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    Effect of gum chewing on reducing postoperative ileus and recovery after colorectal surgery: A randomised controlled trial
    (Elsevier Sci Ltd, 2016) Topcu, Sacide Yildizeli; Oztekin, Seher Deniz
    Aim: This study aimed to determine the effect of gum chewing on the reduction of postoperative ileus and recovery after surgery. Methods: This study was conducted a randomized controlled trial in 60 patients who underwent colorectal surgery between November 2011 and December 2012. Patients in the experimental group chewed gum three times a day. The time of flatus and defecation, the time to start feeding, pain levels and time of discharge were monitored. Results: Post-surgery results for gum-chewing were first flatus and defecation times and the time to start feeding was shorter; pain levels were lower on the 3rd - 5th days; patients were discharged in a shorter time post-surgery. Conclusions: Chewing gum is a simple intervention for reducing postoperative ileus after colorectal surgery. Further studies that examine the effectiveness of gum chewing on other surgical interventions in which the development risk of postoperative ileus should be performed. (C) 2016 Elsevier Ltd. All rights reserved.
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    Japanese nurses' perception of their preparedness for disasters: Quantitative survey research on one prefecture in Japan
    (Wiley, 2016) Oztekin, Seher Deniz; Larson, Eric E.; Akahoshi, Makoto; Oztekin, Ilhan
    AimThe objective of this study was to explore nurses' perceptions regarding their knowledge, skills, and preparedness for disasters and how they acquired their knowledge about disaster preparation using a quantitative approach. MethodsA descriptive cross-sectional survey using the Disaster Preparedness Evaluation Tool was distributed to nurses in six hospitals (three private, three public) throughout Miyazaki Prefecture located in southern Japan. ResultsNine hundred and seventy-three surveys (87.4%) were returned. Seventy-two were eliminated leaving 902 (81.0%) for data analysis. Mean scores for preparedness, response abilities, and evaluation all scored below normal on a 6 point Likert scale (2.63, 2.02, and 2.05, respectively). Overall, nurses felt they were not able to respond in a variety of disaster situations, were aware of their workplace emergency disaster plan, but did not think they could execute them, and were not aware of the level of preparedness of the healthcare systems in their communities. ConclusionThe amount of information nurses need to know on the knowledge, skills, and preparation of disasters are in great need. Such skills are understood, but lacking for various reasons. In-house programs for nurses to learn more about disaster nursing are needed. Furthermore, a curriculum for disaster preparedness for undergraduate and graduate nursing programs would also help these future nurses gain more information earlier on to better prepare them for possible disaster situations in their future careers.