The effect of chewing sugar-free gum massage the abdomen and constipation

INTERVENTION: For patients (1) chewing sugar‐free gum a number Mark van (25‐gram package containing xylitol) 3 times a day for 30 minutes after an hour of eating every meal + routine hospital for 7 days prescribed by Research Associate and monitored. For patients (2) clockwise abdominal massage for 15 minutes per hour of 9 am and 9 pm with gentle constant pressure with two or three fingers in a clockwise direction to rotate the area of the anterior superior iliac spine straight day + care routine will be performed by the principal investigator. For patients (3) a combination of chewing sugar‐free gum a number Barbd Mark van an hour‐a‐day eating meals (breakfast, lunch, dinner) for half an hour and massage the abdomen in a clockwise direction for 15 minutes on the clock in the direction transverse colon and descending colon in the left upper abdomen in the direction of the anterior superior iliac spine down the left Without prejudice to patient privacy for 7 days + care routine will be performed by the principal investigator. Intervention 1: For patients (3) a combination of chewing sugar‐free gum a number Barbd Mark van an hour‐a‐day eating meals (breakfast, lunch, dinner) for half an hour and massage the abdomen in a clockwise direction for 15 minutes on the clock in the direction transverse colon and descending colon in the left upper abdomen in the direction of the anterior superior iliac spine down the left Without prejudice to patient privacy for 7 days + care routine will be performed by the principal investigator. Intervention 2: To control (4) routine actions, such as recommendations to increase fluid intake, fiber intake, and active and passive movements in bed is recommended. Intervention 3: For patients (2) clockwise abdominal massage for 15 minutes per hour of 9 am and 9 pm with gentle constant pressure with two or three fingers in a clockwise direction to rotate the area of the anterior superior iliac spine straight day + care routine will be performed by the principal investigator. Intervention 4: For patients (1) chewing sugar‐free gum a number Mark van (25‐gram package containing xylitol) 3 times a day for 30 minutes after an hour of eating every meal + routine hospital for 7 days prescribed by Research Associate and monitored. Prevention To control (4) routine actions, such as recommendations to increase fluid intake, fiber intake, and active and passive movements in bed is recommended. CONDITION: constipation constipation. ; constipation PRIMARY OUTCOME: Constipation severity. Timepoint: 7 days after the intervention. Method of measurement: questionnaire ROM III. The incidence of constipation. Timepoint: 7 days after the intervention. Method of measurement: questionnaire ROM III. INCLUSION CRITERIA: INCLUSION CRITERIA:Not having normal bowel movements and constipation model to study femoral fractures in patients older than 18 years approved by skeletal traction Follow the instructions in the diet based on normal diet without affecting the underlying disease bowel movements(Diabetes, depression, hemorrhoids, Fisher, dementia, multiple sclerosis, Parkinson's disease, a history of abdominal surgery, rheumatoid arthritis, hypothyroidism, spinal cord injury).No special diet or weight loss obesity. Lack of skin inflammation or ulcers in the massage area treated with specific drugs affecting the gastrointestinal tract, bowel movements and not (antacids, anticholinergic and anti‐Parkinson's medications are, calcium channel blockers, diuretics, iron supplements, anti‐inflammatory drugs NSAIDs, and opioid consumption).Lack of inflammatory bowel disease. No smoking and drugs.Exclusion criteria from the study:Not wanting to continue cooperation.Before the patient is discha