The Impact of Chewing Gum on Postoperative Bowel Activity and Postoperative Pain After Total Laparoscopic Hysterectomy
Postoperative Pain
About this trial
This is an interventional health services research trial for Postoperative Pain focused on measuring Pain, Total Laparoscopic Hysterectomy Surgery, Bowel Functions, Chewing Gum, Nursing
Eligibility Criteria
Inclusion Criteria:
Total laparoscopic hysterectomy is the most common type of hysterectomy.,
- Who is literate,
- over 18 years old,
- The body mass index is dec 18.50-24.99 kg/m2,
- Able to communicate, no language problems.
- No history of allergies,
- Who volunteered to participate in the study and received my approval,
- No complications during the operation,
- With a patient who is not diagnosed with a mental and psychiatric illness
Exclusion Criteria:
Who can not adapt to the treatment process,
- Developing postoperative complications,
- Chemotherapy - receiving radiation therapy therapy,
- With epilepsy disease,
- With any history of allergies,
- A history of dental and gum diseases, with difficulty chewing,
- With a problem of the mucous membrane inside the mouth,
- Using drugs that can affect bowel function due to systemic diseases,
- Patients with a mental disability or a perception problem
Sites / Locations
- Kanuni Sultan Süleyman Training and Research Hospital
Arms of the Study
Arm 1
Arm 2
Active Comparator
Active Comparator
chewing gum Group
Control group
Questions related to surgery and bowel function found in the Participant Information Form it will be filled in. The chewing gum group data will be followed up with the "Follow-up Form- Chewing Gum Group ". Women who make up the gum group, based on the time of arrival in the room 2. per hour, 4. and 6 o'clock. they'll chew gum an hour. Chewing gum based on knowledge of the literature its duration will be limited to 15 minutes, and a new gum will be introduced with each chewing. To all women the same brand will be given unsweetened chewing gum, which is easy to chew, does not contain sorbitol and xylitol. Sorbitol GIS problems in the case of ingestion of gums containing it, while gums containing xylitol are more in order not to ignore the decongestant risk of diarrhea when consumed, sugar-free chewing gum was preferred.
Questions related to surgery and bowel function found in the Participant Information Form it will be filled in. The control group data were followed up with the "Follow-up Form-Control Group" will be. Of the women who made up the control group, it was not until the bowel sounds were first heard that bowel sounds will be listened to by the service nurse december 2 hours intervals. The patient has gas-stool by querying the output, it will be saved. Application of analgesics to pain levelsin the case of "Visual Analog Scale" (Visual Analog Scale -Vas) within 15 minutes it will be evaluated with. After the end of the researcher's 8-hour shift, the time of gas extraction and defecation is estimated since it cannot be done, women can set the time of gas extraction and defecation as time/date; they'll record it. Assessment of pain level, first 8. After the time of 16 and 24. in the hours will be made.