생리식염수와 에센셜오일을 이용한 가글링이 전신마취를 위한 경구 기관 내 삽관 환자의 균집락화에 미치는 영향

고상진; 나연경; 홍해숙

서지반출

국문초록

현대 의료기술의 발달은 진단 및 치료 목적의 시술이나 수술을 증가하여 침습적인 조작 및 인공의료기구 사용이 늘어나게 하였으며, 이에 따른 병원감염의 발생 보고는 계속 증가하고 있다. 병원 감염이란 입원 당시에 없었던 혹은 잠복하고 있지 않았던 감염이 입원기간 중에 발생하는 것을 의미한다(Korean Association of Infection Control Nursing [KAICN], 2012). 병원감염의 발생은 치료 및 입원 일수를 늘이며 심하면 환자의 생명까지도 위협할 수 있으므로 병원감염의 예방은 매우 중요한 간호중재의 하나이다.

영문초록

Purpose: The purpose of this study was to compare and analyze the effects of gargling using normal saline or essential oil on oral bacterial colonization of the subjects who did transoral endotracheal intubation for general anesthesia. Methods: A repeated measures, non-equivalent control group pretest-posttest design was used in this study. The subjects of the study included 58 people; the gargling group with normal saline (n=19); the gargling group with essential oil (n=20); and the control group (n=19). Data were collected from University hospitals in a Korean province from August 13-31, 2012. The collected data were analyzed with χ2 -test, t-test, ANOVA and Scheff? test using SPSS 19.0. Results: Although statistically significant differences among the three groups did not appear in the change of the aerobic bacterial colony before and after the experiments, the aerobic bacterial colony of the gargling group with normal saline (71.58±143.39) and the group with essential oil (6.95±332.07) have increased less compared to the control group (145.42±385.01). The change of the anaerobic bacterial colony before and after the experiments, the control group was (167.58±483.58) and the gargling group with essential oil was (169.70±291.60) and increased, while the gargling group with normal saline (-42±331.09) reduced, but statistically significant differences have not appeared. Conclusion: These findings indicated that oral gargling with normal saline is effective in reducing anaerobic bacterial colonization.

키워드

Saline solution Essential oils Bacteria Intubation 생리식염수 에센셜오일 균집락화 기관내삽관

참고문헌 (27건)

Cha, K. S., & Park, H. R. (2011). Endotracheal Colonization and Ventilator-associated Pneumonia in Mechanically Ventilated Patients according to Type of Endotracheal Suction System. Journal of Korean Academy of Nursing, 41(2), 175-181.
Choi, S. H., & Kim, Y. K. (2004). The effects of oral care with normal saline on oral state of patients in intensive care unit. Journal of Korean Academy of Adult Nursing, 16(3), 452-459.
Chung, S. H. (2006). The effect of essential oil mouthrinse on oral health of the community indwelling elderly. Journal of Korean Academy of Nursing, 36(1), 84-93.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). New Jersey: Lawrence Erlbaum Associates. Fine, D. H., Furgang, D., Lieb, R., Korik, I., Vincent, J. W., & Barnett, M. L. (1996). Effects of sublethal exposure to an antise
Jeong, H. J., & Kim, S. J. (2010). Distribution and antimicrobial susceptibility of bacteria in the oral cavity of smokers or non-smokers. The Korean Journal of Microbiology, 16(4), 334-340.
Jung, S. H., Jeon, L. S., Kim, C. C., Chun, Y. H., & Hong, J. P. (2003). The effect of essential oil on oral bacteria. Journal of Oral Medicine and Pain, 28(1), 11-22.
Jung, S. N. (2005). The effects of the normal saline and chlorhexidine on oral care hygiene of patients on intensive care unit. Unpublished master’s thesis, Dankook University, Seoul.
Kang, H. Y., Na, S. S., & Kim, Y. K. (2010). Effects of oral care with essential oil on improvement in oral health status of hospice patients. Journal of Korean Academy of Nursing, 25(1), 5-16.
Kim, J. O., & Kim, N. C. (2014). Effects of 4% Hypertonic saline solution mouthwash on oral health of elders in long term care facilities. Journal of Korean Academy of Nursing, 44(1), 13-20.
Kim, N. C., & Kim, H. J. (2005). The effects of teatree oil gargling on oral cavity micro-organism growth and perceived discomfort of patient receiving chemotherapy. Journal of Korean Academy of Adult Nursing, 17(2), 276-286.
Kim, Y. A., Lee, K. W., Jeong, Y. S., Cho, D. H., & Kwon, H. G. (2000). Yeasts isolated from oral cavity of the healthy adults. Korean Journal of Clinical Pathology, 20(1), 30-35.
Korean Association of Infection Control Nursing. (2012). KAICN text of infection control (2nd ed.). Seoul: Hyunmoonsa. Korean Endocrine Society & Korean Society for the Study of Obesity. (2010). Management of Obesity, 2010 recommendation. Endocrinol Metab
Ku, M. J., Kim, K. N., & Hwang, S. K. (2011). Effects of oral care with 0.12% chlorhexidine and saline solution on oral status, incidence of oral pathogens and clinical pulmonary infection score in children with cardiac surgery. Journal of Korean Academy o
Lee, S. Y. (2008). Antimicrobial effect of essential oils on oral bacteria. Unpublished doctoral dissertation, Chonbuk National University, Jeonju.
Lee, Y. S., Kim, S. G., Yang, T. C., Kim, G. S., Jeon, J. G., & Chang, K. W. (2006). The antibacterial and growth inhibitory effect of some essential oils against the oral micro-organism. Journal of Korean Academy of Oral Health, 30(4), 490-496.
Lim, H. S., Kim, J. J., Kim, M. J., & Kim, H. K. (2013). Salivary bacterial counts on application time of oral antiseptic agents and mechanical irrigation. Journal of Korean Association of Maxillofacial Plastic and Reconstructive Surgeons, 35(3), 155-160.
Munro, C. L., Grap, M. J., Jones, D. J., McClish, D. K., & Sessler, C. N. (2009). Chlorhexidine, toothbrushing, and preventing ventilator-associated pneumonia in critically ill adults. American Journal of Critical Care, 18(5), 428-437.
Oh, E., & Weintraub, N. (2005). Can we prevent aspiration pneumonia in the nursing home? Journal of the American Medical Directors Association, 6(3), 76-80.
Ouhayoun, J. P. (2003). Penestrating the plaque biofilm: Impact of essential oil mouth wash. Journal of Clinical Periodont, 30(5), 10-12.
Park, J. H., & Sohng, K. Y. (2010). Comparison of care interventions on the oral status of intubated patients in intensive care units. Journal of Korean Academy of Fundamentals of Nursing, 17(3), 324-333.
Pedreira, M. L., Kusahara, D. M., de Carvalho, W. B., Núñez, S. C., & Peterlini, M. A. (2009). Oral care interventions and oropharyngeal colonization in children receiving mechanical ventilation. American Journal of Critical Care, 18(4), 319-328.
Pnematikos, I. A., Dragoumanis, C. K., & Bouros, D. E. (2009). Ventilator-associated pneumonia or endotracheal tube-associated pneumonia? an approach to the pathogenesis and preventive strategies emphasizing the importance of endotracheal tube. Anesthesiol
Rosan, B., & Lamont, R. J. (2000). Dental plaque formation. Microbes Infect, 2, 1599-1607.
Sakai, M., Shimbo, T., Omata, K., Takahashi, Y., Satomura, K., Kitamura, T., et al. (2008). Cost-effectiveness of gargling for the prevention of upper respiratory tract infections. BMC Health Services Research, 8, 258.
Song, J. A., & Hur, M. H. (2012). Effects of A-solution on halitosis and oral status in preoperative NPO patients. Journal of Korean Academy of Nursing, 42(3), 405-413.
Song, J. E., So, H. S., Ju, D., & Kim, E. J. (2011). Randomized controlled trial for preventing stomatitis discomfort among acute leukemic patients. Journal of Korean Oncology Nursing Society, 11(1), 33-40.
Takarada, K., Kimizuka, R., Takahashi, N., Honma, K., Okuda, K., & Kato, T. (2004). A comparison of the antibacterial efficacies of essential oils against oral pathogens. Molecular Oral Microbiology, 19(1), 61-64.

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