Aylin Aydin Sayilan, PhD, is Assistant Professor, Surgical Nursing Department, The Faculty of Health Sciences, Kırklareli University, Kırklareli, Turkey.
Ezgi Seyhan AK, PhD, is Assistant Professor, Surgical Nursing Department, Florence Nightingale Nursing Faculty, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Gastroenterol Nurs. 2020 Nov/Dec;43(6):448-455. doi: 10.1097/SGA.0000000000000497.
Gum chewing is known to have a positive effect on intestinal motility. Most studies have examined its effect on ileus, but there has been no discussion of the effects of polyethylene glycol used in preparation for colonoscopy. The purpose of this study was to determine the effect of gum chewing on abdominal pain and nausea caused by polyethylene glycol solution used for intestinal cleansing before colonoscopy. The study was planned as a single-center, randomized, controlled experimental study. The research sample was determined using power analysis (n = 60). Consecutive patients undergoing colonoscopy were randomized into the experimental and control groups. Patients in the gum group chewed mint-flavored sugar-free gum for 20 minutes every 2 hours until the start of colonoscopy after consuming 2 L of polyethylene glycol solution. Patients in the control group drank only polyethylene glycol solution. Examination of precolonoscopy pain and nausea revealed a statistically significant difference in the gum chewing group (p < .05). Patients using sugar-free gum experienced statistically significant fewer problems after colonoscopy. Gum chewing had a positive effect on abdominal pain and nausea. There are no drawbacks to presolution chewing, and it may be recommended for patients.
咀嚼口香糖被认为对肠道蠕动有积极影响。大多数研究都检查了其对肠梗阻的影响，但尚未讨论结肠镜检查准备中使用的聚乙二醇的影响。本研究旨在确定在结肠镜检查前使用聚乙二醇溶液进行肠道清洁时，咀嚼口香糖对腹痛和恶心的影响。该研究计划为单中心、随机、对照实验研究。使用功效分析确定研究样本（n = 60）。连续接受结肠镜检查的患者被随机分为实验组和对照组。口香糖组患者在饮用 2 L 聚乙二醇溶液后，每 2 小时咀嚼薄荷味无糖口香糖 20 分钟，直至结肠镜检查开始。对照组患者仅饮用聚乙二醇溶液。结肠镜检查前疼痛和恶心的检查显示，在咀嚼口香糖组中存在统计学显著差异（p <.05）。使用无糖口香糖的患者在结肠镜检查后出现的问题明显减少。咀嚼口香糖对腹痛和恶心有积极影响。在解决方案之前咀嚼没有缺点，因此可以推荐给患者。
