{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T19:16:06Z","timestamp":1781118966829,"version":"3.54.1"},"reference-count":49,"publisher":"Wiley","issue":"13-14","license":[{"start":{"date-parts":[[2013,4,13]],"date-time":"2013-04-13T00:00:00Z","timestamp":1365811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To determine the effects of chewing gum, early oral hydration and early mobilisation on the time of first bowel sounds, first passage of flatus and first defecation following abdominal gynaecologic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>A major complication of abdominal surgical procedures is paralytic ileus which results in patient discomfort, prolonged length of hospital stay and increased cost of treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective randomised case\u2013control study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women who underwent abdominal gynaecological surgery for benign disorders under general anaesthesia were randomised into eight groups according to different combinations of interventions consisting of chewing gum, early oral hydration and early mobilisation. The effects of these interventions on the time of first bowel sounds, first passage of flatus and first defecation following abdominal gynaecologic surgery were investigated. The data were analysed using chi\u2010square tests, <jats:italic>t<\/jats:italic>\u2010test for independent samples, <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>ukey's <jats:styled-content style=\"fixed-case\">HSD<\/jats:styled-content> test, pairwise comparison test, one\u2010way analysis of variance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>It was found that the time when bowel sounds were heard was shorter, the time first passage of flatus was shorter and first defecation occurred earlier in the 1st group of women who chew gum, were hydrated orally and were mobilised early after surgery than the other groups. It was also determined that these periods were longest in the women who did not receive any intervention and received the routine hospital care when compared with other groups. Duration of hospital stay was shorter in the women who chew gum, were hydrated orally and were mobilised early than the other groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Early oral feeding, early mobilisation and chewing gum are effective methods in terms of preventing paralytic ileus following abdominal gynaecological surgery, improving patient comfort and shortening the duration of hospitalisation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>Nurses may cause early recovery, improve the patient comfort, prevent paralytic ileus and shorten the duration of hospitalisation after gynaecologic abdominal surgery by recommending gum chewing, early mobilisation and early hydration.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12172","type":"journal-article","created":{"date-parts":[[2013,4,13]],"date-time":"2013-04-13T06:14:45Z","timestamp":1365833685000},"page":"1917-1925","source":"Crossref","is-referenced-by-count":30,"title":["Multimodal interventions (chewing gum, early oral hydration and early mobilisation) on the intestinal motility following abdominal gynaecologic surgery"],"prefix":"10.1111","volume":"22","author":[{"given":"Fusun","family":"Terzioglu","sequence":"first","affiliation":[{"name":"Faculty of Nursing Hacettepe University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sevgi","family":"\u015eimsek","sequence":"additional","affiliation":[{"name":"Gynecologic Unit Hacettepe University Adult Hospital Sihhiye Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kubra","family":"Karaca","sequence":"additional","affiliation":[{"name":"Gynecologic Unit Hacettepe University Adult Hospital Sihhiye Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilay","family":"Sariince","sequence":"additional","affiliation":[{"name":"Gynecologic Unit Hacettepe University Adult Hospital Sihhiye Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pinar","family":"Altunsoy","sequence":"additional","affiliation":[{"name":"Gynecologic Unit Hacettepe University Adult Hospital Sihhiye Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet Coskun","family":"Salman","sequence":"additional","affiliation":[{"name":"Obstetric and Gynecologic Department Hacettepe University Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,4,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02225.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(02)01179-1"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6145-9"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.SGA.0000338278.40412.df"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-199802000-00002"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000539-200106000-00049"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000117822"},{"key":"e_1_2_7_9_1","first-page":"Art No: CD00450","article-title":"Early versus delayed oral fluids and food for reducing complications after major abdominal gynaecologic surgery","volume":"4","author":"Charoenkwan K","year":"2007","journal-title":"Cochrane Database Systematic Review"},{"key":"e_1_2_7_10_1","unstructured":"\u00c7\u0131narV(2005)Bat\u0131n ameliyat\u0131 ge\u00e7iren hastalarda erken ambulasyonun ba\u011f\u0131rsak fonksiyonlar\u0131na etkisinin de\u011ferlendirilmesi [Evaluate the Effect of Early Ambulation to Bowel Function in Patients Undergoing Abdominal Surgery]. 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