Effect of Gum Chewing on Bowel Function Recovery in Post Abdominal Surgery Patients
Keywords:
Bowel Function Recovery, Gum Chewing, Post Abdominal Surgery PatientsAbstract
Postoperative ileus is considered an inevitable consequence of abdominal surgery. Promoting bowel function recovery is an important role for health care providers. Chewing is a form of sham feeding which has been shown to stimulate the recovery of bowel function. This quasi-experimental research aimed to study the effect of gum chewing on bowel function recovery in post abdominal surgery patients. The participants were 28 patients who underwent open-abdominal surgery and were admitted to Phra Nakhon Si Ayutthaya Hospital between June 2018 and January 2019. The patients were selected using the inclusion criteria, and were assigned to either the intervention or control group, with 14 in each group. Participants in the intervention group chewed gum 3 times a day for 15 minutes each time while fully conscious.The research instruments consisted of a demographic data form and a bowel function recovery assessment and record form, one for the researcher and one for participants.The content validity of the instruments was approved by five experts. The reliability was obtained using Kappa with the value of 1.00. Data were analyzed using descriptive statistics and the Mann-Whitney U test.
Results revealed that the median time to first bowel sounds and flatus after surgery in the intervention group was shorter than that of the control group, with a statistically significant difference (p=0.001 and p=0.002, respectively). However, there was no significant difference in the median time to first bowel movement between the two groups (p=0.346).
The results from this study indicated that gum chewing following open-abdominal surgery is beneficial in reducing postoperative ileus.Therefore, gum chewing could be useful for health care providers in promoting bowel function recovery of post abdominal surgery patients.
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