Cargando…

The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study

BACKGROUND: Preoperative anxiety is an unpleasant experience that can adversely affect perioperative outcomes. Although clinical benefits of preoperative oral carbohydrate is well reported, the effect of adding chewing gum to carbohydrate loading has never been studied. We aimed to investigate the e...

Descripción completa

Detalles Bibliográficos
Autores principales: Bang, Yu Jeong, Lee, Jong-Hwan, Kim, Chung Su, Choi, Dan-Cheong, Noh, Joseph J., Lee, Yoo-Young, Min, Jeong-Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129008/
https://www.ncbi.nlm.nih.gov/pubmed/37097995
http://dx.doi.org/10.1371/journal.pone.0283780
_version_ 1785030637731708928
author Bang, Yu Jeong
Lee, Jong-Hwan
Kim, Chung Su
Choi, Dan-Cheong
Noh, Joseph J.
Lee, Yoo-Young
Min, Jeong-Jin
author_facet Bang, Yu Jeong
Lee, Jong-Hwan
Kim, Chung Su
Choi, Dan-Cheong
Noh, Joseph J.
Lee, Yoo-Young
Min, Jeong-Jin
author_sort Bang, Yu Jeong
collection PubMed
description BACKGROUND: Preoperative anxiety is an unpleasant experience that can adversely affect perioperative outcomes. Although clinical benefits of preoperative oral carbohydrate is well reported, the effect of adding chewing gum to carbohydrate loading has never been studied. We aimed to investigate the effect of adding gum-chewing to oral carbohydrates on preoperative anxiety and gastric volume in patients undergoing gynecologic surgery. METHODS: One hundred and four patients were enrolled and randomized either into a carbohydrate drink group (CHD group) or CHD with gum group. The CHD group was instructed to drink 400 mL of oral carbohydrate the evening before and 200–400 mL 3 hours before surgery. The CHD with gum group was encouraged to chew gum freely during preanesthetic fasting in addition to consuming oral carbohydrates in the same manner. The primary endpoint was preoperative anxiety assessed using the Amsterdam preoperative anxiety and information scale (APAIS). The degree of patient-reported quality of recovery after surgery and gastric volume prior to general anesthesia were also compared as secondary outcomes. RESULTS: Preoperative APAIS was lower in the CHD with gum group compared with the CHD group (16 [11.5, 20] vs. 20 [16.5, 23], p = 0.008). Patient-rated quality of recovery after surgery was also higher in the CHD with gum group and showed a significant negative correlation with preoperative APAIS score (correlation coefficient: -0.950, p = 0.001). Gastric volume were not different between the groups (0 [0–0.45] vs. 0 [0–0.22], p = 0.158). CONCLUSION: The addition of gum chewing to oral carbohydrate loading during preoperative fasting was more effective in relieving preoperative anxiety than oral carbohydrate alone in women patients undergoing elective gynecologic surgery. TRIAL REGISTRATION: Clinical Research Information Services, CRIS identifier: KCT0005714, https://cris.nih.go.kr/cris/index.jsp.
format Online
Article
Text
id pubmed-10129008
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-101290082023-04-26 The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study Bang, Yu Jeong Lee, Jong-Hwan Kim, Chung Su Choi, Dan-Cheong Noh, Joseph J. Lee, Yoo-Young Min, Jeong-Jin PLoS One Research Article BACKGROUND: Preoperative anxiety is an unpleasant experience that can adversely affect perioperative outcomes. Although clinical benefits of preoperative oral carbohydrate is well reported, the effect of adding chewing gum to carbohydrate loading has never been studied. We aimed to investigate the effect of adding gum-chewing to oral carbohydrates on preoperative anxiety and gastric volume in patients undergoing gynecologic surgery. METHODS: One hundred and four patients were enrolled and randomized either into a carbohydrate drink group (CHD group) or CHD with gum group. The CHD group was instructed to drink 400 mL of oral carbohydrate the evening before and 200–400 mL 3 hours before surgery. The CHD with gum group was encouraged to chew gum freely during preanesthetic fasting in addition to consuming oral carbohydrates in the same manner. The primary endpoint was preoperative anxiety assessed using the Amsterdam preoperative anxiety and information scale (APAIS). The degree of patient-reported quality of recovery after surgery and gastric volume prior to general anesthesia were also compared as secondary outcomes. RESULTS: Preoperative APAIS was lower in the CHD with gum group compared with the CHD group (16 [11.5, 20] vs. 20 [16.5, 23], p = 0.008). Patient-rated quality of recovery after surgery was also higher in the CHD with gum group and showed a significant negative correlation with preoperative APAIS score (correlation coefficient: -0.950, p = 0.001). Gastric volume were not different between the groups (0 [0–0.45] vs. 0 [0–0.22], p = 0.158). CONCLUSION: The addition of gum chewing to oral carbohydrate loading during preoperative fasting was more effective in relieving preoperative anxiety than oral carbohydrate alone in women patients undergoing elective gynecologic surgery. TRIAL REGISTRATION: Clinical Research Information Services, CRIS identifier: KCT0005714, https://cris.nih.go.kr/cris/index.jsp. Public Library of Science 2023-04-25 /pmc/articles/PMC10129008/ /pubmed/37097995 http://dx.doi.org/10.1371/journal.pone.0283780 Text en © 2023 Bang et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Bang, Yu Jeong
Lee, Jong-Hwan
Kim, Chung Su
Choi, Dan-Cheong
Noh, Joseph J.
Lee, Yoo-Young
Min, Jeong-Jin
The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study
title The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study
title_full The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study
title_fullStr The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study
title_full_unstemmed The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study
title_short The effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: A randomized controlled study
title_sort effect of adding chewing gum to oral carbohydrates on preoperative anxiety scores in women undergoing gynecological surgery: a randomized controlled study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10129008/
https://www.ncbi.nlm.nih.gov/pubmed/37097995
http://dx.doi.org/10.1371/journal.pone.0283780
work_keys_str_mv AT bangyujeong theeffectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT leejonghwan theeffectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT kimchungsu theeffectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT choidancheong theeffectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT nohjosephj theeffectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT leeyooyoung theeffectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT minjeongjin theeffectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT bangyujeong effectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT leejonghwan effectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT kimchungsu effectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT choidancheong effectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT nohjosephj effectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT leeyooyoung effectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy
AT minjeongjin effectofaddingchewinggumtooralcarbohydratesonpreoperativeanxietyscoresinwomenundergoinggynecologicalsurgeryarandomizedcontrolledstudy