Postoperative Ileus and Nonpharmacological Nursing Interventions for Colorectal Surgery: A Systematic Review.
Study Goal
The researchers aimed to evaluate the effectiveness of nonpharmacological interventions, including chewing gum, in preventing and treating postoperative ileus (POI) in colorectal surgery patients.
Results Summary
Chewing gum was among the interventions that led to quicker return of bowel function, shorter hospital stays, fewer complications, and improved quality of life compared to control groups. The study found these interventions effective in mitigating POI.
Population
Colorectal surgery patients
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
chewing gum | increase | bowel function return | colorectal surgery patients | - | had quicker | #1 |
chewing gum | decrease | hospital stays | colorectal surgery patients | - | had shorter | #2 |
chewing gum | decrease | complications | colorectal surgery patients | - | had fewer | #3 |
chewing gum | increase | quality of life | colorectal surgery patients | - | had enhanced | #4 |
early hydration | increase | bowel function return | colorectal surgery patients | - | had quicker | #5 |
early hydration | decrease | hospital stays | colorectal surgery patients | - | had shorter | #6 |
early hydration | decrease | complications | colorectal surgery patients | - | had fewer | #7 |
early hydration | increase | quality of life | colorectal surgery patients | - | had enhanced | #8 |
acupuncture | increase | bowel function return | colorectal surgery patients | - | had quicker | #9 |
acupuncture | decrease | hospital stays | colorectal surgery patients | - | had shorter | #10 |
acupuncture | decrease | complications | colorectal surgery patients | - | had fewer | #11 |
acupuncture | increase | quality of life | colorectal surgery patients | - | had enhanced | #12 |
coffee consumption | increase | bowel function return | colorectal surgery patients | - | had quicker | #13 |
coffee consumption | decrease | hospital stays | colorectal surgery patients | - | had shorter | #14 |
coffee consumption | decrease | complications | colorectal surgery patients | - | had fewer | #15 |
coffee consumption | increase | quality of life | colorectal surgery patients | - | had enhanced | #16 |
nondrug nursing interventions | decrease | postoperative ileus (POI) | colorectal surgery patients | - | can effectively mitigate | #17 |
nondrug nursing interventions | increase | bowel function | colorectal surgery patients | - | can optimize | #18 |
nondrug nursing interventions | increase | patient satisfaction | colorectal surgery patients | - | can boost | #19 |
PURPOSE: This review evaluates nonpharmacological interventions for postoperative ileus (POI) prevention and treatment. DESIGN: We systematically reviewed articles from various databases between January 2012 and February 2023 on POI prevention in colorectal surgery patients, emphasizing nursing interventions. METHODS: Inclusion was based on criteria such as language (English or Turkish), date range, and study type. The risk of bias was evaluated using Cochrane's RoB2 tool. FINDINGS: Of the 3,497 articles found, 987 unique articles were considered. After title and abstract reviews, 977 articles were excluded, leaving 52 randomized controlled trials for examination. Common interventions included chewing gum, early hydration, acupuncture, and coffee consumption. Compared to control groups, intervention groups had quicker bowel function return, shorter hospital stays, fewer complications, and enhanced quality of life. CONCLUSION: Nondrug nursing interventions post colorectal surgery can effectively mitigate POI, optimize bowel function, and boost patient satisfaction, warranting their incorporation into post-surgery care protocols.