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

Study Overview
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Brief Summary
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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.

Official Title
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The Effect of Early Mobilization With Tea, Coffee and Warm Water Consumption on Bowel Movements in Patients Undergoing Laparoscopic Cholecystectomy Surgery

Conditions
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Cholelithiases, Nursing Caries, Perioperative Complication, Bowel Ileus

Intervention / Treatment
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* Other: Early mobilization and tea consumption
* Other: Early mobilization and coffee consumption
* Other: Early mobilization and warm water consumption
* Other: Ongoing treatment


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Tea Group<br>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. | Other: Early mobilization and tea consumption<br>* 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.<br>|
| Experimental: Coffee Group<br>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. | Other: Early mobilization and coffee consumption<br>* 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.<br>|
| Experimental: Warm Water Group<br>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. | Other: Early mobilization and warm water consumption<br>* 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.<br>|
| Active Comparator: Control Group<br>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. | Other: Ongoing treatment<br>* The first mobilization and oral intake of the patients in the control group started at the 8th hour.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| First flatus time | The patient's first flatus output time was questioned. The hour reported by the patient was evaluated as the time of first flatus. | up to 24 hours after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mobilization time | The duration of mobilization for the first 24 hours after surgery were evaluated with Patient Mobilization Follow-up Form. | up to 24 hours after surgery | 
| First defecation time | The patient's first defecation time was questioned. The hour reported by the patient was evaluated as the time of first defecation. | up to 24 hours after surgery | 
| Bowel movements | Bowel movements were listened to with the same stethoscope, by dividing the abdomen into four quadrants and evaluating each quadrant. The number of the intestinal sounds in one minute were counted and recorded. | up to 8 hours after surgery | 
| Length of stay in hospital | the length of hospital stay (throughout their hospital stay, average of 2 days) | average of 2 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Tea, Laparoscopic cholecystectomy, Early mobilization, Coffee, Water consumption, Intestines, Nursing