Cholelithiases, Nursing Caries, Perioperative Complication, Bowel Ileus
Conditions
Keywords
Laparoscopic cholecystectomy, Early mobilization, Tea, Coffee, Water consumption, Intestines, Nursing
Brief summary
Objective: The aim of this study was to determine the effect of early mobilization with consumption of tea, coffee, and warm water on bowel movements in patients who had laparoscopic cholecystectomy surgery. Design: The study was a single-center, parallel, randomized, controlled trial. Setting: This study was carried out in the general surgery clinic of a university hospital in Türkiye. Metod: The participants were randomized into four equal groups: tea, coffee, arm water and control. At the 4th hour postoperatively, the patients in the intervention group were first mobilized after drinking 200 ml of tea, coffee or warm water within 15 minutes. The first mobilization and oral intake of the patients in the control group started at the 8th hour. Bowel movements, mobilization time, first flatulence, first stool removal and hospital stay of the patients were followed up. Data were collected with Patient Information Form, Glasgow Coma Scale, Patient Mobilization Follow-up Form and Patient Undergone Laparoscopic Cholecystectomy Surgery Follow-Up Form. Hypothesis: H0-a: Early mobilization and tea consumption have no effect on the first flatulence time in patients who have undergone laparoscopic cholecystectomy surgery. H0-b: Early mobilization and coffee consumption have no effect on the first flatulence time in patients who have undergone laparoscopic cholecystectomy. H0-c: Early mobilization and consumption of warm water have no effect on the initial flatulence time in patients who have undergone laparoscopic cholecystectomy.
Interventions
OTHEREarly mobilization and tea consumption
At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of tea (black tea 2 g, caffeine amount: 45-55 mg/150 ml) within 15 minutes. A thermos cup is used to prevent the heat loss of the beverage. Patients were supported by the investigator for early mobilization from the 4th hour after surgery. After the surgery, the first mobilization of the patients is in the form of walking in the patient room of 10 meters (5 meters going and 5 meters returning). According to Enhanced Recovery After Surgery protocols, it is aimed for the patient to walk for at least 2 hours after surgery.
OTHEREarly mobilization and coffee consumption
At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of coffee (ınstant coffee 2 g, caffeine amount: 60/80 mg/150 ml) within 15 minutes. A thermos cup is used to prevent the heat loss of the beverage. Patients were supported by the investigator for early mobilization from the 4th hour after surgery. After the surgery, the first mobilization of the patients is in the form of walking in the patient room of 10 meters (5 meters going and 5 meters returning). According to Enhanced Recovery After Surgery protocols, it is aimed for the patient to walk for at least 2 hours after surgery.
OTHEREarly mobilization and warm water consumption
At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of warm water (37 centigrade) within 15 minutes. A thermos cup is used to prevent the heat loss of the beverage. Patients were supported by the investigator for early mobilization from the 4th hour after surgery. After the surgery, the first mobilization of the patients is in the form of walking in the patient room of 10 meters (5 meters going and 5 meters returning). According to Enhanced Recovery After Surgery protocols, it is aimed for the patient to walk for at least 2 hours after surgery.
OTHEROngoing treatment
The first mobilization and oral intake of the patients in the control group started at the 8th hour.
Sponsors
Gazi University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* To agree to participate in the study * To be the age is between 18 and 65 years old * To undergone laparoscopic cholecystectomy surgery * To have American Society of Anesthesiologists (ASA) classification I or II
Exclusion criteria
* To have a history of cesarean section, hysterectomy, extensive intra-abdominal surgery * To have metastatic disease, inflammatory bowel disease * To use drugs that may affect intestinal functions due to systemic diseases * To known allergy or sensitivity to coffee/caffeine * To having difficulty swallowing * To have mental disability or perception problems * To have a barrier to communication
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| First flatus time | up to 24 hours after surgery | The patient's first flatus output time was questioned. The hour reported by the patient was evaluated as the time of first flatus. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mobilization time | up to 24 hours after surgery | The duration of mobilization for the first 24 hours after surgery were evaluated with Patient Mobilization Follow-up Form. |
| First defecation time | up to 24 hours after surgery | The patient's first defecation time was questioned. The hour reported by the patient was evaluated as the time of first defecation. |
| Bowel movements | up to 8 hours after surgery | Bowel movements were listened to with the same stethoscope, by dividing the abdomen into four quadrants and evaluating each quadrant. The number of the intestinal sounds in one minute were counted and recorded. |
| Length of stay in hospital | average of 2 days | the length of hospital stay (throughout their hospital stay, average of 2 days) |
Countries
Turkey (Türkiye)
Outcome results
None listed