Abdominal Massage, Constipation
Conditions
Keywords
Cranial surgery, bowel evacuation, constipation, abdominal massage, nursing
Brief summary
Many factors in patients undergoing cranial surgery (CS) may affect the bowel evacuation of patients, resulting in constipation, which could lead to the use of the valsalva maneuver. The aim of this study was to determine the effect of abdominal massage (AM) on bowel evacuation of patients treated in intensive care units (ICU) after CS.
Detailed description
The sample of this prospective parallel two-arm randomized controlled trial included 80 patients who underwent CS. The patients were randomly assigned (1:1) to the AM and control groups. The constipation risk of all the patients following CS was assessed with Constipation Risk Assessment Scale (CRAS). Those patients in the AM group received a total of 30 minutes of massage, 15 minutes every morning and evening, until the first defecation. The bowel sounds of all the patients in the AM and control groups were assessed on a daily basis. The days when bowel sounds were heard and the first defecation took place were recorded in a Bowel Evacuation Form.
Interventions
OTHERabdominal massage
the patients in the AM group were given a total of 30 minutes of AM by the nurses (HD, OM) everyday for 15 minutes in the morning and evening.In this study AM, which included effleurage, strokes, petrissage and vibration techniques, was applied to the patients for 15 minutes in each session at 9:00 am and 9:00 pm.
Sponsors
Mersin University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Masking description
In this study, due to the nature of the intervention, only the patient was blinded. The researchers involved in the running of the study were not blinded.
Intervention model description
prospective, parallel, two arm (1:1), randomized controlled clinical trial
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients who * volunteered to participate in the study, * were 18 years old or older and underwent CS, * stayed in the ICU for ≥ 3 days,
Exclusion criteria
Patients who * have percutaneous endoscopic gastrostomy, * abdominal hernia, * irritable bowel syndrome * bowel cancer, * history of abdominal surgery, * pregnancy,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primery outcome: bowel sounds | up to 10 days | time return of bowel sounds |
| Primery outcome: first defecation | up to 10 days | time of the first defecation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| constipation risk | up to 24 hours | constipation risk in intensive care unit |
Outcome results
None listed