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KMID : 1004620180240010085
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Clinical Nursing Research
2018 Volume.24 No. 1 p.85 ~ p.93
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Effect of Chewing Gum on Abdominal Discomfort, the First Defecation, and Constipation after Spine Surgery
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Kim Hyung-Ja
Kim Jeoung-Hee
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Abstract
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Purpose: This study aim to determine the effect of chewing gum on the reduction of postoperative ileus and recovery after surgery.
Methods: The study was conducted as a randomized controlled trial among 82 patients who underwent spine surgery between May 2015 and October 2015. Patients in experimental group chewed sugarless gum 3 times daily for 30 minutes each time until POD 5. Abdominal discomfort, the first defecation, and CAS score (Constipation Assessment Scale) were monitored.
Results: After the experiment, abdominal discomfort was significantly decreased in the experimental group compared to that of the control group (F=2.46, p=.044). However, the first defecation occurred on postoperative hour 69.6 in the chewing gum group and on hour 60.2 in the control group (t=-1.63, p=.107). CAS was significantly decreased in the experimental group compared to that of the control group (F=3.51, p=.012).
Conclusion: Chewing gum is expected to help patient recover after surgery as safe nurse intervention which can reduce abdominal discomfort and constipation during early postoperative days after spine surgery.
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KEYWORD
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Chewing Gum, Ileus, Surgery, Spine
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