Positive Effect of Chewing Gum and Early Mobilization on Intestinal Peristalsis
DOI:
https://doi.org/10.26699/jnk.v10i1.ART.p092-099Keywords:
anesthesia, intestinal peristalsis, chewing gum, early mobilizationAbstract
Decreased intestinal peristalsis due to anesthesia before laparotomy surgery can result in inhibition of nerve impulses to the intestinal muscles, paralytic ileus can occur and inhibition of the work of the intestine itself. The purpose of this study was to determine the effect of chewing gum and early mobilization on intestinal peristalsis after laparotomy surgery. The research design used a quasi-experimental. The sampling technique used purposive sampling with 32 respondents divided into 2 groups. The treatment group was given an intervention of chewing gum and early mobilization, while the control group was given an intervention according to standard operating hospital procedures, namely tilting right and left and given 2 spoons of drinking after the patient was fully conscious in the room. The independent variables were chewing gum and early mobilization. The dependent variable was intestinal peristaltic. This study used univariate analysis to determine the characteristics of respondents. The bivariate analysis used paired t test and independent t test. The paired t test in the pre-posttest in the control group was 0.000, while the pre-posttest in the treatment group was 0.000. Independent T test on the post-test of the treatment group with the post-test of the control group of 0.000. There was an effect of chewing gum and early mobilization intervention on intestinal peristalsis in post laparotomy patients. Chewing gum and early mobilization can stimulate hormones in the gastrointestinal system such as gastrin, secretin, gastric inhibitory polypeptide, cholecystokinin, motilin, and enteroglukagon which will increase intestinal peristalsisReferences
Arif, T., Fauziyah, M. N., & Astuti, E. S. (2022). Pengaruh Pemberian Edukasi Persiapan Pre Operatif Melalui Multimedia Video Terhadap Tingkat Kecemasan Pada Pasien Pre Operasi Elektif. Jurnal Ilmiah Kesehatan Media Husada, 11(2), 174–181. https://doi.org/10.33475/jikmh.v11i2.331
Arif, T., Roosyidah, H., Shindarti, G. M., & Sudjarwo, E. (2022). Pengaruh Mobilisasi Dini Terhadap Post Operative Nausea and Vomitting Pada Pasien Post Operasi Dengan General Anestesi Di Rumah Sakit Ngudi Waluyo Wlingi. Jurnal Ilmiah Kesehatan Media Husada, 11(1), 26–33. https://doi.org/10.33475/jikmh.v11i1.288
Bhatti, S., Malik, Y. J., Changazi, S. H., Rahman, U. A., Malik, A. A., Butt, U. I., Umar, M., Farooka, M. W., & Ayyaz, M. (2021). Role of Chewing Gum in Reducing Postoperative Ileus after Reversal of Ileostomy: A Randomized Controlled Trial. World Journal of Surgery, 45(4), 1066–1070. https://doi.org/10.1007/s00268-020-05897-1
Damayanti, G. E., & Syara, A. M. (2018). Pengaruh Mengunyah Permen Karet Terhadap Peristaltik Usus Pasien Post Appendiktomi. Jurnal Penelitian Keperawatan Medik, 1(1), 15–19. https://doi.org/10.36656/jpkm.v1i1.97
Dinas Kesehatan Provinsi Jawa Timur. (2019). Profil Kesehatan Provinsi Jawa Timur Tahun 2019. Dinas Kesehatan Provinsi Jawa Timur.
Elhamed, A. G. A., Osman, M. A., Mobarak, A. A., & Hussien, A. A. (2020). Efficacy of Chewing Gum versus Early Mobilization on Bowel Motility for Children After Abdominal Surgery. Assiut Scientific Nursing Journal, 8(20), 258–266.
Hamzah, T. (2019). Pengaruh Pemberian Permen Karet Terhadap Lama Waktu Menahan Rasa Haus Pasien yang Menjalani Hemodialisis di RSUD Dr. M. Halussy Ambon. Pasapua Health Journal, 1(1), 27–34.
Herman, A. (2019). Pengaruh Intervensi Keperawatan Kombinasi Chewing Gum Dan Mobilisasi Dini Terhadap Peningkatan Peristaltik Usus dan Flatus pada Pasien Post Seksio Sesarea di Rumah Sakit Kota Kendari. Jurnal Ilmiah Keperawatan, 13(1), 101–111.
Kementerian Kesehatan RI. (2020). Profil Kesehatan Indonesia Tahun 2019. Kementerian Kesehatan RI.
Kiik, S. M. (2017). Pengaruh Mobilisasi Dini Terhadap Waktu Pemulihan Peristaltik Usus Pada Pasien Pasca Operasi Abdomen di Ruang ICU RSUD Labuang Baji Makassar. Jurnal Kesehatan, 1(1), 13–20.
Larijani, B., Esfahani, M. M., Moghimi, M., Ardakani, M. R. S., Keshavarz, M., Kordafshari, G., Nazem, E., Ranjbar, S. H., Kenari, H. M., & Zargaran, A. (2016). Prevention and treatment of flatulence from a traditional Persian medicine perspective. Iranian Red Crescent Medical Journal, 18(4). https://doi.org/10.5812/ircmj.23664
Ledari, F. M., Barat, S., Delavar, M. A., Banihosini, S. Z., & Khafri, S. (2016). Chewing sugar-free gum reduces ileus after cesarean section in nulliparous women: a randomized clinical trial. Iranian Red Crescent Medical, 15(4), 330.
Li, S., Liu, Y., Peng, Q., Xie, L., Wang, J., & Qin, X. (2013). Chewing gum reduces postoperative ileus following abdominal surgery: A meta-analysis of 17 randomized controlled trials. Journal of Gastroenterology and Hepatology (Australia), 28(7), 1122–1132. https://doi.org/10.1111/jgh.12206
Mao, H. M., Tony, G., & Grady, O, G. (2019). Prolonged Postoperative Ileus Significantly Increases the Cost of Inpatient Stay for Patients Undergoing Elective Colorectal Surgery. Scientific Nursing Journal Diseases of the Colon & Rectum, 62(5), 631–637.
Niu, Z., Gao, X., Shi, Z., Liu, T., Wang, M., Guo, L., & Qi, D. (2021). Effect of total intravenous anesthesia or inhalation anesthesia on postoperative quality of recovery in patients undergoing total laparoscopic hysterectomy: A randomized controlled trial. Journal of Clinical Anesthesia, 73(99), 110374. https://doi.org/10.1016/j.jclinane.2021.110374
Rahayu, D., & Yunarsih, Y. (2019). Mobilisasi Dini Pada Ibu Post Op Sectio Caesarea. Jurnal Keperawatan, 11(2), 111–118.
Rekam Medis RSUD dr Soedomo. (2021). Jumlah Pasien Laparotomi Bulan Januari-Oktober.
Rezky, B., Atoy, P., & Hadi, I. (2019). Penerapan Teknik Range of Motion (ROM) Pada Pasien Stroke Dalam Pemenuhan Kebutuhan Aktivitas di RSUD Kota Kendari. Poltekkes Kemenkes Kendari.
Rismawati, D. (2015). Asuhan Keperawatan Dengan Penerapan Mobilisasi Dini Untuk Kemandirian Pasien Post SC di Ruang Bougenvile RSUD Kebumen. Stikes Muhammadiyah Gombong.
Rizky, A. A., Inayati, A., & keperawatan Dharma Wacana Metro, A. (2021). Appendiktomy Di Kota Metro Application Of Early Mobilization on the Process of Wound Healing in Patients with Appendictomi Post Operations In the City Metro. Jurnal Cendikia Muda, 1(4), 436–444.
Sitepu, A. L., Simarmata, P. C., Anggrareni, R. F., & Sipayung, S. T. (2021). Pengaruh Pemberian Mobilisasi Dini Terhadap Pemulihan Peristaltik Usus Pada Pasien Post Operasi Laparatomi Di Rumah Sakit Grandmed Lubuk Pakam. Jurnal Keperawatan Dan Fisioterapi (JKF), 4(1), 57–63.
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