Araştırma Makalesi
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Investigation of the Effects of Oral Care Methods on Oral Health in Children with Asthma Using Inhalers: A Quasi-Experimental Trial

Yıl 2024, , 227 - 236, 27.09.2024
https://doi.org/10.17049/jnursology.1429500

Öz

Objective: This study was conducted to determine the effects of tooth brushing, wiping the mouth with bicarbonate, and rinsing the mouth with water on the oral care of children with asthma using inhalers.

Methods: The study used a quasi-experimental quantitative research design with a pretest-posttest control group. The sample of 6-10-year-old asthmatic children was divided into the tooth brushing training group (n=49), the bicarbonate mouth wiping training group (n=49), the water rinsing training group (n=49), and the control group (n=49). Data were collected using a “Sociodemographic Information Form” and an “Oral Assessment Guide”. The oral assessment guide was re-administered 6 weeks after the children had received the education.

Results: The findings showed that the gums were better in the group applying the wiping the mouth with bicarbonate method (P=.046), swallowing complaints decreased in the group applying the rinsing the mouth with water method (P=.003), and mucous membranes were better in the group applying the wiping the mouth with bicarbonate method (P=.046).

Conclusion: As a result of the study, the method of rinsing the mouth with water was found to be more functional. Accordingly, it is recommended to rinse the mouth with water after using inhaler medication.

Kaynakça

  • 1. Chhabra K, Sood S, Sharma N, et al. Dental management of pediatric patients with bronchial asthma. Int J Clin Pediatr Dent. 2021;14(5):715-718. https://doi.org/10.5005%2Fjp-journals-10005-2024
  • 2. Stensson M, Wendt LK, Koch G, et al. Oral health in pre-school children with asthma - followed from 3 to 6 Years. Int J Paediatr Dent. 2010 ; 20(3):165-172. https://doi.org/10.1111/j.1365-263X.2010.01037.x
  • 3. Sharma S, Gaur P, Gupta S, et al. Impact of asthma on oral health: A review. Int J Recent Sci Res. 2018;9(5):26512-26514. https://recentscientific.com/impact-asthma-oral-health-review
  • 4. Priya CK, Sudhakar M, Lingampalli J, et al. An advanced fog based health care system using ANN for the prediction of Asthma. ICCMC; 1138-1145. IEEE. Care Med. 2021;33(6):1066-1070. https://doi.org/10.1109/ICCMC51019.2021.9418248
  • 5. Banta JE, Ramadan M, Alhusseini N, et al. Socio-demographics and asthma prevalence, management, and outcomes among children 1-11 years of age in California. Global Health Research And Policy. 2021;6(1):17. https://doi.org/10.1186/s41256-021-00199-y
  • 6. Hazar Bodrumlu E, Demiriz L. Sociodemographic characteristics and oral and dental health of children with asthma. Med J SDU. 2018;9(1):40-45. https://doi.org/10.22312/sdusbed.312069
  • 7. Aral K, Aral CA, Ersin Kalkan R. Asthma and oral health. J of Ege University School of Dentistry. 2016;37(2):42-46. https://dx.doi.org/10.5505/eudfd.2016.63634
  • 8. Arafa A, Aldahlawi S, Fathi A. Assessment of the oral health status of asthmatic children. Eur. J.Dent. 2017;11(3):357-363. https://doi.org/10.4103/ejd.ejd_65_17
  • 9. Rezende G, Dos Santos NML, Stein C, et al. Asthma and oral changes in children: Associated factors in a community of southern Brazil. Int. J of Paediatric Dent. 2019;29(4):456-463. https://doi.org/10.1111/ipd.12487
  • 10. Gani F, Caminati M, Bellavia F, et al. Oral health in asthmatic patients: a review: Asthma and its therapy may impact on oral health. Clinical and Molecular Allergy. 2020;18:1-8. https://doi.org/10.1186/s12948-020-00137-2
  • 11. Jahani S, Poursangbor T. Survey of knowledge, attitude and performance of Intensive Care Unit nurses regarding oral care of patients under mechanical ventilation in educational hospitals of Ahvaz, 2017. J of Advanced Pharmacy Education & Research. 2019;9(S2):131.
  • 12. Singal K, Malik VS, Singh M. Infant oral health care in pediatric ıntensive care unit: need for capacity building. J. Pediat. Pulmonol. 2022;1(2):64-66. https://doi.org/10.4103/jopp.jopp_5_22
  • 13. McGuire DB, Fulton JS, ParkJ, et al. Systematic review of basic oral care for the management of oral mucositis in cancer patients. Supportive Care in Cancer. 2013;21(11):3165-3177. https://doi.org/10.1007/s00520-013-1942-0
  • 14. Çalışkan S, Özdemir C. Oral and dental health in children receiving cancer treatment. Osmangazi Medical J. 2020;42(5):214-221. https://doi.org/10.20515/otd.771383
  • 15. Çelik S. Eds. basic problems and nursing care in adult intensive care patients. Nobel Medical Bookstores; 2014.
  • 16. Eilers J, Berger AM, Petersen MC. Development, testing, and application of the oral assessment guide. Oncol. Nurs. Forum. 1988;15(3):325-330.
  • 17. Dalgıç G, Karadağ A, Kuzu N. Nursing care in stomatitis due to chemotherapy. J of Cumhuriyet University School of Nursing. 1998;2(2):53-59.
  • 18. Babu KLG, Mathew J, Doddamani G, et al. Oral health of children with acute lymphoblastic leukemia: A review. J of Orofacial Sciences. 2016;8(1):1-3. https://doi.org/10.4103/0975-8844.181915
  • 19. Peterson DE, Boers-Doets CB, Bensadoun, et al. Management of oral and gastrointestinal mucosal injury: Esmo clinical practice guidelines for diagnosis, treatment, and follow-up. Annals Of Oncology. 2015;26:139-151. https://doi.org/10.1093/Annonc/Mdv202
  • 20. Yavuz B, Bal Yılmaz H. Investigation of the effects of planned mouth care education on the degree of oral mucositis in pediatric oncology patients. J Pediatr. Oncology Nursing. 2015;32(1):47-56. https://doi.org/10.1177/1043454214554011
  • 21. Naunheim MR, Huston MN, Bhattacharyya N. Voice disorders associated with the use of ınhaled corticosteroids. Otolaryngology–Head and Neck Surgery. 2023;168(5):1034-1037. https://doi.org/10.1002/ohn.198
  • 22. Tuzuner A, Demirci S, Bilgin G, et al. Voice assessment after treatment of subacute and chronic cough with inhaled steroids. Journal of Voice.2015; 29(4): 484-489. https://doi.org/10.1016/j.jvoice.2014.09.007
  • 23. Spantideas N, Drosou E, Bougea A, et al. Inhaled corticosteroids and voice problems. What is new? J of Voice. 2017;31(3):384.E1-384.E7. https://doi.org/10.1016/j.jvoice.2016.09.002
  • 24. Şener M. The effect of inhaled corticosteroids on oral health in pre-school children, 2 to 6 years of age, with asthma. Hacettepe University, Faculty of Dentistry, Specialty Thesis in Pediatric Dentistry, Ankara, 2016.
  • 25. Chmielewska M, Akst LM. Dysphonia associated with the use of inhaled corticosteroids. Current Opinion in Otolaryngology & Head and Neck Surgery, 2015;23(3): 255-259. https://doi.org/10.1097/MOO.0000000000000153
  • 26. Vance D, Alnouri G, Valentino W, et al. Effects of particle size of inhaled corticosteroid on the voice. J of Voice. 2021;35(3):455-457. https://doi.org/10.1016/j.jvoice.2019.11.013
  • 27. Taşkın M, Hazar Bodrumlu E. Asthma and oral health in children. J of Int Dent Sciences. 2016;2(1):1-4. https://doi.org/10.21306/jids.2016.1.15
  • 28. Arevalo JC, Buban ERD. Prevalence of oral candidiasis in asthma and COPD patients using ınhaled corticosteroids in the Philippine general hospital department of out-patient services. Acta Medica Philippina.2022;5. https://doi.org/10.47895/amp.vi0.6466
  • 29. Shivashankaran S, Pradeep PS, Manoj MG, et al. Inhaled corticosteroids in COPD patients with type II DM: Incidence, Prevention and Management of oropharyngeal candidiasis. IJMSCR. 2021;4(4): 911-917.
  • 30. Doǧan M, Şahiner ÜM, Ataç AS, et al. Oral health status of asthmatic children using inhaled corticosteroids. The Turkish J of Ped. 2021;63(1):77-85. https://doi.org/10.24953/turkjped.2021.01.009
  • 31. Sköld UM, Birkhed D, Xu JZ, et al. Risk factors for and prevention of caries and dental erosion in children and adolescents with asthma. J of Dental Sciences. 2022;17(3):1387-1400. https://doi.org/10.1016/j.jds.2022.03.007

İnhaler İlaç Kullanan Astımlı Çocuklarda Ağız Bakım Yöntemlerinin Ağız Sağlığına Etkisinin Araştırılması: Yarı Deneysel Bir Çalışma

Yıl 2024, , 227 - 236, 27.09.2024
https://doi.org/10.17049/jnursology.1429500

Öz

Amaç: Bu çalışma, astım tanısı konulmuş inhaler ilaç kullanan çocuklarda diş fırçalama, ağzı bikarbonat ile silme ve ağzı su ile çalkalamanın ağız bakımına etkisini belirlemek amacıyla yapılmıştır.

Yöntemler: Çalışmada ön test-son test kontrol gruplu yarı deneysel nicel araştırma deseni kullanılmıştır. 6-10 yaş arası astımlı çocukların örneklemi; diş fırçalama eğitim grubu (n=49), bikarbonatlı ağız silme eğitim grubu (n=49), su çalkalama eğitim grubu (n=49) ve kontrol grubundan (n=49) oluşmuştur. Veriler, “Sosyodemografik Bilgi Formu” ve “Ağız Değerlendirme Formu” kullanılarak toplanmıştır. Ağız değerlendirme formu, çocuklara eğitim verildikten 6 hafta sonra tekrar uygulanmıştır.

Bulgular: Bulgular, bikarbonat yöntemi ile ağız silme uygulayan grupta diş etlerinin daha iyi olduğunu (P=,046), su ile çalkalama yöntemini uygulayan grupta yutma şikayetlerinin azaldığı (P=,003), ve bikarbonat ile ağız silme yöntemi uygulanan grupta oral mukozanın daha iyi olduğu görüldü (P=,046).

Sonuç: Çalışma sonucunda, ağzı su ile çalkalama yöntemi daha işlevsel bulundu. Buna göre inhaler ilaç kullanımı sonrasında ağzın su ile çalkalaması tavsiye edilmektedir.

Etik Beyan

İlgi :20.12.2018 tarihli dilekçeniz. İlgi dilekçe ile başvurmuş olduğunuz "İnhaler İlaç Kullanan Astımlı Çocuğa Yönelik Ağız Bakım Uygulamalarının İncelenmesi" konulu çalışmanız 25.12.2018 tarih ve 24 sayılı kurul toplantımızda görüşülmüş olup, Yapılan görüşmelerden sonra, söz konusu çalışmasının yapılmasında ETİK AÇIDAN SAKINCA OLMADIĞINA, altı ayda bir çalışma hakkında Kurulumuza bilgi verilmesine oy birliği ile karar verilmiştir. Bilgilerinizi rica ederim.

Kaynakça

  • 1. Chhabra K, Sood S, Sharma N, et al. Dental management of pediatric patients with bronchial asthma. Int J Clin Pediatr Dent. 2021;14(5):715-718. https://doi.org/10.5005%2Fjp-journals-10005-2024
  • 2. Stensson M, Wendt LK, Koch G, et al. Oral health in pre-school children with asthma - followed from 3 to 6 Years. Int J Paediatr Dent. 2010 ; 20(3):165-172. https://doi.org/10.1111/j.1365-263X.2010.01037.x
  • 3. Sharma S, Gaur P, Gupta S, et al. Impact of asthma on oral health: A review. Int J Recent Sci Res. 2018;9(5):26512-26514. https://recentscientific.com/impact-asthma-oral-health-review
  • 4. Priya CK, Sudhakar M, Lingampalli J, et al. An advanced fog based health care system using ANN for the prediction of Asthma. ICCMC; 1138-1145. IEEE. Care Med. 2021;33(6):1066-1070. https://doi.org/10.1109/ICCMC51019.2021.9418248
  • 5. Banta JE, Ramadan M, Alhusseini N, et al. Socio-demographics and asthma prevalence, management, and outcomes among children 1-11 years of age in California. Global Health Research And Policy. 2021;6(1):17. https://doi.org/10.1186/s41256-021-00199-y
  • 6. Hazar Bodrumlu E, Demiriz L. Sociodemographic characteristics and oral and dental health of children with asthma. Med J SDU. 2018;9(1):40-45. https://doi.org/10.22312/sdusbed.312069
  • 7. Aral K, Aral CA, Ersin Kalkan R. Asthma and oral health. J of Ege University School of Dentistry. 2016;37(2):42-46. https://dx.doi.org/10.5505/eudfd.2016.63634
  • 8. Arafa A, Aldahlawi S, Fathi A. Assessment of the oral health status of asthmatic children. Eur. J.Dent. 2017;11(3):357-363. https://doi.org/10.4103/ejd.ejd_65_17
  • 9. Rezende G, Dos Santos NML, Stein C, et al. Asthma and oral changes in children: Associated factors in a community of southern Brazil. Int. J of Paediatric Dent. 2019;29(4):456-463. https://doi.org/10.1111/ipd.12487
  • 10. Gani F, Caminati M, Bellavia F, et al. Oral health in asthmatic patients: a review: Asthma and its therapy may impact on oral health. Clinical and Molecular Allergy. 2020;18:1-8. https://doi.org/10.1186/s12948-020-00137-2
  • 11. Jahani S, Poursangbor T. Survey of knowledge, attitude and performance of Intensive Care Unit nurses regarding oral care of patients under mechanical ventilation in educational hospitals of Ahvaz, 2017. J of Advanced Pharmacy Education & Research. 2019;9(S2):131.
  • 12. Singal K, Malik VS, Singh M. Infant oral health care in pediatric ıntensive care unit: need for capacity building. J. Pediat. Pulmonol. 2022;1(2):64-66. https://doi.org/10.4103/jopp.jopp_5_22
  • 13. McGuire DB, Fulton JS, ParkJ, et al. Systematic review of basic oral care for the management of oral mucositis in cancer patients. Supportive Care in Cancer. 2013;21(11):3165-3177. https://doi.org/10.1007/s00520-013-1942-0
  • 14. Çalışkan S, Özdemir C. Oral and dental health in children receiving cancer treatment. Osmangazi Medical J. 2020;42(5):214-221. https://doi.org/10.20515/otd.771383
  • 15. Çelik S. Eds. basic problems and nursing care in adult intensive care patients. Nobel Medical Bookstores; 2014.
  • 16. Eilers J, Berger AM, Petersen MC. Development, testing, and application of the oral assessment guide. Oncol. Nurs. Forum. 1988;15(3):325-330.
  • 17. Dalgıç G, Karadağ A, Kuzu N. Nursing care in stomatitis due to chemotherapy. J of Cumhuriyet University School of Nursing. 1998;2(2):53-59.
  • 18. Babu KLG, Mathew J, Doddamani G, et al. Oral health of children with acute lymphoblastic leukemia: A review. J of Orofacial Sciences. 2016;8(1):1-3. https://doi.org/10.4103/0975-8844.181915
  • 19. Peterson DE, Boers-Doets CB, Bensadoun, et al. Management of oral and gastrointestinal mucosal injury: Esmo clinical practice guidelines for diagnosis, treatment, and follow-up. Annals Of Oncology. 2015;26:139-151. https://doi.org/10.1093/Annonc/Mdv202
  • 20. Yavuz B, Bal Yılmaz H. Investigation of the effects of planned mouth care education on the degree of oral mucositis in pediatric oncology patients. J Pediatr. Oncology Nursing. 2015;32(1):47-56. https://doi.org/10.1177/1043454214554011
  • 21. Naunheim MR, Huston MN, Bhattacharyya N. Voice disorders associated with the use of ınhaled corticosteroids. Otolaryngology–Head and Neck Surgery. 2023;168(5):1034-1037. https://doi.org/10.1002/ohn.198
  • 22. Tuzuner A, Demirci S, Bilgin G, et al. Voice assessment after treatment of subacute and chronic cough with inhaled steroids. Journal of Voice.2015; 29(4): 484-489. https://doi.org/10.1016/j.jvoice.2014.09.007
  • 23. Spantideas N, Drosou E, Bougea A, et al. Inhaled corticosteroids and voice problems. What is new? J of Voice. 2017;31(3):384.E1-384.E7. https://doi.org/10.1016/j.jvoice.2016.09.002
  • 24. Şener M. The effect of inhaled corticosteroids on oral health in pre-school children, 2 to 6 years of age, with asthma. Hacettepe University, Faculty of Dentistry, Specialty Thesis in Pediatric Dentistry, Ankara, 2016.
  • 25. Chmielewska M, Akst LM. Dysphonia associated with the use of inhaled corticosteroids. Current Opinion in Otolaryngology & Head and Neck Surgery, 2015;23(3): 255-259. https://doi.org/10.1097/MOO.0000000000000153
  • 26. Vance D, Alnouri G, Valentino W, et al. Effects of particle size of inhaled corticosteroid on the voice. J of Voice. 2021;35(3):455-457. https://doi.org/10.1016/j.jvoice.2019.11.013
  • 27. Taşkın M, Hazar Bodrumlu E. Asthma and oral health in children. J of Int Dent Sciences. 2016;2(1):1-4. https://doi.org/10.21306/jids.2016.1.15
  • 28. Arevalo JC, Buban ERD. Prevalence of oral candidiasis in asthma and COPD patients using ınhaled corticosteroids in the Philippine general hospital department of out-patient services. Acta Medica Philippina.2022;5. https://doi.org/10.47895/amp.vi0.6466
  • 29. Shivashankaran S, Pradeep PS, Manoj MG, et al. Inhaled corticosteroids in COPD patients with type II DM: Incidence, Prevention and Management of oropharyngeal candidiasis. IJMSCR. 2021;4(4): 911-917.
  • 30. Doǧan M, Şahiner ÜM, Ataç AS, et al. Oral health status of asthmatic children using inhaled corticosteroids. The Turkish J of Ped. 2021;63(1):77-85. https://doi.org/10.24953/turkjped.2021.01.009
  • 31. Sköld UM, Birkhed D, Xu JZ, et al. Risk factors for and prevention of caries and dental erosion in children and adolescents with asthma. J of Dental Sciences. 2022;17(3):1387-1400. https://doi.org/10.1016/j.jds.2022.03.007
Toplam 31 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Sağlığı ve Hastalıkları Hemşireliği, Hemşirelik (Diğer)
Bölüm Araştırma Makaleleri
Yazarlar

Büşra Can 0000-0002-9241-1004

Sebahat Altundağ 0000-0002-7902-6451

Erken Görünüm Tarihi 26 Eylül 2024
Yayımlanma Tarihi 27 Eylül 2024
Gönderilme Tarihi 31 Ocak 2024
Kabul Tarihi 22 Ağustos 2024
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

AMA Can B, Altundağ S. Investigation of the Effects of Oral Care Methods on Oral Health in Children with Asthma Using Inhalers: A Quasi-Experimental Trial. Journal of Nursology. Eylül 2024;27(3):227-236. doi:10.17049/jnursology.1429500

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