Multimodal interventions (chewing gum, early oral hydration and early mobilisation) on the intestinal motility following abdominal gynaecologic surgery

Terzioğlu, Füsun; Simsek, Sevgi; Karaca, Kubra; Sariince, Nilay; Altunsoy, Pinar; Salman, Mehmet Çoşkun

doi:10.1111/jocn.12172

Cited by 33 publications

(44 citation statements)

References 44 publications

(26 reference statements)

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“…The finding was similar to the study of Terzioglu F et al of Turkey [9] in which the first defecation occurred earlier in the 1st group of women who chew gum, were hydrated orally and were mobilised early after surgery than the other groups.…”

Section: Discussionsupporting

confidence: 90%

Analysis of Clinical Outcome of Effect of Chewing Gum on Bowel Motility in Post - Operative Patients Following Abdominal Surgery

Khobragade¹,

Chaudhary²,

Songra³

2015

jemds

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INTRODUCTION:One very important complication of abdominal surgeries is postoperative ileus which results in severe patient discomfort, prolonged hospitalization, and enhanced treatment cost. This study was conducted with an aim to analyze the clinical outcome of effect of chewing gum mainly to avoid post-operative paralytic ileus in post-operative patients of abdominal surgeries. MATERIAL AND METHODS: In this study total 200 patients were included, 100 were cases and remaining were controls. The cases were given chewing gum to chew after the surgery while the controls were allowed to heal without chewing gums in conventional style and both were observed hourly for clinical outcome. RESULTS: Among cases the mean duration of first sound heard was 26.3 hours while among controls this was 38.8 hours [p<0.001], the mean duration of first flatus passed among cases was 50.7 hours while that among controls was 68.5 hours, the mean duration of first Bowel passed among cases was 92.4 hours while that among controls was 128.3 hours [p<0.001]. On comparing cases of routine with emergency surgeries, gastric with small bowel surgeries, and traumatic with pathological bowel surgeries it was observed that the first bowel sound, first flatus and first bowel passed appears significantly earlier in routine surgeries, gastric surgeries and traumatic surgeries respectively. CONCLUSIONS: It was observed that chewing gum has significant effect over bowel motility as bowel sounds appeared significantly earlier in cases than control and time for first flatus passed and first bowel passed were also noted significantly earlier in cases than controls. Hospital stay of cases were found significantly lesser than control hence simple intervention like chewing can decrease the burden of disease of paralytic ileus from community.

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Section: Discussionsupporting

confidence: 90%

Analysis of Clinical Outcome of Effect of Chewing Gum on Bowel Motility in Post - Operative Patients Following Abdominal Surgery

Khobragade¹,

Chaudhary²,

Songra³

2015

jemds

View full text Add to dashboard Cite

show abstract

“…The finding was similar to the study of Terzioglu F et al of Turkey in which the first defecation occurred earlier in the 1st group of women who chew gum, were hydrated orally and were mobilized early after surgery than the other groups. 9 In this study total 200 patients were operated out of which 100 were given chewing gum and 100 were not given [controls], it was found that among cases the mean duration hospitalization (11.9 days) was reduced than controls (12.67 days), p value 0.035 (less than 0.05) which is significant. This finding was similar to the study of Kouba et al, in which the chewing gum cases had less duration of hospitalization.…”

Section: Discussionmentioning

confidence: 87%

Effect of chewing gum on bowel motility in post operative patients following abdominal surgery: a clinical outcome based study

et al. 2018

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Background: One very important complication of abdominal surgeries is postoperative ileus which results in severe patient discomfort, prolonged hospitalization, and enhanced treatment cost. This study was conducted with an aim to analyze the clinical outcome of effect of chewing gum mainly to avoid post-operative paralytic ileus in post-operative patients of abdominal surgeries.Methods: In this study total 200 patients were included, 100 were cases and remaining were controls. The cases were given chewing gum to chew after the surgery while the controls were allowed to heal without chewing gums in conventional style and both were observed hourly for clinical outcome.Results: Among cases the mean duration of first sound heard was 26.3 hours while among controls this was 38.8 hours (p<0.001), the mean duration of first flatus passed among cases was 50.7 hours while that among controls was 68.5 hours, the mean duration of first Bowel passed among cases was 92.4 hours while that among controls was 128.3 hours (p<0.001). On comparing cases of routine with emergency surgeries, gastric with small bowel surgeries, and traumatic with pathological bowel surgeries it was observed that the first bowel sound, first flatus and first bowel passed appears significantly earlier in routine surgeries, gastric surgeries and traumatic surgeries respectively.Conclusions: It was observed that chewing gum has significant effect over bowel motility as bowel sounds appeared significantly earlier in cases than control and time for first flatus passed and first bowel passed were also noted significantly earlier in cases than controls. Hospital stay of cases were found significantly lesser than control hence simple intervention like chewing can decrease the burden of disease of paralytic ileus from community.

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“…Turkiye Klinikleri J Nurs Sci 2018;10(1): [49][50][51][52][53][54][55][56][57][58] cerrahi risklerinin dikkatli bir şekilde tanımlan-masının son derece önemli olduğu vurgulanmaktadır. 12 Thomsen ve ark.nın çalışmasında, cerrahiden kısa süre önce sigaranın bırakılmasının cerrahi sonrası morbiditeyi önemli ölçüde azalttığına dair yeterli sayıda kanıt bulunmasa da sigaranın cerrahiden en az dört hafta önce bırakılması gerektiği vurgulanmıştır.…”

Section: Cerrahi̇ öNcesi̇ Dönem Hasta Danışmanlığı Ve Eğitimiunclassified

“…Turkiye Klinikleri J Nurs Sci 2018;10(1): [49][50][51][52][53][54][55][56][57][58] mesi ve etkin oksijen taşınmasının sağlanması için ileri düzey hemodinamik monitörizasyonu kullanıl-malıdır. Bu monitörizasyon, hastaların hastanede kalış süresinin azalması ve gastrointestinal fonksiyonlarının kısa sürede normale dönmesi için öneril-mektedir.…”

Section: Cerrahi Sırası Sıvı Yönetimiunclassified

See 1 more Smart Citation

A New Approach to Evidence Based Practices in Gynecological Surgery: ERAS Protocol and Nursing

Aksoy¹,

Yılmaz²

2018

Turkiye Klinikleri J Nurs Sci

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Multimodal interventions (chewing gum, early oral hydration and early mobilisation) on the intestinal motility following abdominal gynaecologic surgery

Abstract: Nurses may cause early recovery, improve the patient comfort, prevent paralytic ileus and shorten the duration of hospitalisation after gynaecologic abdominal surgery by recommending gum chewing, early mobilisation and early hydration.

Cited by 33 publications

References 44 publications

Analysis of Clinical Outcome of Effect of Chewing Gum on Bowel Motility in Post - Operative Patients Following Abdominal Surgery

Analysis of Clinical Outcome of Effect of Chewing Gum on Bowel Motility in Post - Operative Patients Following Abdominal Surgery

Effect of chewing gum on bowel motility in post operative patients following abdominal surgery: a clinical outcome based study

A New Approach to Evidence Based Practices in Gynecological Surgery: ERAS Protocol and Nursing

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