口香糖对外科病人恶心、呕吐及肠道功能的影响

Oznur Bayraktar, A. Kutlu
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引用次数: 0

摘要

背景:术后尽快恢复消化系统的正常功能是非常重要的。据报道,口香糖可以用于这方面。目的:本研究旨在评估口香糖对手术患者恶心呕吐和肠道功能的影响。方法:60例胆囊疝切除术患者(对照组30例[不嚼口香糖],干预组30例[嚼口香糖])进行对照实验研究。干预组咀嚼口香糖3次,每次15 ~ 30分钟,间隔2小时。对照组和干预组在手术后6小时和24小时采用恶心呕吐、肠道功能监测表进行评估。结果:术后0 ~ 6 h,对照组与干预组比较,差异有统计学意义(χ2 = 4.320, P < 0.05)。干预组出院时间早于对照组(χ 2 = 4.286, P < 0.05;Z = -2.053, P < 0.05),差异有统计学意义。术后0 ~ 6 h,干预组呕吐次数为对照组的5.09倍。结论:咀嚼口香糖对恶心、呕吐、肠道功能和早期出院有积极作用。建议将嚼口香糖纳入术后患者的护理干预中。
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The Effects of Chewing Gum on Nausea, Vomiting, and Intestinal Functions of Surgical Patients
Background: It is important to resume regular functions of the digestive system as soon as possible after surgery. It has been reported that chewing gum can be used in this regard. Objectives: This study aimed to evaluate the effect of chewing gum on nausea-vomiting and bowel function in surgical patients. Methods: A total of 60 patients with cholecystectomy and herniotomy (30 controls [non-chewing gum] and 30 interventions [chewing gum]) were enrolled in this controlled experimental study. The intervention group was provided to chew gum 3 times for 15 - 30 minutes with a 2-hour interval. Both control and intervention groups were evaluated 6 and 24 hours after being taken to the surgical service using the nausea-vomiting, intestinal functions monitoring form. Results: A statistically significant difference was found between the control and intervention groups 0 - 6 hours after surgery (χ2 = 4.320, P < 0.05). The intervention group was found to be discharged earlier than the control group (χ² = 4.286, P < 0.05; Z = -2.053, P < 0.05), and the difference was significant. It was found that the intervention group suffered 5.09 times less vomiting compared to the control group 0 - 6 hours after surgery. Conclusions: The positive effects of chewing gum on nausea, vomiting, intestinal function, and early discharge were found. It is recommended that chewing gum be included in nursing interventions for patients after surgery.
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