DOI QR코드

DOI QR Code

The Effect of Warm Scarf on Postoperative Xerostomia and Sore Throat in Colon Cancer Patients

대장암 수술 후 온열 목 마스크 적용이 구강건조와 인후통에 미치는 효과

  • Choi, Song Yi (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital) ;
  • Lee, Ga Eun (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital) ;
  • Yoon, Bo Ra (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital) ;
  • Yoon, Ji Sun (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital) ;
  • Chung, Seo Young (Department of Nursing, Catholic University of Korea, Yeouido St. Mary's Hospital)
  • 최송이 (가톨릭대학교 여의도성모병원) ;
  • 이가은 (가톨릭대학교 여의도성모병원) ;
  • 윤보라 (가톨릭대학교 여의도성모병원) ;
  • 윤지선 (가톨릭대학교 여의도성모병원) ;
  • 정서영 (가톨릭대학교 여의도성모병원)
  • Received : 2023.01.31
  • Accepted : 2023.02.20
  • Published : 2023.04.30

Abstract

Purpose: This study aimed to identify the effect of warm scarf on xerostomia and sore throat in postoperative colon cancer patients. Methods: A total of 40 participants with colon cancer who underwent colon cancer operation over 2hours were included from C University hospital in Seoul. The number of experimental group and control group is each 20 calculated by G*Power, and they were assigned by using nonequivalent control group no-synchronized design. In the experimental group, a warm scarf was applied to the neck for 120 minutes from entering the recovery room after the colorectal cancer surgery was completed. In the experimental group and the control group, xerostomia and sore throat were measured twice at 60-minute intervals. The degree of xerostomia was measured through the degree of wetness of the absorbent paper in mm, and the degree of sore throat was measured through the NRS (Numeral Rating Scale). Data were collected using self-administered questionnaires from August 2018 to September 2020 and were analyzed using IBM SPSS/WIN 21.0 Descriptive statistics, x2 test, Fisher's exact test, t-test were used to determine the participant's characteristics. The effect of warm scarf on xerostomia and sore throat were separately estimated by Repeated Measures ANOVA. Results: The experimental group showed significant decrease of xerostomia and sore throat as time goes (p<.001). Conclusion: Results indicate that warm scarf on xerostomia and sore throat in postoperative colon cancer patients is helpful method for relieving side effect of tracheal intubation.

Keywords

References

  1. Kim AN, Park JS. The effect of a salivation stimulation method on xerostomia in colon cancer patients after surgery. Korean Oncology Nursing Society. 2016;16(2):75-84. https://doi.org/10.5388/aon.2016.16.2.75 
  2. Bang SY, Jung GJ, Jung HY, An SH. The effects of gum-chewing on the recovery of bowel movement and oral cavity discomfort after abdominal surgery. Journal Korean Clinical Nursing Research. 2008;14(3):15-25. 
  3. Gu AN, Yu M. The effect of intracuff pressure adjustment on postoperative sore throat and hoarseness after nitrous oxide and air anesthesia. Journal of Korean Academy of Nursing. 2019;49(2):215-224. https://doi.org/10.4040/jkan.2019.49.2.215 
  4. Lee IS, Shim MS, Na EH, Kang JY, Kim JH, Hwang MY, et al. The comparison of thirst care intervention between the wet gauze and the cold water gargling to the nasal surgery patients. Journal of Korean Clinical Nursing Research. 2006;11(2):21-33. 
  5. Robleda G, Roche CF, Sanchez V, Gich I, Banos JE. Postoperative discomfort after abdominal surgery: an observational study. Journal of Perianesthesia Nursing. 2015;30(4):272-9. https://doi.org/10.1016/j.jopan.2014.06.005 
  6. Miranda RJ, Brunet LL, Lahor SE, Farre M. Salivary secretory disorders, inducing drugs, and clinical management. International Journal of Medical Sciences. 2015;12(10):811-824. https://doi.org/10.7150/ijms.12912 
  7. Kim MY, Doo MJ, Kang SK, Lim YH, Kim HM, Kim MK, et al. Postoperative patients' thirst and oral status by three oral care methods. Journal of Korean Academic Society of Nursing Education. 2012;18(3):403-412. https://doi.org/10.5977/jkasne.2012.18.3.403 
  8. Darby ML, Walsh MM, Bowen DM. Dental hygiene. St. Louis, Missouri: Elsevier/Saunders; 2015. 
  9. Kalil DM, Silvestro LS, Austin PN. Novel preoperative pharmacologic methods of preventing postoperative sore throat due to tracheal intubation. Journal of the American Association of Nurse Anesthetists. 2014;82(3):188-97. 
  10. Yoon SY, Min HS. The effects of cold water gargling on thirst, oral cavity condition, and sore throat in orthopedics surgery patients purpose. Korean Journal of Rehabilitation Nursing. 2011;14(2):136-144. 
  11. Hur YS, Shin KA, Lee WJ, Lee JO, Im HJ, Kim YM. The comparison of moisturizing effect of cold water gargling, wet gauze application and humidification in reducing thirst and mouth dryness after nasal surgery. Journal of Korean Clinical Nursing Research. 2009;15(1):43-53. 
  12. So HS, Suh SR, Kwon IG, Kim YH, Yoon YH. Pain management made incredibly easy, Seoul. Koonja Publisher. 2005. 
  13. Kwon TJ, Lee HY, Lee J. Effects of electric heating pad on abdominal pain and anxiety during the colonoscopy. Journal of Korean Clinical Nursing Research. 2008;14(2):47-57. 
  14. Wade AG, Morris C, Shephard A, Crawford GM, Goulder M. A. A multicentre, randomised, double-blind, single-dose study assessing the efficacy of AMC/DCBA warm lozenge or AMC/DCBA cool lozenge in the relief of acute sore throat. BMC Family Practice. 2011;12:6. https://doi.org/10.1186/1471-2296-12-6 
  15. Kim E, Jo HG. Treatment of chronic cough in an upper airway cough syndrome (UACS)-suspected patient with local acupuncture points stimulation and application of topical herbal mixed heating cream:a case report. The Journal of Internal Korean Medicine. 2019;40(3):557-565. https://doi.org/10.22246/jikm.2019.40.3.557 
  16. Lee YH, Park BN, Kim SH. The effects of heat and massage application on autonomic nervous system. Yonsei Medical Journal. 2011;52(6):982-989. https://doi.org/10.3349%2Fymj.2011.52.6.982  https://doi.org/10.3349%2Fymj.2011.52.6.982
  17. Purdie J, Carpenter MD, Noll JJ, Stephens C, Taylor YJ, Napenas JJ, et al. Xerostomia symptoms and treatment strategies associated with salivary flows. Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 2021;131(4):e116. https://doi.org/10.1016/j.oooo.2020.10.047 
  18. Ship JA. Diagnosing, managing, and preventing salivary gland disorders. Oral Diseases. 2002;8(2):77-89. https://doi.org/10.1034/j.1601-0825.2002.2o837.x 
  19. Kloub R. Sore throat following tracheal intubation. Middle East Journal of Anaesthesiology. 2001;16(1):29-40. 
  20. Lee JH, Kwon HK, Lee YH, Lee MH, Lee HK. Effect of regular oral exercise on oral function in elderly patients with long-term care. Journal of Korean Academy of Oral Health. 2010;34(3):422-429. 
  21. Lion Korea. New concept warm neck mask brand 'Temperature Therapy' [Internet]. Incheon; Lion Korea Corporation; 2017 Oct 31. [cited 2023 Mar 28.] Available from: http://www.lionkorea.co.kr/kr/company/reportView.do?brd_num=6261. 
  22. Izabela Klarzak, Ewa Ura-Binczyk, Magdalena Plocinska, Magdalena Jurczyk-Kowalska, Effect of temperature and humidity on heat effect of commercial chemical warmers based on iron powder. Thermal Science and Engineering Progress. 2018;6:87-94. https://doi.org/10.1016/j.tsep.2018.03.006 
  23. Kim MI. Effect of planned information, cold and hot applicationon the postoperative pain after gastrectomy. Kyungpook University Medical Journal. 1996;37(1):197-209. 
  24. Song JA, Hur MH. Effects of A-solution on halitosis and oral status in preoperative NPO patients. Journal of Korean Academy of Nursing. 2012;42(3):405-413. https://doi.org/10.4040/jkan.2012.42.3.405 
  25. Hong SJ, Lee JM, Kim YK. The effect of warming methods on the vital signs and thermal discomfort of the patient with gastrectomy. Journal of Korean Biological Nursing Science. 2010;12(2):81-88. 
  26. Fenta E, Teshome D, Melaku D, Tesfaw A. Incidence and factors associated with postoperative sore throat for patients undergoing surgery under general anesthesia with endotracheal intubation at Debre Tabor General Hospital, North central Ethiopia: A cross-sectional study. International Journal of Surgery Open. 2020;25:1-5. https://doi.org/10.1016/j.ijso.2020.06.003