본문 바로가기
KERD
논문KCI 등재

척추 수술 후 껌씹기가 복부 불편감, 변 배출시간과 변비 정도에 미치는 효과

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

김정희|김형자
병원간호사회 (Hospital Nurses Association)|2018.04|임상간호연구 (Journal of Korean Clinical Nursing Research)|제24권 제1호|pp. 85-93|DOI https://doi.org/10.22650/JKCNR.2018.24.1.85

2

조회

0

다운로드

4

인용

0

참고문헌

키워드

Surgery수술Spine척추껌씹기Ileus장폐색Chewing Gum
주제분류간호학

초록

목적: 본 연구는 수술 후 장폐색에 대한 껌씹기의 효과를 알아보기 위한 것이다. 방법: 무작위배정 실험연구로, 2015년 5월부터 2015년 10월까지의 척추수술 환자 82명이 포함되었다. 껌씹기 실험군은 무가당껌을 수술 후 5일까지 하루에 3번씩 30분간 실험을 진행하였다. 복부 불편감, 수술 후 첫 변 배출시간과 변비 정도를 측정하였다. 결과: 실험군은 대조군보다 통계적으로 유의하게 복부 불편감이 낮았다(F= 2.46, p= .044). 그러나, 수술 후 첫 변 배출시간은 대조군 60.2시간, 실험군 69.6시간으로 유의한 차이가 없었다(t=-1.63, p= .107). 변비 정도는 실험군이 대조군에 비해 통계적으로 유의하게 낮았다(F= 3.51, p= .012). 결론: 껌씹기는 척추수술 후 초기의 복부 불편감을 줄이고 회복을 돕는 안전한 간호 중재방법으로 고려해 볼 수 있겠다.

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.

참고문헌 (27)

  1. Bragg D, "Postoperative ileus: Recent developments in pathophysiology and management", Clinical Nutrition, 34(3), pp.367~376 (2015)[DOI]
  2. Venara A, "Postoperative ileus: Pathophysiology, incidence, and prevention", Journal of Visceral Surgery, 153(6), pp.439~446 (2016)[DOI]
  3. Iyer 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)[DOI]
  4. Fineberg SJ, "Incidence and risk factors for postoperative ileus following anterior, posterior, and circumferential lumbar fusion", The Spine Journal, 14(8), pp.1680~1685 (2014)[DOI]
  5. Bauer AJ, "Mechanisms of postoperative ileus", Neurogastroenterology & Motility, 16(Suppl 2), pp.54~60 (2004)[DOI]
  6. Boeckxstaens GE, "Neuroimmune mechanisms in postoperative ileus", Gut, 58(9), pp.1300~1311 (2009)[DOI]
  7. Kreiss C, "Alpha2-adrenergic regulation of NO production alters postoperative intestinal smooth muscle dysfunction in rodents", American Journal of Physiology- Gastrointestinal and Liver Physiology, 287(3), pp.G658~G666 (2004)[DOI]
  8. Berghmans TM, "Stimulation of the autonomic nervous system in colorectal surgery: A study protocol for a randomized controlled trial", Trials, 13, pp.93~ (2012)[DOI]
  9. 오창현, "Paralytic Ileus and Prophylactic Gastrointestinal Motility Medication after Spinal Operation", Yonsei Medical Journal, 56(6), pp.1627~1631 (2015), 연세대학교의과대학[DOI]
  10. Jalanko T, "Gastrointestinal complications after surgical correction of neuromuscular scoliosis: A retrospective cohort study", Scandinavian Journal of Surgery (2017)
  11. Kim YK, "The effectiveness of meridian acupressure program using sticker needles to bowel movement on post spinal operative patients", Journal of East-West Nursing Research, 11(1), pp.33~41 (2005)
  12. Ann SH, "Effects of abdominal massage with essential oils on constipation among spinal surgery woman patients", pp.2011
  13. 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)[DOI]
  14. 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)[DOI]
  15. Chan CYW, "Usage of chewing gum in posterior spinal fusion surgery for adolescent idiopathic scoliosis: A randomized controlled trial", Spine, 42(19), pp.1427~1433 (2017)[DOI]
  16. Ciardulli A, "Chewing gum improves postoperative recovery of gastrointestinal function after cesarean delivery: A systematic review and meta-analysis of randomized trials", The Journal of Maternal-Fetal & Neonatal Medicine, pp.1~9 (2017)
  17. Jennings JK, "The use of chewing gum postoperatively in pediatric scoliosis patients facilitates an earlier return to normal bowel function", Spine Deformity, 3(3), pp.263~266 (2015)[DOI]
  18. Noble EJ, "Gum chewing reduces postoperative ileus? A systematic review and meta-analysis", International Journal of Surgery, 7(2), pp.100~105 (2009)[DOI]
  19. Topcu SY, "Effect of gum chewing on reducing postoperative ileus and recovery after colorectal surgery: A randomised controlled trial", Complementary Therapies in Clinical Practice, 23, pp.21~25 (2016)[DOI]
  20. Short V, "Chewing gum for postoperative recovery of gastrointestinal function", Cochrane Database of Systematic Reviews, (2) (2015)
  21. Schuster R, "Gum chewing reduces ileus after elective open sigmoid colectomy", Archives of Surgery, 141(2), pp.174~176 (2006)[DOI]
  22. Stern RM, "Sham feeding. Cephalic-vagal influences on gastric myoelectric activity", Digestive Diseases and Sciences, 34(4), pp.521~527 (1989)[DOI]
  23. Pinto S, "Evolutionary analysis of the concept of comfort", Holistic Nursing Practice, 31(4), pp.243~252 (2017)[DOI]
  24. American College of Gastroenterology Chronic Constipation Task Force, "An evidence-based approach to the management of chronic constipation in North America", The American Journal of Gastroenterology, 100(Suppl 1), pp.S1~S4 (2005)[DOI]
  25. McMillan SC, "Validity and reliability of the Constipation Assessment Scale", Cancer Nursing, 12(3), pp.183~188 (1989)[DOI]
  26. Quah HM, "Does gum chewing reduce postoperative ileus following open colec- tomy for left-sided colon and rectal cancer? A prospective randomized controlled trial", Colorectal Disease, 8(1), pp.64~70 (2006)[DOI]
  27. 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)[DOI]

관련 논문AI추천

껌씹기가 복강경하 복부수술 환자의 장운동 회복에 미치는 효과김윤아, 조정림(사)위기관리이론과실천 · Crisisonomy2022 · 제18권 제5호껌씹기가 개복수술 환자의 장운동 회복과 구강불편감에 미치는 효과방설영, 안소현, 정금자, 정혜연병원간호사회 · 임상간호연구2008 · 제14권 제3호껌씹기가 대장∙직장암환자의 장 절제술 후 장운동 회복 및 재원일수에 미치는 효과이은남, 김학선(Kim, Hack Sun), 김민경(Kim, Min Kyoung), 김미영(Kim, Mi Young), 김삼숙(Kim, Sam Sook), 이경선(Lee, Kyoung Sun), 남혜진(Nam, Hye Jin)대한종양간호학회 · Asian Oncology Nursing2010 · 제10권 제2호복부 마사지와 유산균 발효유가 척추 수술 환자의 변비 정도에 미치는 효과이영애, 이인숙, 조윤미, 최효정병원간호사회 · 임상간호연구2013 · 제19권 제2호배변 격려 프로그램이 인공 슬관절 전치환술 환자의 배변에 미치는 효과권영희, 김미나, 박미란, 박정희, 박현숙, 천성주, 최혜진대한근관절건강학회 · 근관절건강학회지2022 · 제29권 제2호척추측만증 수술 후 환자의 복부불편감 실태조사김진원, 문남경, 박현숙, 윤소정, 이미영, 최정희병원간호사회 · 임상간호연구2016 · 제22권 제3호

이 간행물의 다른 논문 (11건)

항암화학요법에 관한 가족참여 개별교육이 암환자의 자가간호 지식, 자가간호 수행, 가족지지 및 불안에 미치는 효과고숙미, 성미현, 조영미, 석소현pp. 1-9DACUM을 이용한 고위험 산모‧신생아 통합센터 간호사의 직무분석조경숙, 최정선, 이은희, 김희정, 황남숙, 박수혜, 김윤미, 김명희, 안숙희, 김증임pp. 10-22SBAR를 이용한 의사소통이 간호사의의사소통 인식과 환자안전에 대한 태도에 미치는 효과김미영, 김경숙pp. 23-33간호간병통합병동과 일반병동의 간호서비스 만족도와 중요도, 간호 근무환경, 간호사 재직의도 비교한인선, 박인숙, 이선영, 김주희, 홍희정, 김혜선pp. 34-43보조생식술을 받은 여성의선택적 태아감소술에 대한 의사결정 경험장혜영, 정재원pp. 44-55
원문 보기