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

Sponsor

Eskisehir Osmangazi University (Other)

Overall Status

Completed

CT.gov ID

NCT04466319

Collaborator

(none)

Enrollment

Location

Arms

14.6

Actual Duration (Months)

4.1

Patients Per Site Per Month

Study Details

Study Description

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".

Condition or Disease	Intervention/Treatment	Phase
Postoperative Ileus	Other: Rocking Chair	N/A

Detailed Description

Inclusion Criteria

Accepting 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 ASA (American Society of Anesthesiology) classification I or II

Exclusion Criteria

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

Study Design

Study Type:

Interventional

Actual Enrollment :

60 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

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 defecationA 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

Masking:

None (Open Label)

Primary Purpose:

Other

Official Title:

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

Actual Study Start Date :

Mar 15, 2019

Actual Primary Completion Date :

Jul 15, 2019

Actual Study Completion Date :

Jun 1, 2020

Arms and Interventions

Arm	Intervention/Treatment
Experimental: intervention arm 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 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.
No Intervention: Control arm The individuals in the control group sat in a standard chair in the same time as the intervention group in the non-rocking chair.

Arm

Intervention/Treatment

Experimental: intervention arm

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

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.

No Intervention: Control arm

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

Outcome Measures

Primary Outcome Measures

time to report of first flatus [Defined as the first time hear the bowel sound after surgery1-5 days]
Defined as the first time flatus happens
time to report of first defecation [End of surgery to the first defecation 1-7 days]
Defined as the first time defecation happens.

Secondary Outcome Measures

length of postoperative hospitalization [End of surgery to hospital discharge 5-7 days]
Defined as the length hospitalization after surgery

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 80 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

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

Exclusion Criteria:

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