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Effects on Bowel Function of Using a Rockingchair after Abdominal Surgery in Gynecological Patients

อวยพร ภัทรภักดีกุล; อรทัย ชยาภิวัฒน์; Uaiporn Pattrapakdikul; Orathai Chayapiwat;
Date: 2553-06
Abstract
An abdominal operation affects gastrointestinal (GI) motor activity. Post-operative care for early recovery of GI motility is recommended. The purpose of this quasi-experimental research was to study the effects on bowel function of using a rocking-chair in patients who had undergone gynecological ab-dominal surgery. The framework of this study is based on the effect of mechanical pressure and relaxation technique on the GI tract. The sample of 60 abdominal hysterectomy patients was drawn by carefully selected criteria from a patient population admitted for abdominal hysterectomy during the period from June to October 2008. The patients were randomly assigned into two groups: the experimental group who ambulated by rocking-chair exercise and the control group who did not. The data collected consisted of four parts: demographic, treatment, bowel function and patient satisfaction. The experimental instruments were rocking-chair and stethoscope. The bowel function was measured 16 hours after surgery. The experimental group who were assigned to ambulate by rocking-chair exercised for 45 minutes and the control group who did not. Data were collected and analyzed by using mean, standard deviation and independent t-test. We compared the difference by χ2 test and independent t-test. The results revealed that the frequency of bowel sound and belching was statistically significant with the difference being p = 0.001 and 0.01, respectively. There was no difference in the number of days marked by flatus and the passing of feces. The majority (53.3%) of patients had high satisfaction and almost all (90%) of the patients experienced no dizziness. We suggest that the post-operative abdominal surgery patients should be ambulated with a rockingchair. The outcome of our study theoretically applies also to the other patients undergoing abdominal surgery.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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