The Effect of Early Mobilization and Fluid Consumption on Bowel Movements After Cholecystectomy
Condition: Cholelithiases; Nursing Caries; Perioperative Complication; Bowel Ileus
MeSH terms: Cholelithiasis; Cholecystolithiasis; Gallstones
Study type: Interventional

Summary: 
      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.
    


Intervention name(s): Early mobilization and tea consumption; Early mobilization and coffee consumption; Early mobilization and warm water consumption; Ongoing treatment
Intervention type(s): Other; Other; Other; Other
Intervention description(s): At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of tea (black tea 2 g, caffeine amount: 45-55 mg/150 ml) within 15 minutes. A thermos cup is used to prevent the heat loss of the beverage. Patients were supported by the investigator for early mobilization from the 4th hour after surgery. After the surgery, the first mobilization of the patients is in the form of walking in the patient room of 10 meters (5 meters going and 5 meters returning). According to Enhanced Recovery After Surgery protocols, it is aimed for the patient to walk for at least 2 hours after surgery.; At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of coffee (ınstant coffee 2 g, caffeine amount: 60/80 mg/150 ml) within 15 minutes. A thermos cup is used to prevent the heat loss of the beverage. Patients were supported by the investigator for early mobilization from the 4th hour after surgery. After the surgery, the first mobilization of the patients is in the form of walking in the patient room of 10 meters (5 meters going and 5 meters returning). According to Enhanced Recovery After Surgery protocols, it is aimed for the patient to walk for at least 2 hours after surgery.; At the 4th hour postoperatively, the patients in the tea group were first mobilized after drinking 200 ml of warm water (37 centigrade) within 15 minutes. A thermos cup is used to prevent the heat loss of the beverage. Patients were supported by the investigator for early mobilization from the 4th hour after surgery. After the surgery, the first mobilization of the patients is in the form of walking in the patient room of 10 meters (5 meters going and 5 meters returning). According to Enhanced Recovery After Surgery protocols, it is aimed for the patient to walk for at least 2 hours after surgery.; The first mobilization and oral intake of the patients in the control group started at the 8th hour.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Prevention
Keywords: Laparoscopic cholecystectomy; Early mobilization; Tea; Coffee; Water consumption; Intestines; Nursing