J Korean Acad Community Health Nurs.  2016 Mar;27(1):72-80. 10.12799/jkachn.2016.27.1.72.

The Effect of Subjective Xerostomia and Salivary pH in Salivary Glands Stimulated by Laughter Therapy in Frail Elderly Women

Affiliations
  • 1College of Nursing, Korea University, Seoul, Korea. kyem74@hanmail.net
  • 2Department of Nursing, Baekseok Culture University, Cheonan, Korea.

Abstract

PURPOSE
The purpose of this study was to identify the effect of subjective xerostomia and salivary pH in salivary glands stimulated by laughter therapy in frail elderly women.
METHODS
The research used a one-group pretest-posttest design. Data were collected from July 2, 2015 to September 30, 2015. A sample of 41 frail female elderly patients was recruited at A Nursing Home in K City, Korea. We measured xerostomia and salivary pH using a questionnaire and BCP test paper (pH 5.6~7.2). Laughter therapy was given once a week for four weeks (3 items). Data were analyzed through descriptive statistics, independent t-test, ANOVA, paired t-test and Cronbach's using the SPSS 18.0 program.
RESULTS
There were significant differences in salivary pH according to oral health (t=-2.06, p<.05). There were significant differences in xerostomia (t=4.41, p<.001) and salivary pH (t=-7.94, p<.001) after salivary glands stimulated by laughter therapy.
CONCLUSION
Salivary glands stimulated by laughter therapy improved xerostomia and salivary pH of the frail elderly. Therefore, salivary glands stimulated by laughter therapy may be useful in promoting and maintaining oral health among the frail elderly in the rapidly increasing population of old people.

Keyword

Frail elder; Xerostomia; Salivary gland

MeSH Terms

Aged
Female
Frail Elderly*
Humans
Hydrogen-Ion Concentration*
Korea
Laughter Therapy*
Laughter*
Nursing Homes
Oral Health
Salivary Glands*
Xerostomia*

Cited by  1 articles

Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone
Mi Sook Song, Sunjoo Boo
J Korean Acad Community Health Nurs. 2016;27(4):319-326.    doi: 10.12799/jkachn.2016.27.4.319.


Reference

1. Statistics Korea. Statistics for the elderly [Internet]. Seoul: Statistics Korea;2014. cited 2014 October 29. Available from: http://kosis.kr/.
2. Kim JY, Moon WS, Lee KS, Hwang TY. Effects of oral exercise on oral function and denture satisfaction of the elderly. J Agric Med Community Health. 2015; 40(3):158–170.
Article
3. Kim CO, Lee HY, Ho SH, Park HS, Park CW. Effects of visiting prehabilitation program against functional decline in the frail elderly: A prospective randomized community trial. J Korean Gerontol Soc. 2010; 30(4):1293–1309.
4. Sun WD, Lee SY, Kim DJ, Yoon JL, Kim CW, Nam HJ. Current situations of health care service system for older persons and its policy issues [internet]. Seoul: Korea Institute for Health and Social Affairs;2014. cited 2014 December 31. Available from: https://www.kihasa.re.kr/html/jsp/main.jsp.
5. Noh EM, Baek JU. Subjective oral health status of the elderly and social impact efficacy. J Dent Hyg Sci. 2010; 10(4):233–239.
6. Hebling E, Pereira AC. Oral health-related quality of life: A critical appraisal of assessment tools used in elderly people. Gerodontology. 2007; 24(3):151–161.
7. Jang JH, Baik SH, Kim AJ, Jung SH, Kim OS, Kim SH. The effect of xerostomia on perceived oral health among elderly people wearing dentures. J Korean Acad Dent Health. 2006; 30(4):438–446.
8. Kim JH, Park JH, Kwon JS, Ahn HJ. Effect of pilocarpine mouthwash on xerostomia. Korean J Oral Med. 2011; 36(1):21–24.
9. Jee YJ, Kim JS, Lee JH, Jeon ES. A study on the relationship between halitosis developments and oral environmental. J Dent Hyg Sci. 2010; 10(2):101–107.
10. Brunette DM. Introduction to the proceedings of the fifth international conference on breath odour research. International Dental Journal. 2002; 52:Suppl 3. 177–180.
Article
11. Min BM. Oral biochemistry. Seoul: Daehan Narae Pub Co;2007. p. 73.
12. Jeong SJ, Yoon MS, Im DS, Jeong MS. Dental caries risk can be predicted by simply measuring the pH and buffering capacity of saliva. J Dent Hyg Sci. 2006; 6(3):159–162.
13. Kim YJ, Park KM. Effects on salivation, xerostomia and halitosis in elders after oral function improvement exercises. J Korean Acad Nurs. 2012; 42(6):898–906.
Article
14. Cho EA, Kim KH. Correlation among xerostomia, halitosis, and salivary pH in older adults. J Korean Gerontol Nurs. 2012; 14(1):69–78.
15. Choi ES, Lyu J, Kim HY. Association between oral health status and health related quality of life (EuroQoL-5 Dimension). J Dent Hyg Sci. 2015; 15(4):480–487. DOI: 10.17135/jdhs.2015.15.4.480.
Article
16. Kim JH, Park JH, Kwon JS, Ahn HJ. Effect of pilocarpine mouthwash on xerostomia. Korean J Oral Med. 2011; 36(1):21–24.
17. Takeda M, Hashimoto R, Kudo T, Okochi M, Tagami S, Morihara T, et al. Laughter and humor as complementary and alternative medicines for dementia patients. BMC Complement Altern Med. 2010; 10(1):28. DOI: 10.1186/1472-6882-10-28.
Article
18. Ko YJ, Hyun MY. Effects of laughter therapy on pain, depression, and quality of life of elderly people with osteoarthritis. J Korean Acad Psychiatr Ment Health Nurs. 2013; 22(4):359–367. DOI: 10.12934/jkpmhn.2013.22.4.359.
Article
19. Ministry for Health, Welfare and Family Affairs. Case management for frail elderly [internet]. Seoul: Ministry for Health, Welfare and Family Affairs;2008. cited 2009 January 20. Available from:http://www.mohw.go.kr/front_new/index.jsp.
20. Sun WD, Lee SH, Park JS, Bae SS, Cho YH, Kim CB, et al. Analysis of the effects of muscle strength exercise on physical function and quality of life in the frail elderly. Korean J Health Educ Promot. 2008; 25(1):39–53.
21. Bennett MP, Lengacher C. Humor and laughter may influence health: II. Complementary therapies and humor in a clinical population. Evid Based Complement Alternat Med. 2006; 3(2):187–190.
Article
22. Fox PC. Management of dry mouth. Dent Clin North Am. 1997; 41(4):863–875.
23. Redman RS. Development of the salivary glands. In : Sreebny LM, editor. The salivary system. Boca Raton, FL: CRC Press;1987. p. 2–17.
24. Billings RJ, Proskin HM, Moss ME. Xerostomia and associated factors in a community-dwelling adult population. Community Dent Oral Epidemiol. 1996; 24(5):312–316.
Article
25. Lee JY, Lee YO, Kho HS. Reliability of a questionnaire for evaluation of dry mouth symptoms. Korean J Oral Med. 2005; 30:383–389.
26. Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods. 2009; 41(4):1149–1160. DOI: 10.3758/BRM.41.4.1149.
27. Sun WD, Kim HR, GO SJ, Lee SY, Kim DJ, Kim CW, et al. The correspondent strategy development of healthcare services for older persons with a view to health status cycle [internet]. Seoul: Korea Institute for Health and Social Affairs;2014. Cited 2015 August 25. Available from: http://www.repository.kihasa.re.kr:8080/handle/201002/13740.
28. Jung YH, Ko S, Kim EJ. Report No: 2013-31-19. A study on the effective chronic disease management. Research report. Seoul: Korea Institute for Health and Social Affairs;2013. 12.
29. Kim MK, Jung HM, Park GJ. Subjective xerostomia and jaw functional limitation related quality of life of the elderly. Korean J Health Serv Manag. 2014; 8(1):87–102.
Article
30. Kim MH, Kim KW, Lee KS. Association between oral health and oral health-related quality of life among the elderly. J Dent Hyg Sci. 2014; 14(4):488–494. DOI: 10.17135/jdhs.2014.14.4.488.
Article
Full Text Links
  • JKACHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr