Enteral Nutrition, Gastrointestinal System--Abnormalities
Conditions
Keywords
Enteral Nutrition, Heat Application, Gastrointestinal System Functions, Continuous Enteral Nutrition
Brief summary
Complications related to the gastrointestinal system can occur in patients receiving enteral nutrition. These complications may include nausea, vomiting, diarrhea, constipation, decreased bowel sounds, abdominal distension, increased gastric residual volume, and abdominal pain. To prevent and treat food intolerance, as well as to increase gastric emptying, the use of prokinetic agents is often preferred. However, these drugs have various side effects, such as abdominal cramps, allergies, bronchospasm, cardiac issues, and pancreatic disorders. One non-pharmacological method that can be applied to increase bowel motility and reduce abdominal distension and constipation is heat application. The aim of this study is to determine the effect of heat application to the abdominal and lumbar regions, using a hot water bag, on gastrointestinal system functions in patients receiving continuous enteral nutrition.
Interventions
OTHERHeat Application
The researcher will conduct daily measurements of gastric residual volume (GRV) and abdominal circumference, listen to bowel sounds, and assess distension from the first day of enteral nutrition initiation. Additionally, they will record the frequency of vomiting/defecation. Subsequently, a 15-minute hot application will be applied to the abdominal/lumbar region.
Sponsors
TC Erciyes University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Intensive care unit patients * Individuals aged 18 and above * Patients receiving enteral nutrition via nasogastric tube * Patients on the first day of enteral nutrition * Those receiving standard enteral nutrition solution * Patients without wounds in the abdominal region * Individuals who have not undergone abdominal surgery in the last 6 months * Patients not undergoing radiation/chemotherapy * Those with a high-output fistula without ileus problems * Patients without diarrhea and constipation * Patients with a Glasgow Coma Scale (GKS) \> 3 * Those with an APACHE II score \> 16 * Patients not taking prokinetic agents * Patients not taking laxative medications * Patients without any contraindications for the application of heat, such as neuropathy (to be determined in consultation with the primary doctor).
Exclusion criteria
* Patients in whom enteral nutrition is discontinued during the study * Patients transitioning to a product other than the standard one in enteral nutrition * Patients who temporarily pause enteral nutrition * Patients who have started prokinetic agents * The study will be terminated in patients who have started taking laxative medications.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gastric residual volume | 7 days | GRV measurement will be made 30 minutes after stopping feeding. It will be evaluated before and after application. |
| Abdominal Distension | 7 days | Abdominal distension will be assessed 30 minutes after stopping feeding. The palpation method will be used. Additionally, abdominal circumference will be measured with a tape measure. Evaluation will be made before and after the intervention. |
| Bowel sounds | 7 days | Bowel sounds should be evaluated 30 minutes after stopping feeding. Bowel sounds are listened to with a stethoscope for one minute. It will be evaluated before and after the intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Defecation Patterns | 7 days | measure defecation frequency and nature |
| Vomiting | 7 days | The number of vomitings during the day is recorded |
Contacts
Primary ContactÖzlem Ceyahn
Outcome results
None listed