Enteral Nutrition, Gastrointestinal System--Abnormalities
Conditions
Keywords
Enteral Nutrition, Continuous and Bolus Infusion, Abdominal Massage, Gastrointestinal System Function
Brief summary
Complications related to the gastrointestinal system may arise in patients receiving enteral nutrition through continuous and bolus infusion. These complications include constipation, diarrhea, nausea, vomiting, abdominal distension, increased gastric residual volume, and abdominal pain. The aim of this study is to determine the impact of abdominal massage applied to patients receiving enteral nutrition through continuous or bolus infusion on gastrointestinal system functions. For this purpose, 164 patients meeting the inclusion criteria will be randomized, and four groups will be defined. Half will constitute the experimental group, and the others will form the control group. In our study, the effects of massage on symptom control will be evaluated by comparing symptoms in patients receiving both forms of nutrition. Thus, the evaluation and control of medical conditions (symptoms) such as constipation, diarrhea, vomiting, increased abdominal distension, and increased gastric residual volume are targeted.
Interventions
OTHERNutrition of Continuous
The researcher will perform gastric residual volume (GRV) measurements with a syringe, abdominal circumference measurements, and distension assessments daily before starting enteral nutrition from the first day of initiation. They will also record vomiting/defecation frequency. Massage will be applied for 15 minutes. The same criteria will be measured and recorded. The application and measurements will be conducted twice a day for 10 consecutive days.
OTHERNutrition of Bolus
The researcher will perform gastric residual volume (GRV) measurements with a syringe, abdominal circumference measurements, and distension assessments daily before starting enteral nutrition from the first day of initiation. They will also record vomiting/defecation frequency. Massage will be applied for 15 minutes. The same criteria will be measured and recorded. The application and measurements will be conducted twice a day for 10 consecutive days.
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
* Patients in intensive care * Those aged 18 and above * Patients being fed through a nasogastric tube * Patients on the first day of enteral nutrition * Patients without wounds in the abdominal region * Those who have not undergone abdominal surgery in the last 6 months * Patients not receiving radiotherapy/chemotherapy * Patients without a diagnosis of bowel obstruction * 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 abdominal massage (to be determined in consultation with the primary physician)
Exclusion criteria
* Patients for whom enteral nutrition is discontinued during the study * Patients with interrupted enteral nutrition * Patients who have started prokinetic agents * The study will be terminated for patients who have started laxative medication.
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 evaluated 30 minutes after stopping feeding. The palpation method will be used. Additionally, the abdominal circumference will be measured with a tape measure. It will be evaluated before and after application. |
| 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 application. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Defecation patterns | 7 days | measure defecation frequency and nature |
| Vomiting | 7 days | How many times the patient vomited during the day is recorded |
Contacts
Primary ContactÖzlem Ceyhan
Outcome results
None listed