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http://dx.doi.org/10.22650/JKCNR.2018.24.1.85

Effect of Chewing Gum on Abdominal Discomfort, the First Defecation, and Constipation after Spine Surgery  

Kim, Hyung Ja (Department of Nursing, Asan Medical Center)
Kim, Jeoung Hee (Department of Nursing, Asan Medical Center)
Publication Information
Journal of Korean Clinical Nursing Research / v.24, no.1, 2018 , pp. 85-93 More about this Journal
Abstract
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.
Keywords
Chewing Gum; Ileus; Surgery; Spine;
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