Thesis Type: Doctorate
Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, Turkey
Approval Date: 2022
Thesis Language: Turkish
Student: Burçin IRMAK
Supervisor: Hülya Bulut
Abstract:
The study was conducted as a randomized controlled clinical trial 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. The study sample consisted of 76 patients (tea:19, coffee:19, warm water:19, control:19). 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. In the study, a statistically significant difference was found between the four groups in terms of the mean number of bowel movements at the postoperative 5th, 6th, 7th and 8th hours (p<0.001). It was found that the postoperative first flatulence time was significantly earlier in the intervention groups compared to the control group (p<0.05). When the first gas removal time among the patients was ordered from the earliest to the latest; coffee, warm water, tea and control group. There was no statistically significant difference between the groups in terms of postoperative first stool removal and a hospital stay (p>0.05). As a result of the study, it was found that early mobilization and consumption of coffee, warm water and tea in patients who underwent laparoscopic cholecystectomy were effective in increasing bowel movements and reducing the time of first flatulence.
Key Words : Laparoscopic cholecystectomy, Early mobilization, Tea, Coffee, Water consumption, Intestines, Nursing