Effects of Menthol Gum Chewıng on Postoperatıve Nausea, Vomiting, and Length Of Hospital Stay in Children Undergoing Appendectomy: A Randomızed Controlled Trıal

Not Applicable

Completed

• Conditions: Postoperative Nausea and Vomiting; Hospitalism in Children
• Interventions: Other: intervention

• Registration Number: NCT05679531
• Lead Sponsor: Ruya Naz

Brief Summary

The study was conducted as an experimental study to determine the effect of menthol chewing gum application on postoperative nausea, vomiting and hospital stay in children with appendectomy. The population of the study consisted of children aged 7-18 who underwent appendectomy in Bursa Yüksek İhtisas Training and Research Hospital Pediatric Surgery clinic between April and June 2022. In the sample of the study, a total of 60 children (menthol gum group- intervention group=30, control=30) who had postoperative nausea-vomiting, accepted to participate in the study and met the sample selection criteria were included. Starting from the second hour after the child was brought to the clinic after appendectomy, the children in the chewing gum group with nausea and vomiting were chewed gum for an average of 15 minutes. The patients in the study group were not intervened except for routine nursing care. During the chewing gum (between 5-10. minutes), up to 30., 60. and 120. Minutes after the chewing gum.The patient was re-evaluated in terms of nausea with the BARF nausea scale. Episodes of vomiting were recorded in patients with vomiting. After the quantitative stages of the study were completed, the patient's level of relief was evaluated using a verbal descriptive scale. Nausea and vomiting were also evaluated before the patient was discharged.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-04-01
• Primary Completion: 2022-06-01
• Study Completion: 2022-06-01
• Study First Submitted: 2022-12-08
• Study First Submitted QC: 2022-12-23
• Status Verified: 2023-01
• Last Update Submitted: 2023-01-10
• Study First Posted: 2023-01-11
• Last Update Posted: 2023-01-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Child and parent's willingness to participate in the research
• The child has no intellectual disability or perception problems.
• Patients who underwent general anesthesia
• Patients who do not develop postoperative complications
• Patients in the 7-18 age group
• Patients who can tolerate chewing gum in the postoperative period
• Patients who like to chew gum
• Patients with nausea and vomiting

Exclusion Criteria

• Patients with a diagnosis of diabetes
• Patients with teeth and jaw problems
• Patients with menthol allergy
• Patients with irritable bowel syndrome
• Patients with a history of reflux
• Patients whose cognitive level is not suitable
• Patients with a nasogastric tube

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Chewing gum group	intervention	Starting from the second hour after the child was brought to the clinic after appendectomy, menthol sugar free gum was given to children with nausea and vomiting outside the clinical routine nursing care, as soon as they could chew gum and follow the instructions, and were asked to chew for an average of 15 minutes. The product of a single brand of gum was used. In the first stage, the patient's nausea was evaluated with the BARF nausea scale before the intervention. After filling out the patient information form, the patients who met the research criteria were chewed gum for an average of 15 minutes. During the intervention (between 5-10 minutes), the patient was re-evaluated for nausea with the BARF nausea scale at 30.,60. and 120 minutes after the intervention. Episodes of vomiting were recorded in patients with vomiting.After the quantitative stages of the study were completed, the patient's level of relief was evaluated using a verbal descriptive scale.

Primary Outcome Measures

Name	Time	Method
Baxter Retching Faces Scale (BARF)	after menthol chewing gum (120 minutes)	The BARF scale was used to assess the severity of nausea. The primary outcome was nausea and vomiting as assessed by the BARF scale, which is used to measure the severity of postoperative nausea in children. The BARF scale consists of six faces and there is a difference of 2 points between each face. The Baxter Retching Faces (BARF) scale is graded from 0 to 10 points. Evaluation: 120 minutes after menthol chewing gum

Secondary Outcome Measures

Name	Time	Method
length of hospitalization	Up to 2 week	The time from the date of hospitalization to the date of discharge was calculated, Up to 2 week

Trial Locations

Locations (1)

Bursa Uludag University; 🇹🇷 Bursa, Turkey