The Effect of Rocking Chair Movement on the Start of Bowel Functions in Patients With Gastrointestinal System Surgery

NCT04466319 | Completed

• 1 other identifier: 80558721-050.99-E.25047
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The Effect of Rocking Chair Movement on the Start of Bowel Functions in Patients With Gastrointestinal System Surgery The research will be carried out as a randomized controlled experimental study in patients with open gastrointestinal tract surgery in order to evaluate the effect of rocking chair movement to be given in addition to standard care in the initiation of postoperative bowel functions (post-operative first time gas, first time defecation).Ethics committee and institution permissions and written consents of individuals were obtained prior to the study.The universe of the study was composed of patients with open gastrointestinal surgery lying in the general surgery service of a hospital in Eskisehir. With the error margin of 0.05, 90% test power, 30 people in intervention and control groups, 60 patients in total will be included in the research.Appointment of patients to intervention and control groups was done by stratification and block randomization method according to gastric and intestinal surgery.The draw method was used to assign stratified patients to blind technique intervention and control groups in order to avoid side-holding, and an equal number (blocking) patients were assigned to each group. The individuals in the intervention group in the rocking chair three times a day, 20 minutes, a total of 60 minutes after the first day after surgery. The individuals in the control group will sit in a standard chair in the same time as the intervention group in the non-rocking chair. The data will be collected using the "Descriptive characteristics determination form", "Intervention Group Intestinal Functions Evaluation Form" and "Control Group Intestinal Functions Evaluation Form".

Conditions

Postoperative Ileus

Keywords

Ileus; Gastrointestinal Diseases; Gastrointestinal Motility; Postoperative Complications; Nurses

Outcome Measures

Primary Outcomes (2)

• time to report of first flatus

  Defined as the first time flatus happens

  Defined as the first time hear the bowel sound after surgery1-5 days

• time to report of first defecation

  Defined as the first time defecation happens.

  End of surgery to the first defecation 1-7 days

Secondary Outcomes (1)

• length of postoperative hospitalization

  End of surgery to hospital discharge 5-7 days

Study Arms (2)

intervention arm

EXPERIMENTAL

The individuals in the intervention group in the rocking chair three times a day, 20 minutes, a total of 60 minutes after the first day after surgery.They did this intervention until they first defecation .

Other: Rocking Chair

Control arm

NO INTERVENTION

The individuals in the control group sat in a standard chair in the same time as the intervention group in the non-rocking chair.

Interventions

Rocking Chair OTHER

Patients in the experimental group were sat rocking chair three times a day in a rocking wooden chair in addition to their postoperative routine care by their nurses. After providing the rocking chair to the patients' room, the researcher gave the data collection form to be filled by the patient himself. It was the researcher's supervision that the patient sat in the rocking chair for the first time. The rocking chair movement continued to intervene until the patient released gas. After emitting gas, he continued to swing in the rocking chair until he made his first stools. The patient was visited every day until he was discharged. No special clothing or materials were required for the patients to sit in the rocking chair.

intervention arm

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Agree to participate in the research
• Being 18 or over
• Having gastrointestinal surgery
• No communication problems
• No symptoms or disease (dizziness, Vertigo, Meniere.) That rocking chair movement will adversely affect the patient With or without a stoma in the postoperative period;
• Patients with American Society of Anesthesiology (ASA) classification I or II

You may not qualify if:

• Not agreeing to participate in the research
• being 18 or under
• Being a communication problem
• The symptoms or disease (dizziness, Vertigo, Meniere.) That the rocking chair movement will adversely affect the patient.
• Having a history of ileus after surgery
• Any complication after surgery
• With inflammatory and irritable bowel disease
• Using drugs that will affect intestinal motility before or after surgery.
• Surgical intervention is laparoscopic
• ASA classification is III, IV or V

Sponsors & Collaborators

• Eskisehir Osmangazi University: lead

Study Sites (1)

Dean of the Faculty of Medicine Ground Floor Meşelik Campus

Eskişehir, Odunpazarı, 26040, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Ileus; Gastrointestinal Diseases; Postoperative Complications

Condition Hierarchy (Ancestors)

Intestinal Obstruction; Intestinal Diseases; Digestive System Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Nedime Köşgeroğlu, Prof

  T.C. İstanbul Rumeli University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: research assistant

Model Details: A randomized controlled experimental study in patients with open gastrointestinal tract surgery to evaluate the effect of rocking chair movement to be given in addition to standard care at the start of postoperative bowel functions (post-operative first gas, initial defecation

Study Record Dates

• First Submitted: July 1, 2020
• First Posted: July 10, 2020
• Study Start: March 15, 2019
• Primary Completion: July 15, 2019
• Study Completion: June 1, 2020
• Last Updated: July 10, 2020

Record last verified: 2020-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)