Simple Bed Exercises for Reducing Postoperative Ileus in Colorectal Surgical Patients.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Simple bed exercises.
- Who it may be relevant to
- Registry conditions: Postoperative Ileus. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Hong Kong
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Simple Bed Exercises for Reducing Postoperative Ileus in Colorectal Surgical Patients, a Randomized Controlled Trial
Overview
The purpose of this study is to examine the effect of simple bed exercises for reducing postoperative ileus among colorectal surgical patients who have completed colorectal surgery and are experiencing postoperative ileus. The research team will recruit participants in list of elective colorectal surgeries from the Department of Surgery in the United Christian Hospital. The potential participants will first be assessed for eligibility by completing a simple screening assessment, which may take 10 minutes at facilities within the United Christian Hospital. If the patients meet the inclusion criteria, they will continue to take part in the study. The participants will be assigned randomly (1:1) to either Group 1 or Group 2 via computer randomization. Participants of Group 1 will receive education for simple bed exercises after colorectal surgery. Participants will be asked to have simple bed exercises for 15 minutes, three times a day starting from postoperative day one, until passing the first stool after surgery. All sessions will be conducted by surgical nurse in the United Christian Hospital. Surgical nurses will educate simple bed exercises with exercise video. Participants will be instructed to practise the simple bed exercises 3 times per day for 15 minutes each time at before breakfast, before lunch and before dinner, on top of the standard usual care. Participants in Group 2 will be placed under control group to receive standard usual care. All participants are required to record defecation, flatus and tolerance of oral intake starting from postoperative day one. Records will take place at 3-time points for both groups: at breakfast, at lunch and at dinner time. Each time participants must complete one set of record on the logbook provided by nurses. If necessary, clinical records including medical history and follow-up appointment time will be retrieved from electronic medical records.
Interventions
- Other Simple bed exercises
The participants will be asked to perform exercise by lying flat on bed in supine position with their eyes look towards to the ceiling of the ward and start focusing on deep breathing exercises with slow inhalations and exhalations. These exercises aim to achieve regular pattern of abdominal muscles and improve the coordination between breathing, abdominal muscle contractions and colonic propulsions. After one-minute deep-breathing exercises, intervention group participants will be asked to pull
Primary outcome measures
- Time to first defecation [Time frame: after surgery until first defecation (up to 7 days after operation)]
Secondary outcome measures (2)
- time to first flatus [Time frame: after surgery until first flatus (up to 7 days after operation).]
- tolerance to oral diet [Time frame: after surgery until tolerance of oral diet without any nausea and vomiting (up to 15 days after operation).]
Eligibility criteria
Inclusion criteria
- Male or female patients aged >/=18 years,
- patients who are diagnosed with colorectal problems that require elective colorectal surgical intervention either anastomosis or stoma, either open or laparoscopic, and the use of any type of postoperative analgesic,
- orientate to have informed consent and who have signed informed consent.
Exclusion criteria
- Patients who are not in the list of elective colorectal surgeries
- Patients who require intraoperative and long postoperative intensive care >1 day,
- with a history of mental disorder or confusion,
- patients with any active limitation which affects adherence to the study procedures like severe dementia and physical limitation.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Hong Kong · 1 center
- United Christian Hospital — Hong Kong
Identifiers
NCT: NCT07014046 · CIRB-2024-115-1