Effect of Postoperative Coffee Consumption on Bowel Motility and Length of Hospital Stay Following Laparoscopic Hysterectomy: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Time to First Passage of Flatus
研究概览
简要总结
Postoperative ileus and delayed bowel recovery remain common concerns following laparoscopic hysterectomy despite enhanced recovery protocols. Coffee consumption has been suggested as a simple, safe, and inexpensive intervention that may stimulate gastrointestinal motility and accelerate postoperative recovery. This randomized controlled trial aims to evaluate the effect of postoperative coffee consumption on bowel function recovery and length of hospital stay in women undergoing laparoscopic hysterectomy. Eligible participants are randomly assigned to either a coffee intervention group receiving standard postoperative care plus coffee at predetermined postoperative time points or a control group receiving standard postoperative care alone. The primary objective is to determine whether postoperative coffee consumption improves bowel recovery and shortens hospitalization.
详细描述
Laparoscopic hysterectomy is one of the most commonly performed minimally invasive gynecological procedures. Although enhanced recovery after surgery (ERAS) protocols have improved postoperative outcomes, delayed gastrointestinal recovery and postoperative ileus continue to affect patient recovery, comfort, and hospital length of stay.
Coffee contains several bioactive compounds that may stimulate gastrointestinal motility through multiple physiological mechanisms, including increased gastrin secretion, activation of the gastrocolic reflex, and enhanced colonic motor activity. Previous clinical studies have suggested that postoperative coffee consumption may accelerate bowel function recovery after abdominal surgery; however, evidence specific to laparoscopic hysterectomy remains limited.
This single-center, randomized controlled trial evaluates the effectiveness of postoperative coffee consumption in women undergoing laparoscopic hysterectomy. Fifty eligible participants are randomly allocated in a 1:1 ratio to either an intervention group or a control group using block randomization. Participants in the intervention group receive standard postoperative care together with 100 mL of soluble coffee prepared with hot water at postoperative hours 6, 12, and 18, whereas participants in the control group receive standard postoperative care alone.
The study evaluates postoperative bowel recovery by assessing bowel sounds, passage of flatus, passage of stool, abdominal distension, nausea, vomiting, distension-related pain, and length of hospital stay. The findings are expected to provide evidence regarding a simple, low-cost, and feasible nursing intervention that may improve postoperative recovery following laparoscopic hysterectomy.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
The outcomes assessor/statistician who performed the data analysis was blinded to group allocation.
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Women aged 18 years or older.
- •Scheduled for elective laparoscopic hysterectomy.
- •Able to consume oral fluids according to the ERAS protocol.
- •Able to communicate in Turkish.
- •Willing to participate and provide written informed consent.
排除标准
- •Emergency surgery.
- •Known allergy or intolerance to coffee or caffeine.
- •Gastrointestinal diseases or conditions affecting bowel motility.
- •Postoperative complications requiring intensive care or preventing oral intake.
- •Withdrawal of informed consent at any stage of the study.
结局指标
主要结局
Time to First Passage of Flatus
时间窗: From the end of surgery until the first passage of flatus, assessed for up to 72 hours after surgery.
Time from the end of surgery to the first passage of flatus, recorded in hours.
次要结局
- Time to First Defecation(From the end of surgery until the first bowel movement, assessed for up to 72 hours after surgery.)
- Time to First Bowel Sounds(From the end of surgery until the first bowel sounds are detected, assessed for up to 72 hours after surgery.)
- Length of Hospital Stay(From the date of surgery until hospital discharge, assessed for up to 5 days after surgery.)
研究者
muzeyyen ataseven
PhD, RN, Principal Investigator
Istanbul Medipol University Hospital