Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Determination of the Effect of Starting Oral Feeding with Warm Water on Bowel Functions After Thoracotomy: A Randomized Controlled Trial
Torakotomi Sonrası Oral Beslenmeye Ilık Su ile Başlamanın Bağırsak Fonksiyonlarına Etkisinin Belirlenmesi: Randomize Kontrollü Çalışma
Ayşe GÖKÇE IŞIKLIa , Zeynep KIZILCIK ÖZKANb , Fazlı YANIKc
aTrakya University Keşan Hakkı Yörük School of Health, Department of Nursing, Edirne, Türkiye
bTrakya University Faculty of Health Sciences, Department of Nursing, Edirne, Türkiye
cTrakya University Faculty of Medicine, Department of Thoracic Surgery, Edirne, Türkiye
J Tradit Complem Med. 2024;7(1):39-46
doi: 10.5336/jtracom.2023-99809
Article Language: EN
Full Text
ABSTRACT
Objective: The aim of this study was to determine the effect of starting oral feeding with warm water on bowel function after thoracotomy. Material and Methods: This randomized controlled trial was conducted in the thoracic surgery ward of a university hospital. Data were collected between May 2022 and June 2023 from a total of 68 patients in the experimental (n=34) and control (n=34) groups. The first oral intake of the experimental group patients was 200 mL of warm water at 98.6 °F (37°C) in thermally insulated glasses. Control group patients underwent the routine procedure (200 mL of water at room temperature). The ''Information Form,'' ''Postoperative Follow-up Form'' and ''Constipation Risk Assessment Scale'' were used to gather data. Descriptive analyses, the Mann-Whitney U, the Fisher exact test, and the Pearson chi-square test were used to evaluate the data. Results: No significant difference was found between the mean scores of the Constipation Risk Assessment Scale of the patients in the experimental and control groups. It was determined that the control group patients exercised more than the experimental group patients before surgery (p=0.028). On postoperative day 0, the experimental group had a statistically significant higher number of patients experiencing gas flatulence compared to the control group (p=0.000). Conclusion: The findings of the study showed that starting oral feeding with warm water after thoracotomy was effective in reducing the duration of the first gas flatulence.

Keywords: Thoracic surgery; gastrointestinal motility; nursing
ÖZET
Amaç: Bu araştırmanın amacı, torakotomi sonrası oral beslenmeye ılık su ile başlamanın bağırsak fonksiyonlarına etkisini belirlemektir. Gereç ve Yöntemler: Randomize kontrollü olan bu araştırma, bir üniversite hastanesinin göğüs cerrahi servisinde yapıldı. Veriler, Mayıs 2022-Haziran 2023 tarihleri arasında deney (n=34) ve kontrol (n=34) gruplarından toplam 68 hastadan toplandı. Deney grubu hastalarının ilk oral alımına ısı yalıtımlı camlarda 98,6 °F'de (37 °C) 200 mL ılık su başlandı. Kontrol grubu hastalara rutin prosedür (oda ısısında 200 mL su) uygulandı. Veri toplamak için ''Bilgi Formu'', ''Konstipasyon Risk Değerlendirme Ölçeği'' ve ''Postoperatif Takip Formu'' kullanıldı. Araştırma verilerini değerlendirmek için tanımlayıcı analizler, Mann-Whitney U, Pearson ki-kare ve Fisher kesin testi kullanıldı. Bulgular: Araştırmada deney ve kontrol grubundaki hastaların Konstipasyon Risk Değerlendirme Ölçeği ortalama puanları arasında anlamlı bir fark bulunamadı. Ameliyat öncesi kontrol grubu hastalarının deney grubuna göre daha çok egzersiz yaptıkları belirlendi (p=0,028). Deney grubunda ameliyat sonrası 0. gün gaz çıkışı olan hastaların sayısı kontrol grubuna göre istatistiksel olarak anlamlı düzeyde daha çok olduğu saptandı (p=0,000). Sonuç: Araştırma bulguları torakotomi sonrası oral beslenmeye ılık su ile başlamanın ilk gaz çıkarma süresi üzerinde etkin olduğunu gösterdi.

Anahtar Kelimeler: Toraks cerrahisi; mide-bağırsak fonksiyonları; hemşirelik
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