, observations, and the health care records of the patients. The instruments were the "Perceived Oral Symptoms Assessment" by Chung, C. W. and "Oral Assessment Guide(OAG)" by Elers, Berger, & Petersen. SPSS PC+ was used to analyze the collected data. The general characteristics were analyzed by frequency, percentage, mean and standard deviations. The homogeneties between the experimental groups and control groups were tested by t-test and chi-square test. Perceived oral symptoms & OAG were tested by mean and standard deviations. The results of this research can summarized as follows : 1. Between two groups, the differences of perceived oral symptoms were not statistically significant (t=.0035, p=.9634). 2. In time series analysis the differences of perceived oral symptoms between two groups in the 7th week were only significant(t=5.0123, p=.0491). 3. The comparisons of each item in perceived oral symptoms, the differences between two groups were observed but they were not statistically significant. 4. Between two groups, the differences of OAG were not significant statistically(t=.0221, p=.8827). 5. In time series analysis, the differences of OAG between two groups were no statistically significant. 6. The comparisons of each item in OAG, the differences between two groups were observed but they were not statistically significant. In conclusion, this study could be utilized in patients care with radiation therapy although the results of the experiment were not accepted statistically.