Subarachnoid Haemorrhage (SAH)
Conditions
Keywords
subarachnoid hemorrhage, Abdominal massage, bowel movements, nursing
Brief summary
The study will be conducted as a randomized controlled trial to determine the effect of postoperative abdominal massage on bowel movements in patients who underwent surgery after subarachnoid hemorrhage and are hospitalized in the neurosurgery intensive care unit.
Detailed description
The study will be conducted as a randomized controlled trial to determine the effect of postoperative abdominal massage on bowel movements in patients who underwent surgery after subarachnoid hemorrhage and are hospitalized in the neurosurgery intensive care unit. The sample of the study will consist of a total of 64 patients, 32 in the experimental group and 32 in the control group, hospitalized in the tertiary neurosurgery intensive care unit. Data collection tools are the Descriptive Characteristics Form and the Patient Follow-up Form.The statistician will determine whether the patients who meet the sampling criteria will be assigned to the experimental or control group through randomization. The stratified randomization method will be used in the study. In this context, patients who meet the inclusion criteria from the start date of the study in the Neurosurgery Intensive Care Unit will be randomized by assigning them to the control group and abdominal massage groups, respectively. Patients will be assigned to the control and abdominal massage groups in this order until the sample size is reached. The CONSORT diagram will be used in the randomization of patients.
Interventions
As part of the abdominal massage application, patient follow-up forms and checklists were prepared. Before starting the study, the abdominal massage practitioner participated in a certification program on this topic and received a competency certificate. Patients will be followed up for the first 3 days postoperatively using the prepared patient follow-up forms. Abdominal massage will be applied to each patient for 15 minutes according to a certain standard as stated in the literature
Sponsors
Gazi University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* • 18 years of age or older * Underwent neurovascular surgery * Received general anesthesia * Have no wounds, surgical intervention, or radiotherapy in the abdominal region * Have no bowel obstruction, irritable bowel syndrome, inflammatory bowel disease, abdominal herniation, or bowel cancer * Began oral feeding at the 6th hour post-surgery * Stayed in the intensive care unit for 3 or more days * Have a Glasgow Coma Scale (GCS) score of 9 or above * Have no signs of acute abdomen * Have no intra-abdominal infection * No mechanical ventilation * Mobilezed in the preoperative period * Unable to mobilize after surgery * Evaluated by the intensive care physician with no contraindications for abdominal massage * Have a first-degree relative who has given consent
Exclusion criteria
* Patients with the following conditions will be excluded from the sample: * Those with chronic constipation, fecal incontinence, or diarrhea * Those fed with a fiber-enriched nutritional solution (e.g., Nutrison Protein Plus Multifibre®, Fresubin Original Fibre®, Isosource Fiber®, Jevity Plus®) * Those fed via nasogastric enteral tube * Those receiving parenteral nutrition * Patients with a BMI \> 40 (morbid obesity)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time To Defecate | From the 6th hour after surgery until the end of the 3rd day after surgery | Time of first defecation |
| Bowel Sounds | From the 6th hour after surgery until the end of the 3rd day after surgery | Frequency of bowel sounds heard per minute |
| Abdominal Distension | From the 6th hour after surgery until the end of the 3rd day after surgery | To be assessed by measuring the abdominal circumference with a tape measure |
Countries
Turkey (Türkiye)
Outcome results
None listed