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The Effect of Preoperative Chewing Gum on Anxiety and Postoperative Sore Throat in Patients Using a Laryngeal Mask Airway: A Randomized Controlled Trial

Erten E, Parlak EA, Ilkaz N

International journal of nursing practice, 2026

47 participants

Abstract

Aim: This study aimed to evaluate the effects of preoperative chewing gum on anxiety levels and postoperative sore throat in patients undergoing breast surgery using a laryngeal mask airway.

Method: This study was conducted in the Anaesthesia and Reanimation Department of a training and research hospital. Patients in the intervention group (n = 46) were instructed to chew gum for 2 min during the preoperative period, whereas the control group (n = 47) received standard nursing care. Anxiety levels were assessed using the Amsterdam Preoperative Anxiety and Information Scale during premedication and immediately before surgery. Post-extubation, the severity of sore throat was measured via the Visual Analogue Scale, whereas the presence of cough and hoarseness was recorded.

Results: There was no significant difference between the groups in terms of postoperative sore throat and cough at the second, fourth and sixth hours (p > 0.05). However, at the second postoperative hour, the incidence of hoarseness was significantly higher in the control group (p = 0.004). There was no difference between the groups in terms of hoarseness at the fourth and sixth hours after surgery (p > 0.05). Immediately before surgery, the control group exhibited significantly higher total Amsterdam Preoperative Anxiety and Information Scale scores (p = 0.047) and anxiety subscale scores (p = 0.023). There was no significant difference between groups in the information requirement subscale (p > 0.05).…

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design. Reported size: 47 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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