Early ambulation and dhikr complementary therapies effect on intestinal peristaltic in post-open cholecystectomy patients.
Angga Wilandika, Nina Gartika, Ernawati Nurfarida
PMID 38088708WHAT IT FOUND
In 15 patients after open cholecystectomy, a nursing intervention combining early ambulation and dhikr was followed by higher intestinal peristaltic frequency, rising from 0.87 to 6.27.
The one-group design cannot prove the intervention caused the change.
Key findings
01Mean intestinal peristaltic frequency was 0.87 ± 0.74 before the combined early ambulation and dhikr intervention and 6.27 ± 1.16 after it, with a significant effect (Z = -3.442, P < 0.05).
02The study used a one-group pre and post-test design and included 15 patients selected from 35 post-cholecystectomy patients.
03The authors state that the small number of samples means the results cannot represent the entire population.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 15 patients were studied, and the authors say the small number of samples means the results cannot represent the entire population. The study was a one-group pre and post-test design, so it did not compare patients who received the intervention with patients who did not. The intervention combined early ambulation and dhikr, so the study cannot tell which component, if either, produced the change. Patients were selected purposively and had to be Muslim and able to communicate, so the finding may not apply to patients for whom dhikr is not relevant or who cannot communicate. The paper excluded patients with complications such as tachycardia, hypothermia, hemorrhage, severe nausea, or ICU referral, so it does not show effect in sicker patients.
The easy way to misread this
Do not read the rise from 0.87 to 6.27 as proof that early ambulation and dhikr caused faster intestinal peristalsis. The study had one group and 15 patients, and the two treatments were given together, so the change cannot be separated from what would have happened without the intervention, nor from the contribution of each treatment.