The effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms: a prospective, randomized controlled trial

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dc.authoridNeriman Akyolcu / 0000-0003-2194-8637en_US
dc.authorscopusidNeriman Akyolcu / 6506237339
dc.authorwosidNeriman Akyolcu / Y-3778-2018
dc.contributor.authorÖzen, Nurten
dc.contributor.authorSayılan, Aylin Aydın
dc.contributor.authorMut, Dilek
dc.contributor.authorSayılan, Samet
dc.contributor.authorAvcıoğlu, Zeynep
dc.contributor.authorKulakaç, Nursen
dc.contributor.authorEcder, Tevfik
dc.contributor.authorAkyolcu, Neriman
dc.date.accessioned2020-10-02T13:02:40Z
dc.date.available2020-10-02T13:02:40Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Sağlık Bilimleri Fakültesi, Hemşirelik Bölümüen_US
dc.description.abstractIntroduction: The major salivary glands can be stimulated by chewing gum to increase saliva flow and decrease xerostomia. The aim of this study was to investigate the effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms in hemodialysis (HD) patients. Methods: This prospective randomized controlled single-blind study was conducted with patients who had been treated for at least 6 months with sessions 3 days a week for 4 hours at two HD units. Patients were randomly allocated to chewing gum group or the control group. In the chewing gum group, gum was chewed for 10 minutes six times a day, and when the patients felt mouth dryness or were thirsty. In the nonchewing gum group, gum was not chewed. The patients were followed-up for 3 months. A total of three saliva samples were taken before starting treatment at the first, 12th, and 36th HD session. Data were collected with the "Visual Analogue Scale (VAS)," "Hemodialysis Patients Fluid Control Scale," "Dialysis Symptom Index," and "Hospital Anxiety and Depression Scale" at baseline, week 4, week 8, and week 12. Findings: The study was completed with a total of 44 patients consisting of 22 patients in the each group. The second and third month VAS values (xerostomia) of the patients in the chewing gum groups were statistically significantly lower than those in the control group (P = 0.014, P < 0.001, respectively). The third month salivary flow rate in the chewing gum group was higher than the values in the control group patients (P < 0.001). Discussion: It is anticipated that this study will raise nurses' awareness of dry mouth and encourage future studies on interventions to increase the salivary flow rate to prevent or treat dry mouth.en_US
dc.identifier.citationOzen, N., Aydin Sayilan, A., Mut, D., Sayilan, S., Avcioglu, Z., Kulakac, N., Ecder, T., & Akyolcu, N. (2020). The effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms: A prospective, randomized controlled trial. Hemodialysis international. International Symposium on Home Hemodialysis,en_US
dc.identifier.doi10.1111/hdi.12878en_US
dc.identifier.pmid32996239en_US
dc.identifier.scopus2-s2.0-85091685126en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://doi.org/10.1111/hdi.12878
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1129
dc.identifier.wosWOS:000573510000001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAkyolcu, Neriman
dc.language.isoenen_US
dc.relation.ispartofHemodialysis internationalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChewing Gumen_US
dc.subjectHemodialysisen_US
dc.subjectWeight Gainen_US
dc.subjectXerostomiaen_US
dc.titleThe effect of chewing gum on dry mouth, interdialytic weight gain, and intradialytic symptoms: a prospective, randomized controlled trialen_US
dc.typeArticleen_US

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