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Monitoring Food Images After Rectal Surgery To Accelerate Recovery Of Postoperative Bowel Motility: A Quasi-Experimental Study

Year 2023, Volume: 6 Issue: 3, 438 - 449, 30.12.2023
https://doi.org/10.54803/sauhsd.1233040

Abstract

Objective: Considering the role of nurses in the postoperative care of patients, simple nursing interventions can prevent gastrointestinal motility problems. This study aimed to assess the impact of viewing food images on the recovery of intestinal motility after surgery in patients who were operated for rectal cancer.
Methods: This quasi-experimental study was carried out with 48 patients who underwent rectal surgery in the general surgery clinic of a university hospital in Türkiye from May 2016 to December 2018. The control group had 25 participants and the experimental group had 23. From the first morning after surgery until defecation, patients in the experimental group were asked to monitor food pictures thrice a day, parallel to their meals.
Results: In the experimental group, patients’ first flatus (3.30 ± 1.52, day) and defecation time (4.91 ± 1.27, day) were significantly shorter compared with the first flatus (4.28 ± 1.64, day) and defecation time (5.84 ± 1.40, day) of the control group (respectively; p = 0.037, p = 0.027).
Conclusion: Monitoring food images supports the cephalic phase and could be a nursing intervention to speed up intestinal functions by increasing the release of gastrointestinal hormones and activating the parasympathetic nervous system. To accelerate bowel motility after rectal surgery, displaying the food images to the patients is a very simple intervention with low risk and cost and nurses should use it in the care of the patients who underwent surgery because of rectal cancer. It is recommended that further studies examining the effectiveness of monitoring food images on gastrointestinal surgeries should be performed.

References

  • Lam D, Jones O. Changes to gastrointestinal function after surgery for colorectal cancer. Best Pract Res Clin Gastroenterol. 2020;101705. Doi: 10.1016/j.bpg.2020.101705
  • Hedrick TL, McEvoy MD, Mythen MMG, Bergamaschi R, Gupta R, Holubar SD, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on postoperative gastrointestinal dysfunction within an enhanced recovery pathway for elective colorectal surgery. Anesth Analg. 2018;126(6):1896-1907. Doi: 10.1213/ANE.0000000000002742
  • Quiroga-Centeno AA, Jerez-Torra KA, Martin-Mojica PA, Cataneda-Alfonso SA, Castillo-Sanchez ME, Calvo-Corredor OF, Gomez-Ochoa SA. Risk factors for prolonged postoperative ileus in colorectal surgery: a systematic review and meta-analysis. World J Surg. 2020;44(5):1612-1626. Doi: 10.1007/s00268-019-05366-4
  • Duszka K, Gregor A, Reichel M, Baierl A, Fahrngruber C, König J. Visual stimulation with food pictures in the regulation of hunger hormones and nutrient deposition, a potential contributor to the obesity crisis. PloS One. 2020;15:e0232099. Doi: 10.1371/journal.pone.0232099
  • Lasschuijt MP, Mars M, De Graaf C, Smeets PA. Endocrine cephalic phase responses to food cues: a systematic review. Adv Nutr. 2020;11(5):1364-1383. Doi: 10.1093/advances/nmaa059
  • Anderson EC, Wormwood J, Barrett LF, Quigley KS. Vegetarians’ and omnivores’ affective and physiological responses to images of food. Food Qual Pref. 2019;71:96-105. Doi: 10.1016/j.foodqual.2018.06.008
  • Power ML, Schulkin J. Anticipatory physiological regulation in feeding biology: cephalic phase responses. Appetite. 2008;50:194-206. Doi: 10.1016/j.appet.2007.10.006
  • Zhao D. Influence of gut-brain signals on psychobiological processes in healthy humans. Unpublished doctoral thesis, Catholic University of Leuven, Leuven, Belgium, 2019, 145.
  • Zhou R, Luo Y, Hu S. Effects of viewing pleasant and unpleasant photograps on gastric motility indexed by electrogastrographic activities. Percept Mot Skills. 2004;99:785-789. Doi: 10.2466/pms.99.3.785-789
  • Zhou R, Hu S. Effects of imagining eating favorable and unfavorable foods on gastric motility indexed by electrogastrographic activities. Percept Mot Skills. 2006;103:829-833. Doi: 10.2466/pms.103.3.829-833
  • Mohammadi EN, Pietra C, Giuliano C, Fugang L, Greenwood-Van Meerveld B. A comparison of the central versus peripheral gastrointestinal prokinetic activity of two novel ghrelin mimetics. J Pharmacol Exp Ther. 2019;368(1):116-124. Doi: 10.1124/jpet.118.250738
  • Thomas P. Behind the label: chewing gum. Ecologist (Electronic Journal). 2010, January 12. https://theecologist.org/2010/jan/12/behind-label-chewing-gum (Date of Access: 12.01.2023).
  • Schüssler P, Kluge M, Yassouridis A, Dresler M, Uhr M, Steiger A. Ghrelin levels increase after pictures showing food. Obesity. 2012;20(6):1212-1217. Doi: 10.1038/oby.2011.385
  • Des Jarlais DC, Lyles C, Crepaz N, the Trend Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement. Am J Public Health. 2004;94(3):361-366. Doi: 10.2105/ajph.94.3.361
  • Widmaier EP, Raff H, Strang KT. Vander insan fizyolojisi [Vander’s human physiology]. Demirgören S, Translation editor. 10th ed. Original work published 2006, Izmir, Turkey: Izmir Güven Kitabevi; 2010. p.575-614.
  • van der Laan LN, De Ridder DT, Viergever MA, Smeets PA. The first taste is always with the eyes: a meta- analysis on the neural correlates of processing visual food cues. Neuroimage. 2011;55(1):296-303. Doi: 10.1016/j.neuroimage.2010.11.055
  • Bölükbaş N, Birlikbaş S. ERAS rehberleri cerrahi sonrası hızlandırılmış iyileşme protokolleri [Enhanced Recovery After Surgery]. Ordu University Journal of Nursing Studies. 2016;2(3):194-205.
  • Malik S, McGlone F, Bedrossian D, Dagher A. Ghrelin modulates brain activity in areas that control appetitive behavior. Cell Metab. 2008;7(5):400-409. Doi: 10.1016/j.cmet.2008.03.007
  • Schienle A, Schäfer A, Hermann A, Vaitl D. Binge-eating disorder: reward sensitivity and brain activation to images of food. Biol Psychiatry. 2009;65(8):654-661. Doi: 10.1016/j.biopsych.2008.09.028
  • Simmons WK, Martin A, Barsalou LW. Pictures of appetizing foods activate gustatory cortices for taste and reward. Cereb Cortex. 2005;15(10):1602-1608. Doi: 10.1093/cercor/bhi038
  • Morquecho-Campos P, Bikker FJ, Nazmi K, de Graaf K, Laine ML, Boesveldt S. A stepwise approach investigating salivary responses upon multisensory food cues. Physiol Behav. 2020;226:113116. Doi: 10.1016/j.physbeh.2020.113116
  • Chuamor K, Thongdonjuy J. Effectiveness of standard nursing care with gum chewing to reduce bowel ileus in post-operative gynecologic patients: randomized controlled trials. Siriraj Medical Journal. 2014;66(2):33-38.
  • Mahmoud MH, Mohammad SH. Chewing gum for declining ileus and accelerating gastrointestinal recovery after appendectomy. Frontiers of Nursing. 2018;5(4):277-284. Doi: 10.1515/fon-2018-0038

Rektal Cerrahi Girişim Sonrası İntestinal Motilitenin Arttırılmasında Yiyecekleri İzleme: Bir Yarı-Deneysel Çalışma

Year 2023, Volume: 6 Issue: 3, 438 - 449, 30.12.2023
https://doi.org/10.54803/sauhsd.1233040

Abstract

Amaç: Ameliyat sonrası hasta bakımında, hemşirelerin rolü düşünüldüğünde, basit hemşirelik girişimleri gastrointestinal motilite problemlerini önleyebilir. Bu çalışma, rektum kanseri nedeniyle ameliyat edilen hastalarda, yiyecek görsellerini izlemenin ameliyat sonrası bağırsak hareketliliğinin iyileşmesi üzerine etkisini değerlendirmeyi amaçlamaktadır.
Yöntem: Bu yarı deneysel çalışma, Marmara Bölgesinde, bir üniversite hastanesinin genel cerrahi kliniğinde rektum kanser cerrahisi uygulanan 48 hasta ile, Mayıs 2016-Aralık 2018 tarihleri arasında yapıldı. Kontrol grubu 25, deney grubu 23 hastadan oluştu. Deney grubundaki hastalara, ameliyat sonrası ilk sabahtan itibaren dışkılamaya kadar olan süre aralığında, öğün saatlerine paralel, günde üç kez yiyecek resimleri izletildi.
Bulgular: Deney grubunda hastaların ilk gaz çıkışı (3.30 ± 1.52, gün) ve dışkılama süresi (4.91 ± 1.27, gün) kontrol grubundaki hastaların ilk gaz çıkışı (4.28 ± 1.64, gün) ve dışkılama süresiyle (5.84 ± 1.40, gün) karşılaştırıldığında anlamlı olarak daha kısaydı (Sırasıyla; p = 0.037, p = 0.027).
Sonuç: Sefalik fazı uyaran yiyecek görüntülerinin izlenmesi, gastrointestinal hormonların salınımını artırarak ve parasempatik sinir sistemini aktive ederek intestinal fonksiyonların hızlandırılması amacıyla uygulanacak bir hemşirelik girişimi olabilir.
Rektum cerrahisi sonrası intestinal motiliteyi hızlandırmak için hastalara yiyecek görüntülerinin gösterilmesi, riski ve maliyeti düşük olan çok basit bir girişimdir ve hemşireler bunu rektum kanseri nedeniyle ameliyat olan hastaların bakımında kullanmalıdır. Gastrointestinal cerrahide yiyecek görüntüleri izletilmesinin etkinliğini inceleyen farklı bilimsel çalışmalar yürütülmesini önermekteyiz.

References

  • Lam D, Jones O. Changes to gastrointestinal function after surgery for colorectal cancer. Best Pract Res Clin Gastroenterol. 2020;101705. Doi: 10.1016/j.bpg.2020.101705
  • Hedrick TL, McEvoy MD, Mythen MMG, Bergamaschi R, Gupta R, Holubar SD, et al. American Society for Enhanced Recovery and Perioperative Quality Initiative Joint Consensus Statement on postoperative gastrointestinal dysfunction within an enhanced recovery pathway for elective colorectal surgery. Anesth Analg. 2018;126(6):1896-1907. Doi: 10.1213/ANE.0000000000002742
  • Quiroga-Centeno AA, Jerez-Torra KA, Martin-Mojica PA, Cataneda-Alfonso SA, Castillo-Sanchez ME, Calvo-Corredor OF, Gomez-Ochoa SA. Risk factors for prolonged postoperative ileus in colorectal surgery: a systematic review and meta-analysis. World J Surg. 2020;44(5):1612-1626. Doi: 10.1007/s00268-019-05366-4
  • Duszka K, Gregor A, Reichel M, Baierl A, Fahrngruber C, König J. Visual stimulation with food pictures in the regulation of hunger hormones and nutrient deposition, a potential contributor to the obesity crisis. PloS One. 2020;15:e0232099. Doi: 10.1371/journal.pone.0232099
  • Lasschuijt MP, Mars M, De Graaf C, Smeets PA. Endocrine cephalic phase responses to food cues: a systematic review. Adv Nutr. 2020;11(5):1364-1383. Doi: 10.1093/advances/nmaa059
  • Anderson EC, Wormwood J, Barrett LF, Quigley KS. Vegetarians’ and omnivores’ affective and physiological responses to images of food. Food Qual Pref. 2019;71:96-105. Doi: 10.1016/j.foodqual.2018.06.008
  • Power ML, Schulkin J. Anticipatory physiological regulation in feeding biology: cephalic phase responses. Appetite. 2008;50:194-206. Doi: 10.1016/j.appet.2007.10.006
  • Zhao D. Influence of gut-brain signals on psychobiological processes in healthy humans. Unpublished doctoral thesis, Catholic University of Leuven, Leuven, Belgium, 2019, 145.
  • Zhou R, Luo Y, Hu S. Effects of viewing pleasant and unpleasant photograps on gastric motility indexed by electrogastrographic activities. Percept Mot Skills. 2004;99:785-789. Doi: 10.2466/pms.99.3.785-789
  • Zhou R, Hu S. Effects of imagining eating favorable and unfavorable foods on gastric motility indexed by electrogastrographic activities. Percept Mot Skills. 2006;103:829-833. Doi: 10.2466/pms.103.3.829-833
  • Mohammadi EN, Pietra C, Giuliano C, Fugang L, Greenwood-Van Meerveld B. A comparison of the central versus peripheral gastrointestinal prokinetic activity of two novel ghrelin mimetics. J Pharmacol Exp Ther. 2019;368(1):116-124. Doi: 10.1124/jpet.118.250738
  • Thomas P. Behind the label: chewing gum. Ecologist (Electronic Journal). 2010, January 12. https://theecologist.org/2010/jan/12/behind-label-chewing-gum (Date of Access: 12.01.2023).
  • Schüssler P, Kluge M, Yassouridis A, Dresler M, Uhr M, Steiger A. Ghrelin levels increase after pictures showing food. Obesity. 2012;20(6):1212-1217. Doi: 10.1038/oby.2011.385
  • Des Jarlais DC, Lyles C, Crepaz N, the Trend Group. Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: The TREND statement. Am J Public Health. 2004;94(3):361-366. Doi: 10.2105/ajph.94.3.361
  • Widmaier EP, Raff H, Strang KT. Vander insan fizyolojisi [Vander’s human physiology]. Demirgören S, Translation editor. 10th ed. Original work published 2006, Izmir, Turkey: Izmir Güven Kitabevi; 2010. p.575-614.
  • van der Laan LN, De Ridder DT, Viergever MA, Smeets PA. The first taste is always with the eyes: a meta- analysis on the neural correlates of processing visual food cues. Neuroimage. 2011;55(1):296-303. Doi: 10.1016/j.neuroimage.2010.11.055
  • Bölükbaş N, Birlikbaş S. ERAS rehberleri cerrahi sonrası hızlandırılmış iyileşme protokolleri [Enhanced Recovery After Surgery]. Ordu University Journal of Nursing Studies. 2016;2(3):194-205.
  • Malik S, McGlone F, Bedrossian D, Dagher A. Ghrelin modulates brain activity in areas that control appetitive behavior. Cell Metab. 2008;7(5):400-409. Doi: 10.1016/j.cmet.2008.03.007
  • Schienle A, Schäfer A, Hermann A, Vaitl D. Binge-eating disorder: reward sensitivity and brain activation to images of food. Biol Psychiatry. 2009;65(8):654-661. Doi: 10.1016/j.biopsych.2008.09.028
  • Simmons WK, Martin A, Barsalou LW. Pictures of appetizing foods activate gustatory cortices for taste and reward. Cereb Cortex. 2005;15(10):1602-1608. Doi: 10.1093/cercor/bhi038
  • Morquecho-Campos P, Bikker FJ, Nazmi K, de Graaf K, Laine ML, Boesveldt S. A stepwise approach investigating salivary responses upon multisensory food cues. Physiol Behav. 2020;226:113116. Doi: 10.1016/j.physbeh.2020.113116
  • Chuamor K, Thongdonjuy J. Effectiveness of standard nursing care with gum chewing to reduce bowel ileus in post-operative gynecologic patients: randomized controlled trials. Siriraj Medical Journal. 2014;66(2):33-38.
  • Mahmoud MH, Mohammad SH. Chewing gum for declining ileus and accelerating gastrointestinal recovery after appendectomy. Frontiers of Nursing. 2018;5(4):277-284. Doi: 10.1515/fon-2018-0038
There are 23 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Article
Authors

Sacide Yıldızeli Topçu 0000-0002-5246-4355

Duygu Soydaş 0000-0001-6276-2930

Doğan Albayrak 0000-0002-1950-2444

Early Pub Date December 30, 2023
Publication Date December 30, 2023
Submission Date January 12, 2023
Published in Issue Year 2023 Volume: 6 Issue: 3

Cite

APA Yıldızeli Topçu, S., Soydaş, D., & Albayrak, D. (2023). Monitoring Food Images After Rectal Surgery To Accelerate Recovery Of Postoperative Bowel Motility: A Quasi-Experimental Study. Sakarya Üniversitesi Holistik Sağlık Dergisi, 6(3), 438-449. https://doi.org/10.54803/sauhsd.1233040