The Effect of Early Mobilization and Fluid Consumption on Bowel Movements After Cholecystectomy

Gazi University

Status: Completed

Conditions: Perioperative Complication; Bowel Ileus; Cholelithiases; Nursing Caries

Treatments: Other: Early mobilization and tea consumption; Other: Early mobilization and warm water consumption; Other: Early mobilization and coffee consumption; Other: Ongoing treatment

Study type: Interventional

Funder types: Other

Identifiers

NCT05800886

GaziU-SBF-BI-1

Details and patient eligibility

About

Objective: The aim of this study was 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.

Design: The study was a single-center, parallel, randomized, controlled trial. Setting: This study was carried out in the general surgery clinic of a university hospital in Türkiye.

Metod: The participants were randomized into four equal groups: tea, coffee, arm water and control. 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. Data were collected with "Patient Information Form", "Glasgow Coma Scale", "Patient Mobilization Follow-up Form" and "Patient Undergone Laparoscopic Cholecystectomy Surgery Follow-Up Form".

Hypothesis:

H0-a: Early mobilization and tea consumption have no effect on the first flatulence time in patients who have undergone laparoscopic cholecystectomy surgery.

H0-b: Early mobilization and coffee consumption have no effect on the first flatulence time in patients who have undergone laparoscopic cholecystectomy.

H0-c: Early mobilization and consumption of warm water have no effect on the initial flatulence time in patients who have undergone laparoscopic cholecystectomy.

Enrollment: 76 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• To agree to participate in the study
• To be the age is between 18 and 65 years old
• To undergone laparoscopic cholecystectomy surgery
• To have American Society of Anesthesiologists (ASA) classification I or II

Exclusion criteria

• To have a history of cesarean section, hysterectomy, extensive intra-abdominal surgery
• To have metastatic disease, inflammatory bowel disease
• To use drugs that may affect intestinal functions due to systemic diseases
• To known allergy or sensitivity to coffee/caffeine
• To having difficulty swallowing
• To have mental disability or perception problems
• To have a barrier to communication

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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76 participants in 4 patient groups

Tea Group

Experimental group

Description:

At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of tea within 15 minutes. Patients were supported by the investigator for early mobilization from the 4th hour after surgery.

Treatment:

Other: Early mobilization and tea consumption

Coffee Group

Experimental group

Description:

At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of coffee within 15 minutes. Patients were supported by the investigator for early mobilization from the 4th hour after surgery.

Treatment:

Other: Early mobilization and coffee consumption

Warm Water Group

Experimental group

Description:

At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of warm water within 15 minutes. Patients were supported by the investigator for early mobilization from the 4th hour after surgery.

Treatment:

Other: Early mobilization and warm water consumption

Control Group

Active Comparator group

Description:

The first mobilization and oral intake of the patients in the control group started at the 8th hour. Control group didn't receive any intervention. Participants received usual care from health professionals.

Treatment:

Other: Ongoing treatment