A Study to assess the effectiveness of Honey Warm Water on level of Constipation among patients undergone CABG with Constipation in selected Hospitals at Rajkot

 

Ms. Pooja Maru¹, Mr. Suneesh P. M.², Mr. Jeenath Justin Doss. K.³

¹Shri Anand Institute of Nursing, Opp. Ghanteshwar Park, B/h Sainik Society, Jamnagar Road, Rajkot- 360006

²Guide, Shri Anand Institute of Nursing, Opp. Ghanteshwar Park, B/h Sainik Society, Jamnagar Road,

Rajkot- 360006

³Principal, Shri Anand Institute of Nursing, opp. Ghanteshwar Park, B/h Sainik Society, Jamnagar Road, Rajkot- 360006

 

ABSTRACT:

A study to assess the effectiveness of honey warm water on level of constipation among patients undergone cabg with constipation in selected hospitals at Rajkot. The objectives of the study were a) To assess the level of constipation among patients undergone CABG. b) To assess the effectiveness of honey warm water on level of constipation among patients undergone CABG. c)To find out the association between level of constipation and after taking honey warm water with their selected demographic variables. The research approach selected for the study was quantitative research approach and Quasi-experimental study Time-series research design. The study was conducted at selected hospital at Rajkot.  The conceptual framework for this study was based on Weidnbach nursing practice model. The study had been conducted in Unicare Hospital, Rajkot. Non-probability purposive sampling technique had been adopted to select the desired samples. The sample size was 40. As a part of intervention, honey warm water was administered for 10 ml of honey will take mixed with 100 ml of warm water. At the early morning when the patients having empty stomach this mixture of honey warm water was provided to the post CABG surgery patients for three days, to get the best result. The data was collected through Constipation Assessment Scale. The collected data were analyzed through descriptive statistics (frequency and percentage) and inferential statistics ('Annova-test' and chi-square) to test the hypothesis. The study shows that the calculated chi square value is below the level of tabulated value at the level of 0.05. Thus stated the hypothesis is rejected & null hypothesis was accepted. So its inferred that there is no significant association between the demographic variables and level of constipation among post-operative CABG patients. The obtained 'F' value 26.752 at 0.001 level hence the hypothesis was accepted. It is inferred that honey warm water was effective in reducing level of constipation among post-operative CABG.

 

 

 

INTRODUCTION:

“Let food, be the medicine and medicine be the food.”

Hippocrates.

Normal functioning of the heart is based on a balance between oxygen supply and oxygen demand. To function as an effective pump, the heart muscle must be adequately supplied with blood from the coronary arteries. In coronary heart disease (CHD), arthrosclerosis develops in the coronary arteries, causing them to become narrowed or blocked, blood flow to the area of the heart supplied by that artery is reduced¹. If the remaining blood flow is inadequate to meet the oxygen demands of the heart, the area may become ischemic and injured and myocardial infarction (MI) may result. In addition, the heart may fail to pump sufficient blood supply to the other organs and tissues in the body. Over time, changes resulting from CHD may lead to the development of chronic heart failure. The terms coronary heart disease, coronary artery disease and ischemic heart disease all refers to diseases of the heart that result from a decrease in blood supply to the heart muscle.²

 

Most of the start our mornings with a fresh, hot cup of coffee or tea to warm-up our bodies after getting out of bed. When we drink water, we tend to prefer it cold, but according to Ayurvedic medicine, we have it all wrong. Regularly drinking very warm water, especially in the morning, can heal our bodies, proving digestive power in the morning, usually, with a polyphynol-rich lemon immersion, or with a tea to decrease free radical activity in the body³. The consumption of warm water increases the tightening of the intestines, which optimizes elimination. At the one point or another, many of us plagued by this common stomach problem where we have little to no bowel movement. The strain felt during elimination, accompanied by bloating is brought on by a lack of water in the body. Drinking very warm water in the morning on an empty stomach can help improve bowel movements and aid constipation while breaking down foods as they smoothly pass through the intestines. Stimulating the bowels will help return your body back to normal functioning.⁴

 

NEED FOR THE STUDY:

Coronary artery disease (CAD), one of the most common causes of premature death, causes myocardial ischemia. As the older population of countries and unhealthy habits and behaviors increases, CAD contributed death toll increases. According to data from the world health organization in 2008, 17.3 million people in the world die from cardiovascular diseases (CADs) annually. Over 80% of the mortality caused by CADs occurs in countries with low and middle income.⁵

 

Specific to the dangers of constipation after heart surgery, Jenifer Heisler, a registered nurse, noted, “In heart surgery patients, straining from constipation can cause stress on incisions to open. Open heart surgery patients can be at particular risk from constipation as the heart is still recovering from surgery and cannot tolerate the changes in heart rhythm that straining from constipation can cause.”  According to American Heart Association in 2012, overall the world, there are 62% people are suffering from constipation after surgery.

 

Constipation Assessment Scale

 

Directions:

Circle the appropriate number to indicate whether during the past three days you have had No Problem, Some Problem or a Severe Problem with each of the items listed

Item	No Problem	Some Problem	Severe Problem
1.     Abdominal distension or bloating	0	1	2
2.     Change in amount of gas passed rectally	0	1	2
3.     Less frequent bowel movements	0	1	2
4.     Oozing liquid stool	0	1	2
5.     Rectal fullness or pressure	0	1	2
6.     Rectal pain with bowel movement	0	1	2
7.     Smaller stool size	0	1	2
8.     Urge but inability to pass stool	0	1	2

Patient name Date

 

OBJECTIVES:

1) To assess the level of constipation among patients undergone CABG.

2) To assess the effectiveness of honey warm water on level of constipation among patients undergone CABG.

3) To find out the association between level of constipation and after taking honey warm water with their selected demographic variables.

 

HYPOTHESES

H1: The mean post test score of constipation level was lower than the mean pretest score.

H2:  There will be a significant association between reduction of constipation/relief from constipation among patients undergone CABG with their selected demographic variables.

 

MATERIAL AND METHODOLOGY:

RESEARCH APPROACH:

Quantitative research design.

 

RESEARCH DESIGN:

Quasi-experimental study. Time-series research design.

 

POPULATION:

·       Target population:

Patient undergone CABG patients at selected hospitals at Rajkot.

·       Accessible population:

Patient undergone CABG with constipation at selected hospitals at Rajkot.

 

SAMPLE SIZE:

40 samples undergone CABG with constipation.

 

SAMPLING TECHNIQUE:

Non-probability Purposive sampling techniques

 

DESCRIPTION OF TOOL:

The tool for the study was divided as follows,

Section A: Demographic variables

Section B: Constipation assessment scale

 

·         Section A:

Demographic variables

It consisted of 8 demographic variables such as Demographic variables: age, gender, food habits, sleeping pattern, frequency of food consumption, underlying cause of disease, post-operative complication, other associated disease.

 

·         Section B:

Constipation assessment scale

 

MAJOR FINDINGS OF THE STUDY:

Major findings includes findings related to demographic variables of the study,the majority of 16 (40%) sample's age is between 45-55 years and above, 33 (82.5%) sample's are males, 31 (77.5%) sample's are vegetarian, 17 (42.5%) sample's sleeping pattern is 6 hours, 39 (97.5%) sample's frequency of food consumption is *twice a day, 18 (45%) sample's underlying cause of disease is coronary artery disease, 14 (35%) sample's post-operative complication is COPD, 38 (95%) sample's have no any associated disease. Findings related to effectiveness of honey warm water among post-operative CABG patients, the obtained 'F' value for the level of constipation was 26.752 that was significant at p<0.001 level. H2 hypothesis accepted. Findings related to association between demographic variables and post test such as age, gender, food habits, sleeping pattern, frequency of food consumption, underlying cause of disease, post-operative complication, other associated disease were not significant association found. The study shows that the calculated chi square value is below the level of tabulated value at the level of 0.05. Thus stated the hypothesis is rejected & null hypothesis was accepted. So its inferred that there is no significant association between the demographic variables and level of constipation among post-operative CABG patients.

 

CONCLUSION:

Honey administration for constipation is easy to implement, safe for CABG patients, non-invasive, and low-cost. The excavated results supported the incorporation of complementary medicine to relieve constipation among CABG patients with constipation.

 

REFERENCES:

1.      Lippincott Williams & Wilkins, Anatomy & physiology, Second edition, Lippincott Professional Guides.

2.      Brunner, Sudharth. Textbook of medical surgical nursing, 12^th Edition. Volume-2 Lippincott publication, 2010.

3.      Suchita Patel, Jinal Patel, Mona Patel and Prof. Dr. Dhrubo Jyoti Sen, Say yes to warm water remove harm: Amazing wonders of two stages of water,2015.

4.      Fabian Sanchis-Gomar, epidemiology of coronary heart disease and acute coronary syndrome, Annals of translational medicine, 2016.

5.      Taylor Shea, 11 surprising home remedies for constipation relief, readers digest. http://www.rd.com>conditions

 

 

 

 

 

 

Received on 03.09.2019         Modified on 23.09.2019

Accepted on 12.10.2019      ©A&V Publications All right reserved