TY - JOUR AU - Chuamor, Kunyarat AU - Thongdonjuy, Jiraporn PY - 2014/03/01 Y2 - 2024/03/29 TI - Effectiveness of Standard Nursing Care with Gum Chewing to Reduce Bowel Ileus in Post-operative Gynecologic Patients: Randomized Controlled Trials JF - Siriraj Medical Journal JA - Siriraj Med J VL - 66 IS - 2 SE - Original Article DO - UR - https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/55293 SP - AB - <div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><span><strong>Objective:</strong> </span><span>To compare the additional use of gum chewing with standard post-operative care in management of post-operative bowel ileus in Thai gynecological patients undergoing abdominal surgery.</span></p><p><span><br /> </span><strong>Methods: </strong><span>A total of 128 patients were recruited in this study. Eligible patients were randomly assigned to one of two groups; group A received standard post-operative care and group B received gum chewing with standard post-operative care. Each patient was asked to complete a questionnaire on demographic data. Data about diagnosis, operation, anesthetic method, </span><span>blood loss, analgesic drugs, and antiflatulants were obtained from operative notes, anesthetic notes, and medical records. </span><span>Results: </span><span>The first passage of blenching and flatus was noted post-operatively at hours 14.7 and 16.1 in group B, and 19.2 and 19.9 in group A, respectively. Patients in group B had significantly higher number of blenching, flatus, and bowel sound than those in group A in every time point assessment, except the number of flatus in post-operative day 3 which was not significantly different. Patients in group A had significantly higher abdominal distention score than those in group B in every time point assessment. Increased waist circumference was significantly higher in group A than group B in post-operative days 2 and 3. Patients in group A had significantly more severity of ileus than those in group B in post-operative days 1-3. </span><span>Patients in group B had higher satisfaction and overall satisfaction score than those in group A. </span></p></div></div><div class="layoutArea"><div class="column"><p><strong>Conclusion: </strong><span>Gum chewing provides a simple method for early recovery from post-operative ileus. Patients can tolerate gum </span><span>chewing as early as the first operative day. It is a physiological method for stimulating bowel motility. Gum chewing should </span><span>be added as an adjunctive treatment in post-operative care in gynecologic surgery. </span></p></div></div><div class="layoutArea"><div class="column"><p><strong>Keywords: </strong><span>Gum chewing, bowel ileus, gynecologic surgery </span></p><p><strong>Siriraj Med J 2014;66:33-38 </strong></p></div></div></div> ER -