Efficacy of Chewing Gum versus Early Mobilization on Bowel Motility for Children After Abdominal Surgery

Abd-Elhamed, Amany G.; Osman, Mahmoud M.; Mobarak, Amal Ahmed; Hussien, Amal

doi:10.21608/asnj.2020.96092

Cited by 2 publications

(2 citation statements)

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“…Early mobilization is an important factor affecting the postoperative passage of flatus. In the literature, it has been reported that mobilization has a positive effect on bowel functions (Sindell et al, 2012; Straatman et al, 2016) and that patients who are mobilised three times or more in the first 24 hours have a shorter time of passage of flatus and stool excretion (Abd‐Elhamed et al, 2020). Besides, in a study evaluating the effect of early mobilization on bowel functions in patients who underwent abdominal surgery, it was stated that the frequency of mobilization as well as early mobilization would positively affect the time of passage of flatus (Çınar, 2005).…”

Section: Discussionmentioning

confidence: 99%

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The effect of mobilization protocol on mobilization start time and patient care outcomes in patients undergoing abdominal surgery

Koyuncu¹,

İyigün²

2021

Journal of Clinical Nursing

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Aim:To evaluate the effect of mobilization protocol on mobilization start time, maintenance of mobilization and patient care outcomes in patients who underwent major abdominal open surgery. Background:Early mobilization in the first 24 hours postoperatively is recommended.Early mobilization is one of the evidence-based, effective nursing interventions that improve patient care outcomes.Design: A quasi-experimental non-randomised design was used in the study.Methods: In the study, the groups were followed sequentially and the data of the control group (n = 21) were collected before the intervention group (n = 21). The patients in the control group were mobilised postoperatively by the nurses according to the decision of the nurse and physician in the intensive care unit (ICU) on the day of the operation. There was no standard protocol for mobilization in the ICU. Mobilization training was given to the patients in the intervention group by the researcher nurse the evening before the operation, and a mobilization protocol was applied on the 0th postoperative day. Data on patient care outcomes were collected until the day when the patient was discharged from the hospital. The TREND checklist was followed.Results: According to the postoperative comparison of the patients in the intervention group to those in the control group, patients in the intervention group started mobilization earlier after admission in intensive care unit (6.22 ± 1.95 hours versus 12.21 ± 3.76 hours), had higher postoperative 0 th -day total mobilization time (128 minutes versus 34 minutes), had a shorter passage of flatus time and length of intensive care unit and hospital stay and had higher sleep quality and satisfaction scores. Conclusions:The structured mobilization protocol is effective in the management of early mobilization and improvement of patient care outcomes.Relevance to clinical practice: mobilization protocols ensure that the mobilization process is maintained effectively.

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Section: Discussionmentioning

confidence: 99%

“…Despite many advances in perioperative care, the time of passage of flatus may be delayed, especially after abdominal surgery, depending on the surgical technique (Abd-Elhamed et al, 2020). Early mobilization is an important factor affecting the postoperative passage of flatus.…”

Section: Discussionmentioning

confidence: 99%