껌씹기가 개복수술 환자의 장운동 회복과 구강불편감에 미치는 효과
The Effects of Gum-Chewing on the Recovery of Bowel Movement and Oral Cavity Discomfort after Abdominal Surgery
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Abstract
Purpose: This study was aimed to investigate the effects of gum-chewing on the recovery of bowel movement and oral cavity discomfort after abdominal surgery. Method: The nonequivalent control group, non-syncronized repeated treatment design was used. A total of 99 patients were participated in the study. The 44 patients were in the experimental group and the rest in the control group. The experimental group chewed gum three times a day until they passed gas. As the patient reported gas-passing, bowel movement time, subjective symptoms of oral cavity, and oral status were recorded precisely. The frequency, percentage, -test and t-test were analyzed by SPSS PC 12.0. Results: There were significant differences in bowel movement, gas passing, oral cavity symptoms, and oral status scores between the experimental and the control group. Conclusion: The findings of the study demonstrated the fact that gum-chewing helps early recovery from post-operative ileus and thirst. It is because gum chewing stimulates bowel mobility and secretion of saliva. Thus gum-chewing seems to be an effective nursing intervention in reducing post-operative side effects for patients with abdominal surgery.
참고문헌 (30)
- 김경미, "얼음을 이용한 구강간호가 급성 골수성 백혈병 환자의 구강상태에 미치는 영향", 석사, pp.1994
- 김조자, "성인간호학" (2000), 현문사
- "네이버 국어사전"[URL]
- 방설영, "개복수술 환자에게 적용한 운동 프로그램의 효과", 마산삼성병원 간호팀 학술대회발표자료집 (2003)
- 방설영, "구강간호가 비위관 삽관 환자의 안위감에 미치는 효과", 경상남도간호사회 간호학술집, 11, pp.159~191 (2002)
- 변영순, "갈증간호에 관한 문헌 고찰", 간호과학, 6, pp.55~65 (1994)
- 서문자, "성인간호학" (1999), 수문사
- "위키백과사전"[URL]
- 정연이, "악성 종양 환자의 구강 사정 지침에 대한 신뢰도 검증", 서울대학교 간호학 논문집, 10(1) (1996)
- 정재원, "화학요법을 받는 부인암 환자의 구강불편감에 대한 연구", 석사, pp.1994
- Black, "Medical surgical nursing" (1997), Saunders
- Carter,S., "The surgical team and outcomes management: Focus on postoperative ileus", Journal of PeriAnesthesia Nursing, 132(2A), pp.S2~S6 (2006)
- Chan,M.K., "Use of chewing gum in reducing postoperative ileus after elective colorectal resection: A systematic review", Disease of Colon and Rectum, 50, pp.2149~2157 (2007)
- Choi,J., "Safe and effective early postoperative feeding and hospital discharge after open colon resection", American Surgeon, 96(62), pp.853~ (1996)
- Correia,M.I.T.D., "The impact of early nutrition on metabolic response and postoperative ileus", Current opinion in clinical nutrition and metabolic care, 2004, pp.7, 577~583
- Gannon,R.H., "Current strategies for preventing or ameliorating postoperative ileus: A multimodal approach", pp.58~62 (2007), American Society of Health-System Pharmacists
- Hirayama,I., "Gum-chewing stimulates bowel motility after surgery for colorectal cancer. Hepatogastroenterology", Mar-Apr, 53(68), pp.206~208 (2006)
- Leier,H., "Does gum chewing help prevent impaired gastric motility in the postoperative period?", Journal of the American Academy of Nurse Practitioners, 19, pp.133~136 (2007)
- Maffezzini,M., "Current perioperative management of radical cystectomy with intestinal urinary reconstruction for muscle- invasive bladder cancer and reduction of the incidence of postoperative ileus", Surgical Oncology, 17, pp.41~48 (2008)
- Mattei,P., "Review of the pathophysiology and management of postoperative ileus", World Journal of Surgery, 30, pp.1382~1391 (2006)
- Phillips,P.A., "Reduced thirst after water deprivation in healthy elderly man", The New England Journal of Medicine, 311(12), pp.753~757 (1984)
- Quah,H.M., "Does gum chewing reduce postoperative ileus following open colectomy for left-sided colon and rectal cancer? A prospective randomized controlled trial", Colorectal Disease, 8(1), pp.64~70 (2006)
- Saufl,N.M., "Nures are everywhere: A practical perspective on the surgical team in managing postoperative ileus", pp.24~29 (2006), American Society of PeriAnesthesia Nurse
- Schuster,R., "Gum chewing reduces ileus after elective open sigmoid colectomy", Archives of Surgery, 141, pp.174~176 (2006)
- Sigmatheta, "최신 임상간호메뉴얼" (1999), 현문사
- Stewart,B.T., "Early feeding after elective open colorectal resections: a prospective randomised trial", Australian and Newzealand Journal of Surgery, 68, pp.125~128 (1998)
- Stewart,D., "Management of postoperative ileus", American Journal of Therapeutics, 14(6), pp.561~566 (2007)
- Takayuki,A., "Gum chewing enhances early recovery from posroperative ileus after laparoscopic colectomy", American Journal of Surgery, 195, pp.30~32 (2002)
- Woodtli,A.O., "Thirst: A critical care nursing challenge", pp.6~11 (1990), Critical Care Nursing
- Zhang,Q., "Influence of gum chewing on return of gastrointestinal function after gastric abdomen surgery in children", European Journal of Pediatric Surgery, 18(1), pp.44~46 (2008)