껌씹기가 복강경하 복부수술 환자의 장운동 회복에 미치는 효과
Effects of Chewing Gum on the Recovery of Bowel Motility after in Patients Undergoing Laparoscopic Abdominal Surgery
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본 연구는 복강경하 복부수술 환자에게 껌씹기를 적용하여 장운동 회복에 미치는 효과를 확인하기위한 목적으로 실시되었다. 연구설계는 비동등성 대조군 전후 시차설계를 이용한 유사실험연구이다. 연구대상은 B시 소재 G종합병원 외과에서 전신마취하에 복강경하 복부수술을 받고 병동에 입원한 환자로 실험군 21명, 대조군 20명, 총 41명을 임의 표출하였다. 자료수집기간은 2018년 1월 1일부터 4월 10일까지이며, 자료수집 기간 중 두 군 간의 처치의 확산효과를 막기 위해 대조군, 실험군순으로 진행하였다. 자료분석은 SPSS/WIN 18.0 프로그램을 이용하였으며 대상자의 일반적 특성과집단 간의 동질성 검정은 -test와 t-test로 분석하였고, 가설검정은 t-test로 분석하였다. 종속변수에대해 Kolmogorov-Smirnov test를 실시하여 정규분포를 확인하였다. 연구결과 껌씹기가 복강경하 복부수술 환자의 장 연동운동 회복시간과 가스배출시간을 단축하는 데는 유의한 효과가 있었으나 대변배출시간에는 유의한 영향을 미치지 않았다.
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.
참고문헌 (35)
- Andersson, T., "Effects of Chewing Gum Against Postoperative Ileus after Pancreaticoduodenectomy : A Randomized Controlled Trial", BMC(BioMedCenral)Research Notes, 8(37), pp.1~5 (2015)
- Asao, T., "Gum Chewing Enhances Early Recovery from Postoperative Ileus after Laparoscopic Colectomy", Journal of the American college of Surgeons, 195(1), pp.30~32 (2002)
- Atkinson, C., "Randomized Clinical Trial of Postoperative Chewing Gum versus Standard Care after Colorectal Resection", The British Journal of Surgery, 103(8), pp.962~970 (2016)
- 방설영, "껌씹기가 개복수술 환자의 장운동 회복과 구강불편감에 미치는 효과", 임상간호연구, 14(3), pp.15~25 (2008), 병원간호사회
- Bisgaard, T., "arly Oral Feeding after Elective Abdominal Surgery-What Are the Issues?", Nutrition, 18(11-12), pp.944~948 (2002)
- Bragg, D., "Postoperative Ileus : Recent Developments in Pathophysiology and Management", Clinical Nutrition, 34(3), pp.367~376 (2015)
- Chan, M. K., "Use of Chewing Gum in Reducing Postoperative Ileus after Elective Colorectal Resection : A Systematic Review", Disease of the Colon &Recrum, 50(12), pp.2149~2157 (2007)
- Fineberg, S. J., "Incidence and Risk Factors for Postoperative Ileus Following Anterior, Posterior, and Circumferential Lumbar Fusion", The Spine Journal, 14(8), pp.1680~1685 (2014)
- Fitzgerald, J. E., "Systematic Review and Meta-analysis of Chewing-Gum Therapy in the Reduction of Postoperative Paralytic Ileus Following Gastrointestinal Surgery", World Journal of Surgery, 33(12), pp.2557~2566 (2009)
- Fujii, T., "Benefit of Oral Feeding as Early as One Day after Elective Surgery for Colorectal Cancer : Oral Feeding on First Versus Second Postoperative Day", International Surgery, 99(3), pp.211~215 (2014)
- Hirayama, L., "Gum Chewing Stimulates Bowel Motility after Surgery for Colorectal Cancer", Hepatogastroenterology, 53, pp.206~208 (2006)
- Jepsen, J. M., "Rectosigmoid Motility Response to Sham Feeding in Irritable Bowel Syndrome : Evidence of a Cephalic Phase", Scandinavian Journal of Gastroenterology, 24(1), pp.53~56 (1989)
- 김보은, "복부수술 환자의 조기운동에 대한 외과병동 간호사의 중요도-수행도 분석", 디지털융복합연구, 19(12), pp.567~575 (2021), 한국디지털정책학회[DOI]
- Kim, Hye Min., "The Effects of Oral Stimulation Exercise Using Chewing Gum on Gastrointestinal Recovery after Pancreatic Cancer Surgery", Master, pp.2021
- 김형자, "척추 수술 후 껌씹기가 복부 불편감, 변 배출시간과 변비 정도에 미치는 효과", 임상간호연구, 24(1), pp.85~93 (2018), 병원간호사회[DOI]
- 김삼숙(Kim, Sam Sook), "껌씹기가 대장∙직장암환자의 장 절제술 후 장운동 회복 및 재원일수에 미치는 효과", Asian Oncology Nursing, 10(2), pp.191~198 (2010), 대한종양간호학회
- Leier, Heather, "Does Gum Chewing Help Prevent Impaired Gastric Motility in the Postoperative Period?", Journal of the American Academy of Nurse Practitioners, 19(3), pp.133~136 (2007)
- Liu, Q., "Effects of Gum Chewing on Ameliorating Ileus Following Colorectal Surgery: A Meta-Analysis of 18 Randomized Controlled Trials", International Journal of Surgery, 47, pp.107~115 (2017)
- Lyer, S., "Economic Burden of Postoperative Ileus Associated with Colectomy in the United States", Journal of Managed Care & Specialty Pharmacy, 15(6), pp.485~494 (2009)
- Mattei, P., "Review of the Pathophysiology and Management of Postoperative Ileus", World Journal of Surgery, 30(8), pp.1382~1391 (2006)
- McCorrnick, T. J., "The Effects of Gum Chewing on Bowel Function and Hospital Stay after Laparoscopic vs Open Colectomy : A Multi-Institution Prospective Randomized Trial", Journal of the American College of Surgeons, 3, pp.S66~S67 (2005)
- Nasajiyan, N., "Comparison of Low and Standard Pressure Gas Injection at Abdominal Cavity on Postoperative Nausea and Vomiting in Laparoscopic Cholecystectomy", Pakistan Journal of Medical Sciences, 30(5), pp.1083~1087 (2014)
- National Health Insurance Service, "Main Surgery Statistical Yearbook for 2020", ~ (2021)
- Noble, E. J., "Gum Chewing Reduces Postoperative Ileus? A Systematic Review and Meta-Analysis", International Journal of Surgery, 7(2), pp.100~105 (2009)
- 박승연, "복부 수술 후 껌을 이용한 장폐색의 단축", Annals of Surgical Treatment and Research, 77(5), pp.306~309 (2009), 대한외과학회
- Parks, L., "Enhanced Recovery after Surgery", Journal of the Advanced Practitioner in Oncology, 9(5), pp.511~519 (2018)
- Quah, H. M., "Dose Gum Chewing Reduce Postoperative Ileus Following Open Colectomy for Left-Sided Colon and Rectal Cancer? A Prospective Randomized Controlled Trial", Colorectal Disease, 8, pp.64~70 (2006)
- Schuster, R., "Gum Chewing Reduces Ileus after Elective Open Sigmoid Colectomy", Archives of Surgery, 141(2), pp.174~176 (2006)
- Short, V., "Chewing Gum for Postoperative Recovery of Gastrointestinal Function", pp.6506~ (2015), Cochrane Database of Systematic Reviews
- Soffer, E. E., "Effect of Meal Composition and Sham Feeding on Duodenojejunal Motility on Humans", Digestive Diseases and Sciences, 37(7), pp.1009~1014 (1992)
- Stern, R. M., "Sham Feeding. Cephalic-Vagal Influences on Gastric Myoelectric Activity", Digestive Diseases and Sciences, 34(4), pp.521~527 (1989)
- Stewart, B. T., "Early Feeding after Selective Open Colorectal Resections : A Prospective Randomized Trial", Australian and New Zealand Journal of Surgery, 68(2), pp.125~128 (1998)
- Tern, R. M., "Sham Feeding : Cephalic-Vagal Influences on Gastric Myoelectric Activity", Digestive Diseases and Sciences, 34(4), pp.521~527 (1989)
- Topcu, S. Y., "Effect of Gum Chewing on Reducing Postoperative Ileus and Recovery after Colorectal Surgery : A Randomized controlled Trial", Complementary Therapies in Clinical Practice, 23, pp.21~25 (2016)
- Venara, A., "Postoperative Ileus : Pathophysiology, Incidence, and Prevention", Journal of Visceral Surgery, 153(6), pp.439~446 (2016)