Changes in Saliva Acidity (pH) Using Low Sugar-Chewing Gum Therapy in Patients with Kidney failure Patients Who Have Done Hemodialysis in Hospital

International Journal of Research and Scientific Innovation (IJRSI) | Volume VII, Issue III, March 2020 | ISSN 2321–2705

Changes in Saliva Acidity (pH) Using Low Sugar-Chewing Gum Therapy in Patients with Kidney failure Patients Who Have Done Hemodialysis in Hospital

Nurul Hidayah
Malang State Health Polytechnic (Polkesma)

Abstract:
Back ground- Chronic renal failure is a progressive and irreversible renal function disorder where the body fails to maintain electrolyte fluid balance resulting in increased urea. Hemodialysis therapy is an appropriate action to replace the work of the kidneys, in these conditions the patient must undergo a fluid diet. This situation can cause a decrease in saliva production which can trigger the pH of saliva to become acidic, which can cause dry mouth until thrush occurs.
Objectives: To determine the effect of low sugar (xylitol)-chewing gum on changes in the saliva acidity (pH) in patients with chronic renal failure undergoing hemodialysis at the public hospital on April 20-May 3 2019.
Materials and methods: The design in this study is Quasi Experiment Design using Non Equivalent Control Group design. The population was all patients with chronic renal failure undergoing hemodialysis at the hospital as many as 40 active patients in April 2019.
Study design: The design of this study used the Quasy Experiment Design with a Non Equivalent Control Group design. The sampling technique used is Non Probability Sampling with the type of Consecutive Sampling with the number of respondents as many as 36 patients divided into 2 groups, namely the control group and the intervention group saliva was measured pre and post treatment.
Result: Independent t-test in the treatment of P-value <0.05 means that there is a change in the degree of saliva (pH) of saliva in the intervention grouplow sugar-chewing gum.
Discussion:This low-sugar gum can produce more saliva which can increase oral mucosa pH. Xylitol is sugar alcohol whose sweetness is the same as sucrose sugar and produces calories in the same amount as sucrose which is 4 cal / gt. Xylitol than non-xylitol is more suitable because sugar content contained in xylitol gum is lower.
Conclusion: This study concluded that low sugar-chewing gum affected the change in salivary acidity (pH) in patients with chronic renal failure undergoing hemodialysis. From the results of this study it is expected that nurses can apply nonpharmacological therapy to chew low-sugar gum which is useful for controlling fluid diet in patients with chronic renal failure undergoing hemodialysis.

Keywords: kidney failure, hemodialysis, chewing gum, low sugar (xylitol), and degree of saliva acidity (pH)

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