ARAM NEZAKATI1, SINA VALIEE2, DAEM ROSHANI3, JAMAL SEIDI2
1Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran - 2Clinical Care Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran - 3Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran
Background: Constipation is a common problem among orthopedic patients, and it is followed by some complications. There are several ways to prevent constipation.
Objectives: The present study aims to investigate the comparison of effect of abdominal massage and chewing sugar-free gum on the incidence and severity of constipation in male patients undergoing skeletal traction of lower limbs.
Methods: The present study was conducted as single-blind clinical trial in Besat Hospital of Sanandaj, Iran, 2017. Ninty three male patients undergoing skeletal traction were randomly selected by using sealed envelopes with the capability of replac- ing the envelopes. They were then divided into three groups: sugar-free chewing gum group, abdominal massage group, and con- trol group. After seven days of intervention, the patients’ rate of incidence and severity of constipation was measured based on Rome III questionnaire. The data were then analyzed using Kolmogorov Smirnov test and chi-squared test using SPSS-23.
Results: The incidence rate of constipation in sugar-free chewing gum group, abdominal massage group, and control group was 23.7%, 37.3%, and 39% respectively. The findings indicated that the incidence of constipation in sugar-free chewing gum group as well abdominal massage group was much less than that of the control group, and this statistical difference was signifi- cant (P=0.034). With respect to the severity of constipation, no significant difference was observed between the intervention group and control group (p=0.947).
Conclusion: The present study indicated that chewing sugar-free gum and conducting abdominal massage would be effec- tive as a complementary and non-pharmacological method in reducing the incidence rate of constipation.
Constipation, Massage, Chewing gum, fractures, Iran