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Research Paper | Nursing | India | Volume 13 Issue 7, July 2024 | Rating: 4.3 / 10
Effectiveness of Gum Chewing on PEG Related Intake Adherence, GI Side Effects, and Bowel Preparation in Colonoscopy Patients: Randomized Controlled Trial
Pooja Chaudhary | Sarita [47] | S. M Shasthry
Abstract: Objective: To evaluate the effectiveness of Gum Chewing on Polyethylene Glycol (PEG) Related Intake Adherence, GI Side Effects and Bowel Preparation among Patients Undergoing Colonoscopy. Methods: Quantitative research approach with true experimental design with single blinded block randomization was employed. This study was conducted in ILBS Hospital, New Delhi, India from November - December 2021. Patients were randomly allocated into two groups; an experimental group or a control group, n=30 in each group. In the control group, patients drank a PEG solution according to the general protocol. For the experimental group, patients had to chew one stick of sugarless gum during the pause interval of drinking the PEG solution. All the tools were having adequate validity and reliability. With normally distributed data, parametric tests were employed. Results: In experimental group there was a significant difference in Intake Adherence related to PEG solution, GI side effects including Abdominal discomfort (t=15.15, p<0.001), abdominal bloating (t=10.43, p<0.001) and INVR score (t=9.00, p<0.001) between the groups. In terms of Bowel Preparation there was an improvement seen in the experimental group as compared to the control group however, no significant difference (t=5.21, p=0.05). Moderate negative correlation (r= - 0.33, p< 0.05) was found between total amount of fluid taken and INVR score. Discussion: In the present study, total time spent in intake of PEG solution (min) in experimental group was found to be highly significant at p<0.001 level. Similar Findings were shown by Jisun lee, 2016, the gum - chewing participants showed an ability to ingest the PEG solution approximately 23 minutes faster than the control group patients. In the present study, abdominal discomfort and INVR score decreased in the experimental group. Similar findings were also found in research conducted by Jisun lee et al., 2016 and Sayilan. A., et al 2020. Conclusion: Gum chewing with PEG solution does not reduce bowel cleanliness, but it does help alleviate the abdominal discomfort, nausea, vomiting, and retching that come with this process, resulting in higher intake adherence. Future research needs to focus on standardizing the usage of gum chewing in therapeutic settings.
Keywords: PEG, Gum Chewing, Intake Adherence, INVR, Bowel Preparation and Colonoscopy
Edition: Volume 13 Issue 7, July 2024,
Pages: 945 - 951