J Korean Acad Nurs.  2017 Aug;47(4):540-550. 10.4040/jkan.2017.47.4.540.

The Effect of Dongchimi Juice Containing Kimchi Lactobacillus on the Oral Health of Patients at a Long-Term Care Hospital: Comparison with Chlorhexidine Solution

Affiliations
  • 1Department of Nursing, Haetsal Care Hospital, Namyangju, Korea.
  • 2College of Nursing, Kangwon National University, Chuncheon, Korea. ds1119@kangwon.ac.kr

Abstract

PURPOSE
The aim of this study was to identify the effect of Dongchimi juice containing kimchi Lactobacillus as an oral hygiene agent and to compare it with that of chlorhexidine solution (0.12% dilution).
METHODS
This study employed a pretest-posttest experimental design in which a single group of patients was exposed to two different treatments over a period of time. The study included 32 patients hospitalized at a long-term care hospital in Korea. Data were collected between August 12, 2016 and September 28, 2016. The patients first used chlorhexidine solution as an oral care agent for 1 week. After an interval of 2 weeks, they used Dongchimi juice for 1 week. Each agent was applied 2 times a day depending on the protocol. The oral status of the patients was measured using Beck's Oral Exam Guide (OEG) scores. The number of pathogens in the oral cavity was counted by culture, and the patients' subjective satisfaction score for each oral agent was measured using a visual analogue scale. T-test and Mann-Whitney test were performed to identify significant differences between Dongchimi juice and chlorhexidine solution by using PASW Statistics for Windows, Version 18.0 (SPSS Inc., Chicago, IL, USA).
RESULTS
The OEG score was not statistically different with the use of chlorhexidine solution and Dongchimi juice. However, decreasing number of pathogens and the subjective satisfaction score were higher with Dongchimi juice than with the chlorhexidine solution.
CONCLUSION
These findings support the use of Dongchimi juice containing kimchi Lactobacillus as an oral hygiene agent for Korean patients.

Keyword

Oral hygiene; Lactobacillus; Chlorhexidine; Long-term care

MeSH Terms

Chlorhexidine*
Humans
Korea
Lactobacillus*
Long-Term Care*
Mouth
Oral Health*
Oral Hygiene
Research Design
Chlorhexidine

Figure

  • Figure 1. Research process.


Reference

References

1. Yu BH. An introduction to dental hygiene. Seoul: Yonsei Univer- sity Press;2007. p. 54. 171-173, 279, 540-545, 635-656, 648-649.
2. Lee HS, Kang KH, Kim KM, Kim GW, Seung JH, Son HK, et al. Dental microbiology. Seoul: Cheonggu Publisher;2014. p. 108–109. 343, 359.
3. Goo KM, Kim YH, Kim IS, Kim HJ, Park YN. Oral health education. Seoul: KMS;2008. p. 153–156.
4. Lamster IB. Geriatric periodontology: How the need to care for the aging population can influence the future of the dental profession. Periodontology. 2000; 2016. 72(1):7–12. http://dx.doi.org/10.1111/prd.12157.
Article
5. An JH, Ju HO, Kang JY. A survey on oral care among ICU nurses. Journal of Korean Critical Care Nursing. 2008; 1(1):47–57.
6. DeKeyser Ganz F, Fink NF, Raanan O, Asher M, Bruttin M, Nun MB, et al. ICU nurses’ oral-care practices and the current best evidence. Journal of Nursing Scholarship. 2009; 41(2):132–138. http://dx.doi.org/10.1111/j.1547-5069.2009.01264.x.
7. Park JH, Sohng KY. Comparison of oral care interventions on the oral status of intubated patients in intensive care units. Journal of Korean Academy of Fundamentals of Nursing. 2010; 17(3):324–333.
8. Lee KH, Park HK, Kim JH. Effects of oral care with 0.1% chlorhexidine and tantum solution on oral status and incidence of oral pathogens among intubated ICU patients: A pilot study. Journal of Korean Critical Care Nursing. 2010; 3(2):25–35.
9. Prendergast V, Kleiman C, King M. The bedside oral exam and the barrow oral care protocol: Translating evidence-based oral care into practice. Intensive and Critical Care Nursing. 2013; 29(5):282–290. http://dx.doi.org/10.1016/j.iccn.2013.04.001.
Article
10. Chae JM, Song H, Kang G, Lee JY. Impact of nurse staffing level and oral care on hospital acquired pneumonia in long-term care hospitals. Journal of Korean Academy of Nursing Administration. 2015; 21(2):174–183. http://dx.doi.org/10.11111/jkana.2015.21.2.174.
Article
11. Van Strydonck DA, Slot DE, Van der Velden U, Van der Wei-jden F. Effect of a chlorhexidine mouthrinse on plaque, gingival inflammation and staining in gingivitis patients: A systematic review. Journal of Clinical Periodontology. 2012; 39(11):1042–1055. http://dx.doi.org/10.1111/j.1600-051X.2012.01883.x.
Article
12. Lee EH, Park H. Effects of special mouth care with an aroma solution on oral status and oral cavity microorganism growth in elderly Stroke Patients. Journal of Korean Academy of Nursing. 2015; 45(1):46–53. http://dx.doi.org/10.4040/jkan.2015.45.1.46.
Article
13. Kang HY, Na SS, Kim YK. Effects of oral care with essential oil on improvement in oral health status of hospice patients. Journal of Korean Academy of Nursing. 2010; 40(4):473–481. http://dx.doi.org/10.4040/jkan.2010.40.4.473.
Article
14. Lee HR, Kang HS. The effect of oral care by using yogurt on the reduction of tongue coating and the oral comfort in patients with tube feeding. Clinical Nursing Research. 2006; 11(2):163–176.
15. Jung HJ, Yun JY, Park JE, Shim IS, Kim WJ, Lee JH, et al. Comparison of the effects of lemon ice and water ice on decreasing thirst of the patients with nasal surgery. Journal of Korean Clinical Nursing Research. 2012; 18(2):196–204. http://dx.doi.org/10.22650/JKCNR.2012.18.2.196.
16. Baik SH. The effects of xylitol and sorbitol on oral health and xerostomia in Korean elderly. Journal of Korean Gerontological Nursing. 2005; 7(1):88–103.
17. Ryu BH, Sim GS, Choi HY, Ha WK. A study on the natural preservative (Lactobacillus-fermented antimicrobial solution), fermented with plant originated lactic acid bacteria. Food Science and Industry. 2011; 44(2):45–51.
18. Ko KH, Liu WL, Lee HH, Yin J, Kim IC. Biological and functional characteristics of lactic acid bacteria in different Kimchi. Journal of the Korean Society of Food Science and Nutrition. 2013; 42(1):89–95. http://dx.doi.org/10.3746/jkfn.2013.42.1.089.
Article
19. Seo HC. A study on care of health of the long-lived elderly people. Journal of Brain Education. 2011; 7:66–92.
20. Kim HY, Kim GH, Kim HR, Kim YS. Menu development and application for rural elderly of Gangwon and Chungnam areas at agricultural off-season. The Korean Journal of Community Living Science. 2009; 20(3):423–435.
21. Beck S. Impact of a systematic oral care protocol on stomatitis after chemotherapy. Cancer Nursing. 1979; 2(3):185–199.
Article
22. Kim YK, Kim JB, Park CE, Eom YB, Yook KD, Yun HS, et al. Medical microbiology & infectious disease. Seoul: Cheonggu Publisher;2009. p. 385.
23. Choi HS. Kimchi: Fermentation and food science. Seoul: Hyoilbooks;2004. p. 149.
24. Burns BC. Oral care for older people in residential care. Nursing & Residential Care. 2012; 14(1):26–31. http://dx.doi.org/10.12968/nrec.2012.14.1.26.
Article
25. Yang SH, Paik HJ, Moon KH, Won JS, Jo HS, Kim MW, et al. Fundamentals of nursing skills. 4th ed. Seoul: Hyunmoon;2015. p. 160–163.
26. Nam YJ, Kim JB, Chung J. Inhibitory effect of artificial dental plaque formation by Lactobacillus plantarum KM214 strain isolated from Kimchi. Journal of Korean Academy of Oral Health. 2003; 27(2):195–205.
27. Moon JS, Ahn JE, Han AR, Heo JS, Eom HJ, Shin CS, et al. Anticariogenic activities of lactobacillus sakei K-7 isolated from Kimchi. Korean Society for Biotechnology and Bioengineering Journal. 2011; 26(6):513–516. http://dx.doi.org/10.7841/ksbbj.2011.26.6.513.
Article
28. Jo YM, Chae YR, Eom J. A comparison of different application times of oral care on colonies of microorganisms and oral health status on intubated patients. Journal of Korean Biological Nursing Science. 2015; 17(2):97–103. http://dx.doi.org/10.7586/jkbns.2015.17.2.97.
Article
29. Ko SJ, Jeong SS, Choi CH, Kim KH. pH and buffering capacity in some commercial fermented milks. Journal of Korean Society of Dental Hygiene. 2013; 13(4):701–711. http://dx.doi.org/10.13065/iksdh.2013.13.4.701.
Article
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