Journal of Perianesthesia Nursing最新文献

{"title":"Prediction of Postoperative Sore Throat in Patients After Day-case Surgery With General Anesthesia: A Retrospective Study","authors":"Zijun Zhou MD ,&nbsp;Linglin Gao MD ,&nbsp;Zhu Lv MD ,&nbsp;Linyao Chen BD ,&nbsp;Kuan Lu MD ,&nbsp;Jinxia Cai MD ,&nbsp;Jiehao Sun MD ,&nbsp;Xiaodan Chen MD","doi":"10.1016/j.jopan.2024.03.022","DOIUrl":"10.1016/j.jopan.2024.03.022","url":null,"abstract":"<div><h3>Purpose</h3><div>Postoperative sore throat (POST) is a major complaint after day-case surgery. The objectives of this study were to investigate the risk factors for POST and develop a stratified nursing model for POST after day-case surgery.</div></div><div><h3>Design</h3><div>This case-control study was conducted at Department of Anesthesiology of 1st Affiliated Hospital of Wenzhou Medical University in Wenzhou, Zhejiang, China.</div></div><div><h3>Methods</h3><div>Anesthesia records and postanesthesia care files of adult patients undergoing day-case surgery with general anesthesia were reviewed. The primary outcome was the incidence of POST at 24 hours after day-case surgery or before discharge within 24 hours. Multivariate logistics regression was used to identify risk factors for POST. A nomogram was created to predict the probability of POST after day-case surgery.</div></div><div><h3>Findings</h3><div>A total of 9,312 records were retrieved from June 1, 2021 to April 30, 2022, including 8,499 files in the training group and 813 files in the validation group. One thousand five hundred and twenty-five cases in the training group experienced POST. The independent risk factors for POST included: thyroid surgery (odds ratios [OR] = 22.42, 95% confidence intervals [CI]: 18.45 to 27.25), shorter thyromental distance (OR = 1.18, 95% CI: 1.06 to 1.30), smaller neck circumference (OR = 1.09, 95% CI: 1.06 to 1.11), duration of anesthesia (OR = 1.13, 95% CI: 1.04 to 1.22), female (OR = 1.66, 95% CI: 1.41 to 1.96), age (OR = 0.99, 95% CI: 0.99 to 1.00) and the presence of bloody sputum (OR = 8.33, 95% CI: 6.53 to 10.63). A nomogram that involved five factors was established to predict the probability of POST after day-case surgery. The area under the receiver operating characteristic curve in the training and validation groups was 0.77 and 0.81, respectively. The calibration curve demonstrated good consistency between the actual POST and the predicted probability.</div></div><div><h3>Conclusions</h3><div>The following variables are independently associated with POST: thyroid surgery, age approaching to 40 years old, female, shorter thyromental distance and smaller neck circumference, longer duration of anesthesia, and the presence of bloody sputum. A novel stratified nursing model is feasible for predicting the probability of POST.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 107-113"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Preoperative Oral Carbohydrates on Recovery After Laparoscopic Cholecystectomy: A Meta-analysis of Randomized Controlled Trials","authors":"Xiao-Han Wang MM ,&nbsp;Ze-Yang Wang MM ,&nbsp;Zheng-Ru Shan MM ,&nbsp;Rui Wang MM ,&nbsp;Zhi-Ping Wang PhD","doi":"10.1016/j.jopan.2024.03.007","DOIUrl":"10.1016/j.jopan.2024.03.007","url":null,"abstract":"<div><h3>Purpose</h3><div>The objective of this meta-analysis was to evaluate the efficacy of administering preoperative oral carbohydrates (CHO) compared to a control treatment in improving postoperative recovery outcomes for patients undergoing laparoscopic cholecystectomy (LC).</div></div><div><h3>Design</h3><div>A meta-analysis of randomized controlled trials.</div></div><div><h3>Methods</h3><div>Through systematic searches in PubMed, Embase, and the Cochrane Library, randomized controlled trials focusing on preoperative oral carbohydrates for patients undergoing LC were collected. Data analysis was conducted using the Revman 5.3 software.</div></div><div><h3>Findings</h3><div>The meta-analysis incorporated 19 randomized studies, with a total of 1,568 participants. Meta-analysis results indicated that patients receiving CHO reported notably lower postoperative pain compared to those fasting (<em>P</em> = .006) or on placebo (<em>P</em> = .003). Furthermore, a significant reduction in preoperative hunger was observed in the CHO group compared to the controls (<em>P</em> = .002). A notable difference was also identified in the postoperative Homeostasis Model Assessment-IR changes between the CHO and control groups (<em>P</em> = .02). No significant variations were observed in thirst, postoperative nausea and vomiting, insulin level alterations, glucose level changes, duration of hospital stay, or recovery quality.</div></div><div><h3>Conclusions</h3><div>Preoperative oral carbohydrates may alleviate hunger and pain, and attenuate postoperative insulin resistance more effectively than either overnight fasting or placebo in patients undergoing LC.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 169-180"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Call for 2026 Conference Speakers / Breathline Online","authors":"","doi":"10.1016/S1089-9472(25)00022-X","DOIUrl":"10.1016/S1089-9472(25)00022-X","url":null,"abstract":"","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Page 5"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bibliometric Analysis on Cholecystectomy Surgery in the Nursing Field","authors":"Pinar Tunc Tuna PhD","doi":"10.1016/j.jopan.2024.03.026","DOIUrl":"10.1016/j.jopan.2024.03.026","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to bibliometrically examine nursing publications regarding cholecystectomy surgery.</div></div><div><h3>Design</h3><div>The study is a bibliometric analysis.</div></div><div><h3>Methods</h3><div>The study was conducted in the Web of Science database. The keywords “cholecystectomy AND nursing” were used during the scanning. The data were evaluated in quantitative aspects.</div></div><div><h3>Findings</h3><div>In the study, 481 publications were identified, publications were made between 1987 and 2023, the average number of years since the release of the publication was 10.2, and the annual increase rate was 8.19%. The most active country was the United States, and the journal most often published in was the “<em>Journal of Perianesthesia Nursing</em>.” In the last 3 years, the themes of “meta-analysis, complication, pain, anxiety, quality of life” have been trending, the most working and continuing to develop our “laparoscopic cholecystectomy” and “pain” themes, and the leading theme in the field was “anxiety”.</div></div><div><h3>Conclusions</h3><div>This study is the first bibliometric study examining nursing studies on cholecystectomy and provides a comprehensive overview of cholecystectomy and nursing issues over 36 years. In quantitative data, it was concluded that although studies in this field have a long history, the number of publications is low, and the annual growth rate is low. According to the quantitative evaluation results, it was found that the most studied topic in this field was laparoscopic cholecystectomy and pain, minimally invasive intervention and perioperative period topics remained isolated, and computerized tomography and gallbladder themes were among the newly emerging themes.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 134-139"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Modified Thoracoabdominal Nerves Block Through Perichondral Approach: A Systematic Review and Meta-analysis","authors":"Insun Park MD, PhD ,&nbsp;Jae Hyon Park MD, PhD ,&nbsp;Chang-Hoon Koo MD, PhD ,&nbsp;Jin-Hee Kim MD, PhD ,&nbsp;Bon-Wook Koo MD, PhD ,&nbsp;Jung-Hee Ryu MD, PhD ,&nbsp;Ah-Young Oh MD, PhD","doi":"10.1016/j.jopan.2024.03.014","DOIUrl":"10.1016/j.jopan.2024.03.014","url":null,"abstract":"<div><h3>Purpose</h3><div>This systematic review and meta-analysis aimed to investigate the postoperative analgesic efficacy and safety of the modified thoracoabdominal nerve block through the perichondral approach (M-TAPA) in abdominal surgeries.</div></div><div><h3>Design</h3><div>Systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>We searched electronic databases to identify relevant studies comparing M-TAPA with conventional analgesic techniques. The primary outcome was the requirement for rescue analgesia at 12 and 24 hours postsurgery. Secondary outcomes included the 11-point numerical rating scale pain scores at 0, 1, 2, 4, 6, 8, 12, and 24 hours following surgery, global quality of recovery scores, and postoperative adverse events.</div></div><div><h3>Findings</h3><div>Five randomized controlled trials involving 308 patients were analyzed. M-TAPA showed no significant difference in the requirement for rescue analgesia at 12 hours (relative risk [RR]: 0.87; 95% confidence interval [CI]: 0.62, 1.22; <em>P</em> = .424; <em>I</em>² = 40.7%; <em>P</em>_h = .185) and 24 hours (RR: 0.67; 95% CI: 0.22, 1.99; <em>P</em> = .252; <em>I</em>² = 90.3%; <em>P</em>_h &lt; .001) postsurgery compared to non-M-TAPA. No significant differences in numerical rating scale pain scores or global quality of recovery scores were found between the two groups (all <em>P</em> &lt; .05). However, M-TAPA was associated with a lower occurrence of nausea (RR: 0.37; 95% CI: 0.22, 0.68; <em>P</em> &lt; .001; <em>I</em>² = 0%; <em>P</em>_h = .834), vomiting (RR: 0.32; 95% CI: 0.17, 0.62; <em>P</em> &lt; .001; <em>I</em>² = 0%; <em>P</em>_h = .884), and itching (RR: 0.38; 95% CI: 0.21, 0.70; <em>P</em> = .002; <em>I</em>² = 0%; <em>P</em>_h = .826).</div></div><div><h3>Conclusions</h3><div>There was no significant difference in analgesic efficacy and safety between M-TAPA and non-M-TAPA techniques.</div></div>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":"40 1","pages":"Pages 205-212"},"PeriodicalIF":1.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric Nurses' Knowledge About Childhood Autism and Difficulties They Face During Nursing Practices in Turkey.","authors":"Duygu Kemer, Filiz Solmaz, Fethiye Kılıçaslan, Hülya Karataş","doi":"10.1016/j.jopan.2024.10.021","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.021","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of the research study is to examine the knowledge levels of nurses working in pediatric clinics about childhood autism, the influencing factors, and the difficulties they experience while caring for these children.</p><p><strong>Design: </strong>This study was conducted as descriptive and cross-sectional.</p><p><strong>Methods: </strong>The sample of this cross-sectional study comprised 195 nurses working in pediatric clinics. The research data were collected using the \"Descriptive Characteristics Questionnaire\" and the \"Knowledge About Childhood Autism Among Health Workers (KCAHW) Questionnaire.\" The data were analyzed with a linear regression model in the IBM SPSS v23 program.</p><p><strong>Findings: </strong>The average knowledge score of nurses about childhood autism was 11.49 ± 4.26 (out of 19). Gender and previous exposure to a child suspected of having autism significantly affected the KCAHW score (P < .001). The rate of nurses who experienced difficulties while caring for children with autism was 30.8%. Of the nurses who experienced difficulties while caring for children with autism, 35.9% experienced difficulties in invasive procedures, 32.8% in communicating with the child, 26.7% in taking samples from the child, and 22.1% in drug administration. A large majority of nurses (90.8%) reported that separate physical areas were needed in hospitals to intervene in children with autism.</p><p><strong>Conclusions: </strong>The recommendation is that pediatric nurses are trained about childhood autism and that studies are conducted to organize clinical settings for nursing practices.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Nursing Risk Inventory and Evaluation of Efficiency in Transurethral Resection of the Prostate Syndrome.","authors":"Büşra Şahin, Rahşan Çam, Mehmet Dündar","doi":"10.1016/j.jopan.2024.09.002","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.09.002","url":null,"abstract":"<p><strong>Purpose: </strong>To develop a nursing risk assessment inventory and evaluate its effectiveness in transurethral resection of the prostate (TUR-P) syndrome.</p><p><strong>Design: </strong>A cross-sectional methodological study using inventory development and verification phases.</p><p><strong>Methods: </strong>A methodological research study within the scope of a PhD thesis was performed in 3 phases between December 2019 and September 2021 with 154 patients in the Urology Operating Room of Aydın Adnan Menderes University Hospital in Turkey. The first phase involved inventory development-according to expert opinions-and data collection. The second phase involved performing validity and reliability analyses. The third phase involved translation of the inventory from Turkish to English. TUR-P Syndrome Risk Evaluation Inventory, preoperative, postoperative period neurological, and circulatory features were examined in terms of TUR-P syndrome according to blood results at risk patients were identified. In content validity analysis, Fleiss' kappa statistic was performed according to Lawshe's technique that was used to study the construct validity.</p><p><strong>Findings: </strong>Content and reliability analysis revealed that the nursing risk assessment inventory is a valid and reliable scale. The content validity ratio was determined as 0.81. According to the construct validity analysis, Wilk's lambda value was 0.77 (χ² = 36.68, degree of freedom = 13, P = .001). Inventory risk score calculation formula was determined according to results from the discriminant analysis. The risk status of a patient for TUR-P syndrome can be decided according to the absolute value of the discriminant function. Reliability analysis based on expert opinions showed that Fleiss kappa value was k = 0.812 (z = 31.846, P = .00) and risk/no risk classification kappa value was k = 0.724 (z = 28.424, P = .00).</p><p><strong>Conclusions: </strong>The nursing risk assessment inventory for TUR-P syndrome is a valid, reliable, and objective measurement tool. Using this 14-item inventory with 2 categories (7 items in the circulation and neurology scales each), nurses can evaluate the patient's risk status during TUR-P surgery and take postoperative precautions.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of IDEAS Preoperative Visit Mode on Postoperative Rehabilitation of Patients Undergoing Laparoscopic Cholecystectomy: A Randomized Clinical Trial.","authors":"Chenyang Li, Huamei Yu, Jinyan Wen, Lingling Li","doi":"10.1016/j.jopan.2024.09.009","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.09.009","url":null,"abstract":"<p><strong>Purpose: </strong>The IDEAS model was used to investigate and analyze the preoperative visit needs of patients with LC, establish the preoperative visit plan, and confirm the impact of preoperative visit on the rapid postoperative recovery of patients with LC, providing strong evidence for the application and promotion of new forms of preoperative visit.</p><p><strong>Design: </strong>Randomized controlled clinical trial.</p><p><strong>Method: </strong>In this study, 176 patients with LC in the Department of Hepatobiliary Surgery of a top-3 hospital in Inner Mongolia from June 2023 to December 2023 were included. The control group (88 routine visits) were enrolled according to the order of admission. The experimental group (88 collaborative routine supervision) using visual analog scale (Visual Analogue Scale/Score, VAS),postoperative rehabilitation related index were analyzed.</p><p><strong>Findings: </strong>The pain scores of the experimental group at 0, 4, 12, and 24 hours after intervention were lower than those of the control group (P < .01), and there was no significant difference in the time of first feeding and first defecation between the 2 groups (P > .05). The first exhaust, the first getting out of bed and the length of hospital stay in the experimental group were shorter than those in the control group (P < .01), and the complication rate between the 2 groups was not statistically significant (P > .05).</p><p><strong>Conclusions: </strong>The construction of IDEAS model for preoperative visit plan can achieve pre-emptive analgesia, reduce postoperative pain, promote rapid postoperative recovery of patients, meet the development needs of rapid rehabilitation medical treatment, and provide strong evidence for the application and promotion of new forms of preoperative visit, which has clinical application value.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safe Pediatric Surgery: Turkish Adaptation of the Road to My Surgery Preoperative Checklist.","authors":"Aslı Akdeniz Kudubes, Hamide Zengin, Özge Öztürk, Murat Bektas","doi":"10.1016/j.jopan.2024.10.016","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.016","url":null,"abstract":"<p><strong>Purpose: </strong>This study was conducted to evaluate the Turkish adaptation of the Road to My Surgery Preoperative Checklist.</p><p><strong>Design: </strong>A methodological, correlational, and comparative study.</p><p><strong>Methods: </strong>This study was conducted with 125 children between July 2022 and December 2023. Data were collected using an information form and the Road to My Surgery Preoperative Checklist. To evaluate the data, various analyses were performed, including content validity analysis, Kuder-Richardson 20 analysis, intraclass correlation analysis, upper and lower 27% group analysis, and item-total score correlation.</p><p><strong>Findings: </strong>The Kuder-Richardson 20 reliability coefficient of the Road to My Surgery Preoperative Checklist was 0.715 and the intraclass correlation coefficient was 0.627. The item-total score correlation coefficients of the checklist items were between 0.099 and 0.836. A difference was found between the scale total mean scores of children in the upper 27% group and children in the lower 27% group (P < .005).</p><p><strong>Conclusions: </strong>The Road to My Surgery Preoperative Checklist is a valid and reliable measurement tool for the Turkish sample.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Chewing Xylitol Gum on Restoring Postoperative Bowel Activity After Laparoscopic Cholecystectomy: A Three-arm Randomized Controlled Trial.","authors":"Esra Özkan, Tuna Albayrak","doi":"10.1016/j.jopan.2024.10.010","DOIUrl":"https://doi.org/10.1016/j.jopan.2024.10.010","url":null,"abstract":"<p><strong>Purpose: </strong>The aim in the present study was to evaluate the effects of chewing postoperative xylitol gum on gastrointestinal functional recovery after laparoscopic cholecystectomy.</p><p><strong>Design: </strong>A three-arm randomized controlled trial.</p><p><strong>Methods: </strong>After a baseline assessment, participants were randomly assigned in three groups. The random assignment was performed by using a computer program (Microsoft Excel 2016). Afterward, participants were categorized into three subgroups. Group 3 was the control group that consisted of participants who had no intervention for chewing gum (n = 25). Group 2 was xylitol-free gum chewing group (n = 25), whereas Group 1 was xylitol gum chewing group (n = 24). In later phases, the time to first postsurgical flatus, time to first bowel sound after surgery, time to first postsurgical defecation, time to first mobilization after surgery, and discharge time from hospital were recorded. Nausea and vomiting, which are among the postoperative symptoms, were also evaluated.</p><p><strong>Findings: </strong>The duration of the control group from the end of surgery to the flatulence and bowel sounds was statistically higher than the xylitol group and xylitol-free group (all P < .05). Also, first postoperative flatulence time of xylitol-free group was higher than the xylitol group (P < .05). The duration from the end of surgery to defecation was longer in the control group compared with the xylitol group and the xylitol-free group, with a statistically significant difference between the groups (P < .05). In this study, a statistically significant difference was observed in terms of the time to first postsurgical flatus, time to first bowel sound after surgery, and time to first postsurgical defecation (all P < .000). No significant difference was found between the xylitol group, xylitol-free group, and control group when discharge from hospital and mobilization times were analyzed (all of them are P > .05).</p><p><strong>Conclusions: </strong>Chewing xylitol gum facilitates postoperative gastrointestinal recovery after laparoscopic cholecystectomy. Further studies are recommended to confirm these findings and investigate the underlying mechanisms.</p>","PeriodicalId":49028,"journal":{"name":"Journal of Perianesthesia Nursing","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}