INFORMATION : page. 123~132 / 2014 Vol.16 No.2
현대 의료기술의 발달은 진단 및 치료 목적의 시술이나 수술을 증가하여 침습적인 조작 및 인공의료기구 사용이 늘어나게 하였으며, 이에 따른 병원감염의 발생 보고는 계속 증가하고 있다. 병원 감염이란 입원 당시에 없었던 혹은 잠복하고 있지 않았던 감염이 입원기간 중에 발생하는 것을 의미한다(Korean Association of Infection Control Nursing [KAICN], 2012). 병원감염의 발생은 치료 및 입원 일수를 늘이며 심하면 환자의 생명까지도 위협할 수 있으므로 병원감염의 예방은 매우 중요한 간호중재의 하나이다.
Purpose: The purpose of this study was to compare and analyze the effects of gargling using normal saline or essential oil on oral bacterial colonization of the subjects who did transoral endotracheal intubation for general anesthesia. Methods: A repeated measures, non-equivalent control group pretest-posttest design was used in this study. The subjects of the study included 58 people; the gargling group with normal saline (n=19); the gargling group with essential oil (n=20); and the control group (n=19). Data were collected from University hospitals in a Korean province from August 13-31, 2012. The collected data were analyzed with χ2 -test, t-test, ANOVA and Scheff? test using SPSS 19.0. Results: Although statistically significant differences among the three groups did not appear in the change of the aerobic bacterial colony before and after the experiments, the aerobic bacterial colony of the gargling group with normal saline (71.58±143.39) and the group with essential oil (6.95±332.07) have increased less compared to the control group (145.42±385.01). The change of the anaerobic bacterial colony before and after the experiments, the control group was (167.58±483.58) and the gargling group with essential oil was (169.70±291.60) and increased, while the gargling group with normal saline (-42±331.09) reduced, but statistically significant differences have not appeared. Conclusion: These findings indicated that oral gargling with normal saline is effective in reducing anaerobic bacterial colonization.
Saline solution,Essential oils,Bacteria,Intubation,생리식염수,에센셜오일,균집락화,기관내삽관