Postoperative Ileus and Nonpharmacological Nursing Interventions for Colorectal Surgery: A Systematic Review

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2025-02-01 DOI:10.1016/j.jopan.2024.03.012

Hande Nur Arslan RN , Sevilay Şenol Çelik PhD, RN , Gamze Bozkul RN

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引用次数: 0

Abstract

Purpose

This review evaluates nonpharmacological interventions for postoperative ileus (POI) prevention and treatment.

Design

We systematically reviewed articles from various databases between January 2012 and February 2023 on POI prevention in colorectal surgery patients, emphasizing nursing interventions.

Methods

Inclusion was based on criteria such as language (English or Turkish), date range, and study type. The risk of bias was evaluated using Cochrane's RoB2 tool.

Findings

Of the 3,497 articles found, 987 unique articles were considered. After title and abstract reviews, 977 articles were excluded, leaving 52 randomized controlled trials for examination. Common interventions included chewing gum, early hydration, acupuncture, and coffee consumption. Compared to control groups, intervention groups had quicker bowel function return, shorter hospital stays, fewer complications, and enhanced quality of life.

Conclusion

Nondrug nursing interventions post colorectal surgery can effectively mitigate POI, optimize bowel function, and boost patient satisfaction, warranting their incorporation into post-surgery care protocols.

查看原文本刊更多论文

结直肠手术术后回肠梗阻与非药物护理干预：系统回顾。

目的：这篇综述评估了预防和治疗术后回肠梗阻（POI）的非药物干预措施：我们系统地回顾了 2012 年 1 月至 2023 年 2 月期间来自各种数据库的有关结直肠手术患者 POI 预防的文章，其中强调了护理干预措施：纳入标准包括语言（英语或土耳其语）、日期范围和研究类型。使用 Cochrane 的 RoB2 工具对偏倚风险进行评估：在找到的 3497 篇文章中，有 987 篇文章被认为是独一无二的。在对标题和摘要进行审查后，977 篇文章被排除在外，剩下 52 项随机对照试验供研究。常见的干预措施包括咀嚼口香糖、早期补水、针灸和饮用咖啡。与对照组相比，干预组的肠道功能恢复更快，住院时间更短，并发症更少，生活质量更高：结肠直肠手术后的非药物护理干预可有效缓解 POI、优化肠道功能并提高患者满意度，值得将其纳入手术后护理方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.