Effects of different moisturizing methods on relieving xerostomia in patients undergoing elective abdominal surgery
10.3760/cma.j.cn115682-20200520-03466
- VernacularTitle:不同湿润方式缓解择期腹部手术患者口腔干燥的效果
- Author:
Qiuying XU
1
;
Xiaoyu LI
Author Information
1. 首都医科大学附属北京友谊医院重症医学科 100050
- Keywords:
Xerostomia;
Abdominal surgery;
Elective surgery;
Fasting
- From:
Chinese Journal of Modern Nursing
2020;26(35):4956-4959
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare effects of two different moisturizing methods on relieving xerostomia in patients undergoing elective abdominal surgery.Methods:A total of 100 patients who underwent elective abdominal surgery in Beijing Friendship Hospital of Capital Medical University from November 2018 to November 2019 were selected and they were divided into the control group (routine gauze inunction) and the observation group (warm water spray) according to the random number table method, with 50 cases in each group. The xerostomia score, moist condition of mucosa of lips, tongue and mouth and salivation secretory volume were collected and compared between the two groups at 2, 6, and 10 h after surgery.Results:After the intervention, xerostomia scores of patients of the two groups at different time points were reduced ( P<0.01) . The xerostomia scores of the observation group at 2, 6, and 10 hours after extubation were all lower than those of the control group [ (7.93±1.30) vs. (8.54±1.42) , (7.10±1.09) vs. (8.00±1.31) , (6.78±0.94) vs. (7.29±1.10) ], and the differences were statistically significant ( P<0.05) . After the intervention, moist conditions of mucosa of lips, tongue and mouth of the two groups were increased at different time points ( P<0.01) . The moisturization degrees of mucosa of lips, tongue and mouth of the observation group were higher than those of the control group at 2, 6, and 10 h after surgery [ (2.24±0.60) vs. (1.85±0.58) , (2.71±0.63) vs. (2.40±0.60) , (3.57±0.74) vs. (3.00±0.71) ], and the differences were statistically significant ( P<0.05) . After the intervention, the saliva secretion of patients of the two groups at different time points increased ( P<0.01) . The saliva secretion of the observation group at 6 and 10 h after surgery were higher than those of the control group [ (3.40±0.57) vs. (3.16±0.55) g, (3.96±0.64) vs. (3.58±0.60) g], and the differences were all statistically significant ( P<0.05) . Conclusions:Compared with the traditional gauze inunction method, the use of warm water spray can more effectively reduce the xerostomia degree of patients undergoing elective abdominal surgery, improve the moisturization of mucosa of lips, tongue and mouth, stimulate saliva secretion and improve xerostomia and oral discomfort of patients undergoing elective surgery with perioperative fasting.
