껌씹기가 복강경하 복부수술 환자의 장운동 회복에 미치는 효과

Abstract

This study examine the effects of chewing gum on the recovery of bowel motility after laparoscopic-assisted abdominal surgery. This quasi-experimental study used a nonequivalent control group pre-post design. Data collection was conducted from January 1, 2018, to April 10, 2018. A total of 41 patients participated in the study. Forty-one patients undergoing laparoscopic-assisted abdominal surgery were assigned to either experimental group (n=21) or control group (n=20). The patients in the experimental group chewed gum for 30 minutes two times daily after the operation until the day they reported gas passing. Outcome variables were the time of bowel movement, time of the first passage of flatus, and time of the first defecation. The collected data were analyzed with frequency, percentage, Chi-square test and t-test by SPSS/WIN 18.0 program. This study showed that chewing gum was significantly effective in increasing the time of bowel movement and time of the first passage of flatus. but it was not effective in increasing the time of the first defecation. Chewing gum can be untilized as a safe and effective nursing intervention to reduce bowel movement and time of the first passage of flatus for patients with laparoscopic-assisted abdominal surgery.