Postoperative ileus limits early hospital discharge for patiets who had undergone
abdominal surgery. Literature indicates that chewing gum is evaluated as a convenient method to
enhance postoperative recovery from postoperative ileus after abdominal surgery. The present study
was aimed to evaluate the efficacy of chewing gum on bowel motility among patient who had
undergone abdominal surgery with null hypotheses that there was no significant difference in early
return of first bowel sound, passage of flatus and return of appetite with the administration of chewing
gum. A total of 60 patients who underwent elective abdominal surgery with general anaesthesia
were participated in the study. Each patient was assigned purposively to one of two groups:
Experimental group (n=30). The tools and protocol were developed through review of relevant literature
and validated by experts from field of nursing and department of General Surgery. Tools used in the
study were interview schedule and check list to assess the bowel sounds, passage of first flatus
and return of appetite. The patients in the experimental group as per planned protocol were administered
chewed gum three times a day for 15-20 min starting from the first postoperative day till the passage
of first flatus. The times of the return of the first bowel sounds, passage of first flatus, return of
appetite was recorded in checklist. Patients with severe postoperative haemorrhage, intraoperative
and postoperative complications requiring emergency intervention, history abdominal blunt trauma,
perforation etc were excluded from this study. Bowel sounds were checked by a single person. The
mean duration of return of first bowel sounds, passage of first flatus and return of appetite was
significantly shorter in the experimental group as compared to the control patients as per t test.
Hence the null hypotheses was rejected. No adverse effects were observed with chewing gum in
the postoperative period and it is a safe method to stimulate bowel motility and reduce the postoperative
ileus.
Postoperative ileus limits early hospital discharge for patiets who had undergoneabdominal surgery. Literature indicates that chewing gum is evaluated as a convenient method toenhance postoperative recovery from postoperative ileus after abdominal surgery. The present studywas aimed to evaluate the efficacy of chewing gum on bowel motility among patient who hadundergone abdominal surgery with null hypotheses that there was no significant difference in earlyreturn of first bowel sound, passage of flatus and return of appetite with the administration of chewinggum. A total of 60 patients who underwent elective abdominal surgery with general anaesthesiawere participated in the study. Each patient was assigned purposively to one of two groups:Experimental group (n=30). The tools and protocol were developed through review of relevant literatureand validated by experts from field of nursing and department of General Surgery. Tools used in thestudy were interview schedule and check list to assess the bowel sounds, passage of first flatusand return of appetite. The patients in the experimental group as per planned protocol were administeredchewed gum three times a day for 15-20 min starting from the first postoperative day till the passageof first flatus. The times of the return of the first bowel sounds, passage of first flatus, return ofappetite was recorded in checklist. Patients with severe postoperative haemorrhage, intraoperativeand postoperative complications requiring emergency intervention, history abdominal blunt trauma,perforation etc were excluded from this study. Bowel sounds were checked by a single person. Themean duration of return of first bowel sounds, passage of first flatus and return of appetite wassignificantly shorter in the experimental group as compared to the control patients as per t test.Hence the null hypotheses was rejected. No adverse effects were observed with chewing gum inthe postoperative period and it is a safe method to stimulate bowel motility and reduce the postoperativeileus.
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