The effectiveness of using the Protocol for abdominal distention in cesarean section patients

Abstract

Objective : To study the effectiveness of practice Protocol for abdominal distention in patients undergoing cesarean section. By comparing the reduction of flatulence in patients before using the Protocol for abdominal distention and patients after using the Protocol for abdominal distention And satisfaction of patients before and after using Protocol for abdominal distention. Numchock private Ward. Nakhon Phanom Hospital.

Materials and methods : This research was a quasi-experimental research. The sample used in this study was cesarean section patients treated in Nakhon Phanom Hospital. The purposive sampling was selected for 60 subjects, divided into control groups were 30 postoperative cesarean group patients using the Protocol for abdominal distention and the experimental group. The group of 30 postoperative cesarean section patients used Protocol for abdominal distention by the researchers hypothesized that the experiment was an appropriate size is important at an acceptable operating level. The research instruments consisted of general data questionnaires, flatulence assessment form in patients after cesarean section and the satisfaction assessment form to follow the Protocol for abdominal distention in patients after cesarean section which has been verified by experts Data were collected from 1 April 2019 - 31 October 2019. Data were analyzed using descriptive statistics such as percentage, average and standard deviation. Chi-square test and inferential statistics including Independent t-test

Results : 1) The occurrence of flatulence in patients after cesarean section between control groups and the experimental group were not statistically different (X² = 9.102 p = .693). 2) The level of severity of bloating in 48 hours and 72 hours of the experimental group had the intensity of abdominal distention less than control group with statistical significance at the level of .05 3) Satisfaction with the group using the Protocol for abdominal distention in patients after cesarean section, the study found that the satisfaction level was at a high level ( = 4.35, SD = 1.21). When comparing the mean satisfaction scores, it was found that the groups of patients using the Protocol for abdominal distention were more satisfied with the following methods to reduce flatulence. The group that did not use Protocol for abdominal distention with statistical significance at the level of 0.01.

Conclusion : The results of the research show that the Protocol for abdominal distention can reduce flatulence in patients with cesarean section. And should expand the effect of using the Protocol for abdominal distention to care for patients undergoing other abdominal surgeries.