IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-6-5-11015 Original Research Paper An experimental study to evaluate the effectiveness of chewing gum on gastrointestinal motility in terms of return of bowel sounds, passage of first flatus, tolerance of oral feeds and passage of stool after abdominal surgery among adult patient in selected hospital of Delhi. H. Vungngaihmawi Dr. May 2017 6 5 01 02 ABSTRACT

 An experimental study was conducted to evaluate the effectiveness of chewing gum on gastrointestinal motility in terms of return of bowel sounds, passage of first flatus, tolerance of oral feeds, and passage of stool after abdominal surgery among adult patient in selected hospital of Delhi. Pre–test Post–test Control Group Design was adopted for the research study. The sample comprised of 60 patients. Each patient was assigned into two groups by odd even method: Experimental group (n=30). The tools used were Semi–structured Performa and Observational checklist. The study was conducted in the surgical wards of VMMC & Safdarjung hospital, New Delhi from 15th December 2013 to 8th January 2014. Data on demographic characteristics was collected one day before operation. After 8 hours of operation, pre– test observation of return of gastrointestinal motility was done for both the experimental and control group. The experimental groups were administered chewing gum after 8 hours of surgery for 15 to 30 minutes. Patients were instructed not to swallow and to stay awake while chewing the gum. After chewing the gum, patients were examined by the investigators for return of gastrointestinal motility and for any undue problems. The intervention was repeated every 8 hours till the return of gastrointestinal motility or up to 5th postoperative day, whichever is earlier.  The mean post test score on return of first bowel sounds, passage of first flatus, tolerance of oral feeds and passage of stool was significantly higher in the experimental group as compared to the control patients as per t test. There was no significant association of return of gastrointestinal motility with selected demographic variables – age, gender, personal habits, body mass index, bowel habits, co–morbid condition, diagnosis and the surgical approach. Therefore, it can be concluded that chewing gum administration after abdominal surgery is an effective method for early return of gastrointestinal motility. Chewing gum aids in early recovery from postoperative ileus and is an inexpensive, simple, effective and alternative therapy for promoting the bowel function.